Why the study?
Does creatinine clearance predict long-term postoperative survival better than serum creatinine alone in patients undergoing lower extremity revascularization?
Does creatinine clearance predict long-term postoperative survival better than serum creatinine alone in patients undergoing lower extremity revascularization?
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Creatinine clearance should replace serum creatinine in preoperative risk evaluations for patients undergoing major vascular surgery, as it independently predicts long-term mortality.
Independent of dialysis status, a decreased creatinine clearance, but not elevated serum creatinine alone, is an independent predictor of mortality after lower extremity arterial reconstruction. Determination of creatinine clearance should replace serum creatinine in the preoperative risk evaluations of patients undergoing major vascular surgical procedures.
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Maithel et al. (2006) studied this question.
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