Sex Differences in Management and Outcomes of Critical Limb Ischemia in the Medicare Population.

ABSTRACT:

Background

Evidence about sex differences in management and outcomes of critical limb ischemia (CLI) is conflicting.

Methods

We identified Fee-For-Service Medicare patients within the 5% enhanced sample file who were diagnosed with new incident CLI between 2015 and 2017. For each beneficiary, we identified all hospital admissions, outpatient encounters and procedures, and pharmacy prescriptions. Outcomes included 90-day mortality and major amputation.

Results

Incidence of CLI declined from 2.80 (95% CI, 2.72-2.88) to 2.47 (95% CI, 2.40-2.54) per 1000 person from 2015 to 2017, P<0.01. Incidence was lower in women compared with men (2.19 versus 3.11 per 1000) but declined in both groups. Women had a lower prevalence of prescription of any statin (48.4% versus 52.

SUBMITTER: Mentias A 

PROVIDER: S-EPMC7583656 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature