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Dependent Rubor as a Predictor of Limb Risk in Patients With Claudication
Robert A. Kozol, MD;
Carl E. Bredenberg, MD;
John D. Fey, MD;
Richard P. Oates, PhD
Arch Surg. 1984;119(8):932-935.
Abstract
We followed up 133 patients with claudication to determine the prognostic value of dependent rubor. Life tables analysis was used, with a threatened limb as the endpoint. A threatened limb was defined as the development of ischemic rest pain, skin ulceration, or gangrene. At four years, the rubor group had a limb-threat incidence of 25%, compared with only 9% in the nonrubor group. While not indicative of imminent limb loss, the presence of dependent rubor defines patients whose limb risk is greater than in those with claudication alone.
(Arch Surg 1984;119:932-935)
Author Affiliations
From the Vascular Surgery Service, Department of Surgery (Drs Kozol, Bredenberg, and Fey), and the Department of Preventative Medicine (Dr Oates), State University of New York—Upstate Medical Center, Syracuse.
Footnotes
Accepted for publication Nov 21, 1983.
Reprint requests to Department of Surgery, State University of New York—Upstate Medical Center, 750 E Adams St, Syracuse, NY 13210 (Dr Bredenberg).
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