Management of patients with atherosclerotic lower extremity peripheral arterial disease in the outpatient setting
https://doi.org/10.17802/2306-1278-2021-10-2S-79-82
Abstract
Aim. To analyze and scientifically substantiate the need for the creation of a program for the outpatient observation with COZANC using remote patronage.
Methods. The study prospectively included 150 patients with atherosclerosis of the arteries of the lower extremities. The average age of the patients was 68.3 ± 9.7 years. Clinical and anamnestic data were studied, and patients were interviewed using questionnaires and scales. Two observation groups were formed: the main one consisted of 70 patients, who were included in the program of remote patronage clinical examination, and 80 patients were under the standard model of outpatient observation with COZANC.
Results. For a 3-month period of outpatient observation, an audio communication session was carried out for 70 patients, once a month. During the reporting period, no acute cardiovascular events were recorded in the main group, while in the comparison group there were 3 (3.75%) myocardial infarctions. The development of CLI occurred in the main group in 1 case, while in the comparison group there were 4 (5%) patients, in one case the lower limb was amputated. In the comparison group, there were 3 ischemic events that resulted in a lethal outcome.
Conclusion. For the first time, a personalized remote patronage program was created and introduced into clinical practice at the level of primary health care, as a tool for optimizing the clinical examination program for patients with COZANC. The effectiveness of the remote patronage program for patients with atherosclerosis of the arteries of the lower extremities is described in relation to the prevention of acute cardiovascular events and the progression of COZANC.
About the Authors
S. A. Makarov
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Russian Federation
PhD, Head of the Laboratory of Management Technologies Modeling, the Department of Optimization of Medical Care for Cardiovascular Diseases,
6, Sosnoviy Blvd., Kemerovo, 650002
K. V. Smirnov
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Russian Federation
postgraduate student,
6, Sosnoviy Blvd., Kemerovo, 650002
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Review
For citations:
Makarov S.A., Smirnov K.V. Management of patients with atherosclerotic lower extremity peripheral arterial disease in the outpatient setting. Complex Issues of Cardiovascular Diseases. 2021;10(2):79-82. (In Russ.) https://doi.org/10.17802/2306-1278-2021-10-2S-79-82
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