PMID- 33606967
OWN - NLM
STAT- MEDLINE
DCOM- 20220309
LR  - 20221207
IS  - 1477-0377 (Electronic)
IS  - 1358-863X (Print)
IS  - 1358-863X (Linking)
VI  - 26
IP  - 2
DP  - 2021 Apr
TI  - Perceptions of patients with wounds due to chronic limb-threatening ischemia.
PG  - 200-206
LID - 10.1177/1358863X20987896 [doi]
AB  - Patients with chronic limb-threatening ischemia (CLTI) face numerous barriers to 
      caring for lower extremity wounds. We explored the perceptions of CLTI patients 
      to their wound/management and sought to determine attitudes towards their 
      vascular provider as well as willingness for management through telemedicine. 
      Patients admitted to hospital for treatment of Rutherford Grade 5 and 6 CLTI were 
      asked complete a wound evaluation survey and took part in a semi-structured 
      interview. Semi-structured interviews were recorded, transcribed, and analyzed 
      using an inductive coding strategy. Codes were grouped for thematic analysis and 
      aggregated into assertions. Eleven patients with a mean age of 60 years (35-79 
      years) were interviewed. All patients had peripheral artery disease (PAD) and 
      eight patients had diabetes as well. Three overarching themes were identified. 
      First, patients appear to have limited coping mechanisms and are overwhelmed by 
      the care of their wounds. Second, in this cohort of patients, many had become 
      passive observers of their care as demonstrated by a limited understanding of 
      their disease processes and detachment from wound management. The third theme was 
      how strong the desire to do everything to prevent limb loss was, but patients 
      acknowledged this is hard to translate into real life with limited resources. 
      Patients with CLTI have concerns that vascular providers must recognize and 
      address to build strong patient-provider relationships and increase activation 
      for management of their wounds and other medical conditions. Patients who have 
      access to technology and with guidance may be able to understand getting care 
      through remote medicine.
FAU - Ceja Rodriguez, Maria
AU  - Ceja Rodriguez M
AD  - Department of Surgery, University of California Davis Health, Sacramento, CA, 
      USA.
FAU - Mark, John R
AU  - Mark JR
AD  - Department of Surgery, University of California Davis Health, Sacramento, CA, 
      USA.
FAU - Gosdin, Melissa
AU  - Gosdin M
AD  - Center for Health Policy, University of California Davis Health, Sacramento, CA, 
      USA.
FAU - Humphries, Misty D
AU  - Humphries MD
AUID- ORCID: 0000-0001-7362-3303
AD  - Department of Surgery, University of California Davis Health, Sacramento, CA, 
      USA.
LA  - eng
GR  - K23 HL143178/HL/NHLBI NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
DEP - 20210219
PL  - England
TA  - Vasc Med
JT  - Vascular medicine (London, England)
JID - 9610930
SB  - IM
MH  - Amputation, Surgical
MH  - Chronic Disease
MH  - *Chronic Limb-Threatening Ischemia
MH  - Humans
MH  - Ischemia/diagnosis/therapy
MH  - Limb Salvage
MH  - Middle Aged
MH  - *Peripheral Arterial Disease/diagnosis/therapy
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Treatment Outcome
PMC - PMC8954810
MID - NIHMS1677612
OTO - NOTNLM
OT  - amputation
OT  - critical limb-threatening ischemia (CLTI)
OT  - patient education
OT  - patient-centered
OT  - peripheral artery disease (PAD)
OT  - quality of life
OT  - wound care
COIS- Declaration of conflicting interests The authors declared no potential conflicts 
      of interest with respect to the research, authorship, and/or publication of this 
      article.
EDAT- 2021/02/20 06:00
MHDA- 2022/03/11 06:00
PMCR- 2022/04/01
CRDT- 2021/02/19 20:10
PHST- 2021/02/20 06:00 [pubmed]
PHST- 2022/03/11 06:00 [medline]
PHST- 2021/02/19 20:10 [entrez]
PHST- 2022/04/01 00:00 [pmc-release]
AID - 10.1177/1358863X20987896 [doi]
PST - ppublish
SO  - Vasc Med. 2021 Apr;26(2):200-206. doi: 10.1177/1358863X20987896. Epub 2021 Feb 
      19.