Acute Limb Ischemia among COVID-19 Patients in Hospital Kuala Lumpur
Open Access Macedonian Journal of Medical Sciences
; Part B. 10:2387-2391, 2022.
Article
in English
| EMBASE | ID: covidwho-2227159
ABSTRACT
BACKGROUND:
Acute arterial thromboembolism among the novel coronavirus 2019 (COVID-19) patients is worrying as it can result in significant thrombotic events.AIM:
The research aimed to determine the clinical results of COVID-19-infected patients who had acute limb ischemia (ALI) during the COVID-19 epidemic. METHOD(S) ALI patients who had a positive COVID-19 were included in the observational cohort study, which was conducted at a single center. The primary outcomes were 30 days mortality, limb salvage, and successful revascularization. RESULT(S) From May to October 2021, data from 21 ALI subjects who had positive COVID-19 were analyzed. Of the 21 included subjects, 10 were male (48%). Their mean age was 65 +/- 5 years. In 9 subjects (42%), revascularization was done. Four (19%) of the 21 persons died while they were hospitalized. Twelve patients underwent major amputation, and among them, one patient died after a month of hospitalization for COVID-19-related pneumonia. Among the 12 patients that underwent amputation, 10 of them presented with ALI during the 1st week of COVID-19 illness. Only one patient developed acute limb ischemia despite being on heparin thromboprophylaxis. CONCLUSION(S) Despite attempts at revascularization, ALI associated with COVID-19 has high mortality and high rates of limb loss. In our experience, major amputation is required in up to a third of patients. This poor result appears to confirm that these infected individuals have a marked hypercoagulable condition. However, adhering to the treatment protocol of heparin thromboprophylaxis confers a benefit in this patient group. Copyright © 2022 Karthigesu Aimanan, Nurul Nadiah Nazurah Mohd Ali, Mohd Nurhisham Azmi Abdul Rahman, Putra Mas Pian, Kumaraguru V. K. Pillay, Firdaus Hayati, Hanif Hussein.
Acute limb ischemia; covid-19; Thromboprophylaxis; aged; amputation; article; clinical article; clinical protocol; cohort analysis; controlled study; coronavirus disease 2019; drug therapy; Federal Territory of Kuala Lumpur; female; hospitalization; human; limb salvage; male; mortality; outcome assessment; pneumonia; revascularization; surgery; thrombosis prevention; heparin
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Cohort study
/
Observational study
/
Prognostic study
Language:
English
Journal:
Open Access Macedonian Journal of Medical Sciences
Year:
2022
Document Type:
Article
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