Clinical Audit

An audit of Global Vascular Guidelines implementation at two large teaching hospitals in differing healthcare settings

August 28, 2025

Introduction Chronic limb-threatening ischaemia (CLTI) is the most severe form of peripheral arterial disease, associated with high rates of morbidity, mortality, and limb loss.1 CLTI creates significant costs to healthcare systems across the globe. Between 2020 and 2021 alone, the financial burden of non-elective amputations cost the National Health Service (NHS) over £115 million.2 Therefore,…

An audit of glycaemic control and impact on surgical outcomes among inpatients with critical limb-threatening ischaemia (CLTI)

August 27, 2025

Introduction Chronic limb-threatening ischaemia (CLTI) is the most severe presentation of peripheral arterial disease (PAD) and affects 1% of the population in the UK.1 PAD is a common disease among patients with diabetes mellitus,2 and the relative risk of PAD increases with increasing duration and severity of diabetes.3 As diabetes is a major driver of…