Table 6.1.
Comparison of risk stratification tools for the chronic limb-threatening ischemia (CLTI) population
Tool | End points | Critical factors | Reference |
---|---|---|---|
| |||
Taylor et al | Mortality, ambulatory failure (median follow-up of 2 years) | Age, race, ESRD, CAD, COPD, DM, dementia, baseline ambulatory status | Taylor,409 2006 |
Finnvasc | Perioperative (30-day) mortality, limb loss | DM, CAD, gangrene, urgent operation | Biancari,63 2007 |
PREVENT III | AFS (1 year) | ESRD, tissue loss, age >75 years, CAD, anemia | Schanzer,64 2008 |
BASIL | Survival (2 years) | Age, CAD, smoking, tissue loss, BMI, Bollinger score, serum creatinine concentration, AP (number measured and highest value), prior stroke/TIA | Bradbury,65 2010 |
CRAB | Perioperative (30-day) mortality, morbidity | Age >75 years, prior amputation or revascularization, tissue loss, ESRD, recent MI/angina, emergency operation, functional dependence | Meltzer,66 2013 |
Soga et al | Survival (2 years) | Age, BMI, nonambulatory status, ESRD, cerebrovascular disease, tissue loss, left ventricular ejection fraction | Soga,225 2014 |
VQI | AFS (1 year) | Age, tissue loss, DM, CHF, serum creatinine concentration, ambulatory status, urgent operation, weight, bypass conduit used | Simons,67 2016 |
VQI | Survival (30 days, 2 and 5 years) | Age, CKD, ambulatory status, CAD, CHF, COPD, tissue loss, diabetes, smoking, beta-blocker use | Simons,412 2018 |
AFS, Amputation-free survival; AP, ankle pressure; BASIL, Bypass vs Angioplasty in Severe Ischaemia of the Leg; BMI, body mass index; CAD, coronary artery disease; CNF, congestive heart failure; COPD, chronic obstructive pulmonary disease; CRAB, Comprehensive Risk Assessment for Bypass; DM, diabetes mellitus; ESRD, end-stage renal disease; MI, myocardial infarction; PREVENT III, Project of Ex-vivo Vein graft Engineering via Transfection III; TIA, transient ischemic attack; VQI, Vascular Quality Initiative.