Amputation risk scale in patients with acute limb ischemia

Khorev N.G.; Chichvarov A.A.; Sapelkin S.V.; Beller A.V.

doi:https://doi.org/10.17116/hirurgia202503169

Khorev N.G.

Altai State Medical University;
Clinical Hospital “Russian Railway Medicine”

ORCID: 0000-0002-2383-4214

Chichvarov A.A.

Altai State Medical University;
Clinical Hospital “Russian Railway Medicine”

ORCID: 0000-0002-7973-3535

Sapelkin S.V.

Vishnevsky National Medical Research Center of Surgery

ORCID: 0000-0003-3610-8382

Beller A.V.

Altai State Medical University;
Clinical Hospital “Russian Railway Medicine”

ORCID: 0009-0005-2023-6832

Amputation risk scale in patients with acute limb ischemia

Authors:

Khorev N.G., Chichvarov A.A., Sapelkin S.V., Beller A.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(3): 69‑75

DOI: 10.17116/hirurgia202503169

Read: 1020 times

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To cite this article:

Khorev NG, Chichvarov AA, Sapelkin SV, Beller AV. Amputation risk scale in patients with acute limb ischemia. Pirogov Russian Journal of Surgery. 2025;(3):69‑75. (In Russ.)
https://doi.org/10.17116/hirurgia202503169

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

OBJECTIVE

To create a scale for predicting amputation in patients with acute limb ischemia.

MATERIAL AND METHODS

We retrospectively analyzed inpatient treatment data of 1.353 patients over a 22-year period. Patients were divided into two groups depending on limb salvage (n=1.212) and limb loss (n=141). Six factors influencing the risk of limb amputation were identified, and odds ratio for each factor was assessed.

RESULTS

A scoring scale including 15 clinical and laboratory parameters was created. Prognostic ability of the scale was assessed using ROC analysis. AUC was 0.794 with 95% CI 0.755—0.833. The median score for group 1 (limb salvage) was 17 [14; 21], for group 2 (amputation) — 23 [19; 26] (p<0.0001). We stratified groups of low (up to 4.2%), medium (4.3—19.2%) and high (19.3—55.7%) risk of limb amputation in patients with acute limb ischemia.

CONCLUSION

A simple scale for assessing the probability of limb amputation in patients with acute ischemia was developed. Practical application of this tool is possible in surgical and specialized departments.

Keywords:

acute limb ischemia

amputation

limb amputation risk assessment scale

Authors:

Khorev N.G.

Altai State Medical University;
Clinical Hospital “Russian Railway Medicine”

ORCID: 0000-0002-2383-4214

Chichvarov A.A.

Altai State Medical University;
Clinical Hospital “Russian Railway Medicine”

ORCID: 0000-0002-7973-3535

Sapelkin S.V.

Vishnevsky National Medical Research Center of Surgery

ORCID: 0000-0003-3610-8382

Beller A.V.

Altai State Medical University;
Clinical Hospital “Russian Railway Medicine”

ORCID: 0009-0005-2023-6832

Received:

29.05.2024

Accepted:

10.09.2024

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References:

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