Seasonal Variation In The Occurrence, Severity And Outcome Of Acute Limb Ischemia
DOI:
https://doi.org/10.51253/pafmj.v75iSUPPL-6.9056Keywords:
Acute limb Ischemia, Embolectomy, Rutherford classification, SeasonsAbstract
Objective: To evaluate whether seasonal variation is present in the incidence, severity and prognosis of ALI.
Study Design: Retrospective longitudinal study
Place and Duration of Study: Department of Vascular surgery CMH Rawalpinidi from Jan 2021 to March 2022
Methodology: All the patients aged between 15 and 80 years with clinical diagnosis of Acute limb Ischemia confirmed by ultrasound doppler or Computed tomography angiogram warranting any intervention were included in the study. Rutherfords acute limb ischemia grade, limb involved were, co-morbid conditions and time of onset of symptoms were noted. Demographic data as time of year, surgical procedure done, outcome at time of discharge and at three months follow up were also analyzed.
Results: A total of 191 patients underwent embolectomies. There were 129 males (67.5%) and mean age of the was 58.24±10.113 years. In winters there were 86(45%) operations (21.5 surgeries per month), whereas in summer season there were 50(26.2%) (12.5 cases per month) cases (p value <0.001). In winters around 55(49.1%) patients presented with Rutherford’s grade II, whereas, in summers 20(17.8%) patients had grade II ALI (p-value=0.022). Similarly, more patients suffered from complications during cold weather (p-value=0.011).
Conclusion: There is seasonal variation in the incidence of ALI. Severity of disease is also more during the winter weather and patients presenting during cold weather have higher chances of complications.
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Copyright (c) 2025 Malik Waseem Babar, Anas Bin Saif, Ayesha Masood, Muhammad Jamil, Irfan ., Khalid Siddique
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