IMPLEMENTING A QUALITY IMPROVEMENT FRAMEWORK FOR MAJOR AMPUTATION IN A SCOTTISH HEALTH BOARD (PATTERNS OF PERI-OPERATIVE MORTALITY AND AMPUTATION LEVEL)
Bryce Renwick, Colette Pickard, Marta Madurska, Michael Burns, Joshua Fultang, James Horton, Adam MacDonald, Khalid Irshad, Donald J Bain, Donald B Reid.
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We present a large contemporary series of patients presenting with unreconstructable critical limb ischaemia and requiring amputation. As well as being an insight into the challenges faced with the implementation of a quality improvement framework. We also feel the results will better inform the practising vascular surgeon and patients about the risks of limb loss in the 21st century.
Key words: Critical limb ischaemia, gangree, diabetes, bypass, angioplasty, perioperative, mortality