ĐÁNH GIÁ KẾT QUẢ CHĂM SÓC BỆNH NHÂN SAU CAN THIỆP BỆNH ĐỘNG MẠCH CHI DƯỚI VÀ MỘT SỐ YẾU TỐ LIÊN QUAN NĂM 2024 TẠI BỆNH VIỆN TƯQĐ 108

Abstract

Objective: To describe the clinical and paraclinical characteristics, and evaluate the outcomes of patient care following PAD intervention at the Military Central Hospital 108 in 2024 and analyze factors associated with patient care outcomes after the intervention. Subjects and Methods: A prospective, descriptive study. We collected 150 patients who underwent endovascular interventions for peripheral artery disease at the Cardiovascular diagnostic and interventional department of the Military central hospital 108. Data were gathered from medical records, intervention checklists, and patient interviews to assess clinical and paraclinical features, and to analyze risk factors related to post-intervention care outcomes. Results: The average age was 71.9 ± 9.8 years, with 66% being male. Hypertension (89.3%), diabetes mellitus (43.3%), smoking (35.3%), and alcohol consumption (29.3%). Clinical symptoms improved significantly after the intervention: intermittent claudication decreased from 66% pre-intervention to 15% before discharge, and the percentage of patients able to walk over 200 meters increased from 16.7% pre-intervention to 81.3% post-intervention. The proportion of patients with severe pain (VAS) decreased from 53.3% pre-intervention to 25.3% before discharge, and moderate to severe anxiety decreased from 43.4% pre-intervention to 23.4% before discharge. Overall care outcomes were rated good in 80% of cases. Patients with diabetes had better care outcomes compared to non-diabetic patients, OR (95% CI) of 1.7 (0.7–3.9), p < 0.05. Patients with an ABI ≥ 0.4 had better care outcomes, OR (95% CI) of 1.1 (0.5–2.9), p < 0.05. Conclusion: Post-intervention care plays a crucial role in functional recovery and quality of life improvement for patients with lower limb arterial disease. Care outcomes are associated with factors such as the ABI index, diabetes and smoking.