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Edwards JB, Wooster MD, Tran T, et al. Factors Associated With Unplanned Reoperation After Above-Knee Amputation. JAMA Surg. 2019;154(5):461–462. doi:10.1001/jamasurg.2018.5074
Above-knee amputation (AKA) is typically a last-resort procedure in patients who are not candidates for limb salvage. Unplanned reoperation has been identified as a risk factor for increased morbidity and hospital readmission after vascular surgery.1 The objective of this study was to evaluate risk factors for unplanned reoperation after AKA.
A retrospective review was performed that included all patients who underwent 1 or more AKA by the vascular surgery service at 2 hospitals from January 1, 2013, to December 31, 2015. The level of amputation was determined by clinical examination, because adjunctive measures of tissue perfusion (ie, transcutaneous oximetry) were not used by these centers during this period. Data collected included standard demographics and comorbidities, perioperative data, and postoperative outcomes.
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