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Revascularisation: reducing variation in waiting times could reduce amputations, audit finds

BMJ 2019; 367 doi: https://doi.org/10.1136/bmj.l7024 (Published 18 December 2019) Cite this as: BMJ 2019;367:l7024
  1. Elisabeth Mahase
  1. The BMJ

All patients admitted as an emergency with critical limb ischaemia should have a revascularisation procedure within five days, an audit has recommended.1

The National Vascular Registry annual report, developed by the Royal College of Surgeons of England, the Vascular Society of Great Britain and Ireland, and the British Society of Interventional Radiology, found that many patients currently had their bypass within five days but that this varied widely among trusts.

Jon Boyle, a consultant vascular surgeon, clinical lead for the National Vascular Registry, and chair of the Audit and Quality Improvement Committee of the Vascular Society, said, “My hope is that vascular units, at NHS hospitals across the UK, will use today’s report to address variations in wait times for treatment, and in doing so will reduce amputation rates among this group of patients.”

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The report examined current UK-wide standards of care in lower …

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