Table VIII.
Summary of four risk-prediction models for survival or amputation-free survival (AFS) after revascularizationa
| Study |
VSGNE PVI |
BASIL |
PREVENT III |
FINNVASC |
|---|---|---|---|---|
| Revascularization |
PVI (n = 1253) |
PVI (n = 228) or LEB (n =224) |
LEB (n = 1404) |
LEB (n = 3925) |
| Outcome | 1-year AFS | 2-year AFS | 1-year AFS | 30-day AFS |
| Variable | ||||
| Renal insufficiencyb | 1.9–3.8 | 2.0 | 2.8 | |
| Agec | 2.2 | 1.7 | 1.6 | |
| Emergency procedure | 2.5 | 1.8 | ||
| Not living at home | 2.0 | |||
| CHF | 1.7 | |||
| Chronic β-blockers | 1.4 | |||
| Independent ambulation | 0.7 | |||
| Tissue lossd | 2.6 | 2.2 | 1.5 | |
| CAD | ↓ | 1.4 | 1.4 | |
| Diabetes, type 1 or 2 | 1.2 | 1.5 | ||
| Bollinger score below knee 5–8 | 1.9 | |||
| Smoking | 1.7 | |||
| BMI <20 kg/m2 | 1.5 | |||
| Stroke/TIA | ↓ | |||
| Ankle pressurese | ↓ | |||
| Hematocrit <30 | 1.6 | |||
| Model discrimination: reported C index validation8–12 | 0.74 | – | – | 0.60 |
| Not validated | 0.65–0.70 | 0.58–0.63 | 0.50–0.58 |
BASIL, Bypass versus Angioplasty in Severe Ischaemia of the Leg; BMI, body mass index; CAD, coronary artery disease; CHF, congestive heart failure; CLI, critical limb ischemia; FINNVASC, Finland National Vascular prediction model; LEB, lower extremity bypass; PREVENT III, Edifoligide for the Prevention of Infrainguinal Vein Graft Failure; PVI, peripheral vascular intervention; TIA, transient ischemic attack; VSGNE, Vascular Study Group of New England.
Hazard ratios (HRs) or odds ratios (ORs) from original publication. ↓ indicates decreased overall survival (OS) or amputation free survival (AFS) when HR not reported.
Creatinine ≥1.78 mg/dL or dialysis for VSGNE, creatinine >4.7 mmol/L for BASIL, on dialysis for PREVENT III.
Age >80 years for VSGNE PVI and BASIL, >75 years for PREVENT III.
Defined as any tissue loss for PREVENT III and BASIL (with ankle pressure <50 mm Hg) and gangrene for FINNVASC.
Includes number of serial ankle pressures obtained and maximum pressure.