SCOPE CLI (Shifting Care and Outcomes for Patients With Endangered Limbs - Critical Limb Ischemia)

Saint Luke's Health System80 enrolled

Overview

Given the importance of understanding CLI patients' outcomes and existing gaps in knowledge, there is a pressing need to collect observational data on treatment patterns, adherence to performance measures, and outcomes that are relevant to patients and clinicians. To address this need, the current study will pilot test the research infrastructure and data elements needed to build a larger, national study collecting of the CLI population. It will also provide much-needed preliminary information to identify areas of action that can be targeted in quality improvement programs for this population. Most importantly, it will provide data on health status outcomes in patients with CLI, as a function of individual patient characteristics (demographics, socio-economic and clinical background) and the treatments that patients have undergone. The PORTRAIT-CLI study will also be well equipped to identify potential disparities in the provision of care and patients' outcomes as a function of patient's characteristics.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Critical Limb Ischemia

Interventions

care as usualOTHER

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: All race/ethnicity categories, English or Spanish speaking, men and women * Age ≥18 years * Patients presenting with Rutherford Classification 4 (ischemic rest pain), or Rutherford Classification 5 (minor tissue loss: non-healing ulcer, focal gangrene with diffuse pedal ischemia), or Rutherford Classification 6 (major tissue loss: extending above transmetatarsal level, functional foot no longer salvageable) at specialty clinics will prospectively be screened, regardless of whether the patient undergoes endovascular, bypass, amputation, and/or medical therapy. * Diagnosis is supported by any of the following hemodynamic parameters (assessed pre- procedurally): Ankle pressure lower than 70 mmHg; Toe pressure lower than 50 mmHg or evidence of ischemia by transcutaneous oxygen measurement (tcpO2) \<40 or a skin perfusion pressure (SPP) \<40 or angiographic evidence of significant vascular disease Exclusion Criteria: * No other prior surgical or vascular interventions within 2 weeks before and/or planned 30 days after the enrollment * Acute limb ischemia * Unable to provide written informed consent * Currently a prisoner

Locations (2)

Yale New Haven Hospital

New Haven, Connecticut, United States

University Hospitals Cleveland

Cleveland, Ohio, United States

Outcomes

Primary Outcomes

CLI-specific health status

Peripheral Artery Questionnaire-CLI version

Time frame: 12 months

Secondary Outcomes

Freedom from major amputation or major reintervention

Freedom from major amputation or major peripheral vascular reintervention (surgical or angioplasty)

Time frame: 12 months