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Acute Lower Limb Ischemia in Patients Infected with COVID-19

Authors Al-zoubi N, Shatnawi N, Jarbo H

Received 19 January 2021

Accepted for publication 12 February 2021

Published 11 March 2021 Volume 2021:14 Pages 833—839

DOI https://doi.org/10.2147/IJGM.S301462

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Nabil Al-zoubi, Nawaf Shatnawi, Hamza Jarbo

Department of General Surgery/Vascular Surgery, Jordan University of Science and Technology, Irbid, Jordan

Correspondence: Nabil Al-zoubi
Department of Surgery, Faculty of Medicine, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan
Tel + 962 7955774637
Email [email protected]

Background: The aim of this study was to investigate the prevalence of acute lower limb ischemia (ALLI) among patients infected with COVID-19 and to review their characteristics and outcomes.
Methods: This study was performed at King Abdullah University Hospital (KAUH) in the north of Jordan. All patients with ALLI and COVID-19 infection, between November 1, 2020 and December 31, 2020, were retrospectively identified and reviewed.
Results: A total number of 1300 COVID-19 patients were admitted to KAUH during the period of the study. Seven patients (0.54%) had ALLI. Of them, 5 were males (71.4%) with a mean age of 68 ± 3 years and 2 were females (28.6%) with a mean age of 58 ± 7 years. Five patients (71.4%) were admitted as COVID-19 infection and developed ALLI during hospitalization, all of them were males, had COVID-19 related pneumonia, and died within 24 hours of ALLI diagnosis. While 2 patients were presented with ALLI and found to have positive COVID-19, all of them were females, underwent successful thrombo-embolectomy, and had no deaths, however, one of them had recurrent ALLI which resulted in below knee amputation.
Conclusion: The prevalence of ALLI in patients infected with COVID-19 was 0.54%. We observed that patients with COVID-19 related pneumonia who develop ALLI during hospitalization had a high mortality.

Keywords: ALLI, COVID-19, KAUH

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