Impact of a Lower Extremity Amputation Pathway Protocol in Dysvascular Patients
Impact of a Lower Extremity Amputation Pathway Protocol in Dysvascular Patients
The LEAP protocol is a prospective cohort study of dysvascular patients designed to determine
 whether implementation of a multi-disciplinary lower extremity amputation protocol in the
 peri-operative period can shorten post-operative length of stay in patients undergoing
 trans-tibial or trans-femoral amputations. A consecutive sample of patients diagnosed with
 peripheral vascular disease and/or diabetes requiring major lower extremity amputation will
 be enrolled in the study and compared to retrospective controls.
Inclusion Criteria:

 -  Patients >18 years of age diagnosed with peripheral vascular disease and/or diabetes
 mellitus

 -  Patients undergoing trans-tibial or trans-femoral amputations

 Exclusion Criteria:

 -  Patients undergoing amputation for trauma, malignancy, or necrotizing fasciitis with
 no dysvascular diagnosis

 -  Patients who have previously undergone an amputation

 -  Patients who were unable to function independently prior to admission

 -  Patients admitted to the ICU prior to surgery

 -  Attending surgeon does not approve of the patient being enrolled

 -  Prisoners

 -  Pregnant women