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Klinkova A.S.

FGU "Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Kamenskaia O.V.

Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina Minzdravsotsrazvitiia RF

Ashurkov A.V.

Meshalkin National Medical Research Center of Healthcare Ministry of Russia, Novosibirsk, Russia

Lomivorotov V.N.

FGBU Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina Minzdrava Rossii

The effect of spinal card stimulation on quality of life in patients with critical lower limb ischemia

Authors:

Klinkova A.S., Kamenskaia O.V., Ashurkov A.V., Lomivorotov V.N.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2019;83(3): 57‑63

DOI: 10.17116/neiro20198303157

Read: 1651 times

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Table of contents

THE EFFECT OF SPINAL CARD STIMULATION ON QUALITY OF LIFE IN PATIENTS WITH CRITICAL LOWER LIMB ISCHEMIA
THE EFFECT OF SPINAL CARD STIMULATION ON QUALITY OF LIFE IN PATIENTS WITH CRITICAL LOWER LIMB ISCHEMIA

To cite this article:

Klinkova AS, Kamenskaia OV, Ashurkov AV, Lomivorotov VN. The effect of spinal card stimulation on quality of life in patients with critical lower limb ischemia. Burdenko's Journal of Neurosurgery. 2019;83(3):57‑63. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20198303157

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)
 
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Abstract:

Today, there are insufficient data on the dynamics of quality of life (QoL) in patients with critical lower limb ischemia after spinal cord stimulation. Objective — to study the dynamics of QoL in patients with critical lower limb ischemia one year after spinal cord stimulation. Material and methods. QoL analysis was performed in 43 patients with critical lower limb ischemia using the SF-36 questionnaire before and one year after spinal cord stimulation. Results. At baseline, we detected reduced QoL parameters corresponding to the physical function (≤30 points). The parameters of mental health corresponded to the moderate level (the score ranged between 42 and 59 points). The total score of physical well-being was reduced: 22.8 (20.2—29.3); the mean score of mental well-being was 41 (32.8—49.2) (p<0.001). One year after spinal cord stimulation, the level of all QoL parameters was increased but the total score of physical well-being remained low 33.2 (24—44.1). The mean score of mental well-being corresponded to the moderate level of QoL 56.5 (49—60.4) (p<0.001). Multivariate regression analysis showed that the physical parameters of QoL after spinal cord stimulation are adversely affected by such factors as age, the history of stroke, the ankle-brachial index (ABI), the presence of type 2 diabetes mellitus (DM), and ischemic heart disease (IHD) in combination with stenosis of brachiocephalic arteries (BCA). The mental health is affected by age and the presence of stenosis of brachiocephalic arteries. Conclusion. When selecting patients with critical lower limb ischemia for spinal cord stimulation, such factors as the baseline clinical status (comorbidities), age, history of stroke, and the severity of peripheral artery ischemia need to be taken into account to improve treatment effectiveness and QoL.

Keywords:

spinal cord stimulation
lower limb ischemia
quality of life

Authors:

Klinkova A.S.

FGU "Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Kamenskaia O.V.

Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina Minzdravsotsrazvitiia RF

Ashurkov A.V.

Meshalkin National Medical Research Center of Healthcare Ministry of Russia, Novosibirsk, Russia

Lomivorotov V.N.

FGBU Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina Minzdrava Rossii

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