New approaches of inpatient-care-replacing technologies in treating patients with critical ischemia of lower extremities

The purpose of the paper is to improve the prognosis and development of chronic arterial insufficiency of the lower extremities of atherosclerotic genesis by developing an algorithm for choosing the optimal method for drug-induced, non-pharmacological or surgical treatment. Materials and Methods. The authors examined 159 patients with chronic obliterating diseases of lower limb arteries, who were divided into 2 groups. Group 1 (77 patients) was under regular medical check-up of a surgeon but did not undergo treatment systematically. Group 2 (82 patients) were the subjects of a novel individual treatment. A newly developed critical ischemia risk scale was used to treat them as outpatients. Results. Two years after the treatment, the index dynamics in Group 1 and Group 2 was different in comparison with the initial data. Both groups showed a significant improvement in performance measures, physical condition and decrease of pain syndrome. Advances in social role, improvement of the mental and emotional state were recorded only in Group 2, whereas Group 1 demonstrated decrease in these indicators...