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Previous Cardiovascular and Cerebrovascular Events Increase Risk of Depression or Anxiety Disorder in Patients with Chronic Limb-Threatening Ischemia Cover

Previous Cardiovascular and Cerebrovascular Events Increase Risk of Depression or Anxiety Disorder in Patients with Chronic Limb-Threatening Ischemia

Open Access
|Dec 2025

Figures & Tables

FIGURE 1.

Differences between patients with and without depression or anxiety disorders for NLR (A), PLR (B), MLR (C), and LGI (D).
Differences between patients with and without depression or anxiety disorders for NLR (A), PLR (B), MLR (C), and LGI (D).

Univariate analysis of risk factors for depression or anxiety disorder in patients with CLTI

VariableDepression or anxiety disorder
OR95% CIp value
Male2.190.66–7.270.199
Age1.160.66–2.020.598
Ischemic heart disease3.900.83–18.380.085
Cardiovascular events4.441.26–15.670.020
Cerebrovascular events13.053.74–45.49<0.001
Active smoking0.980.31–3.160.979
Obesity2.960.92–9.510.068
Leriche–Fontaine classification
  Stage III0.750.24–2.410.634
  Stage IV1.330.41–4.25

Characteristics of the included patients

VariablePatients (n = 113)
Age, years, mean ± s.d.70.54 ± 8.96
Male, n (%)88 (77.88%)
Comorbidities and risk factors, n (%)
Hypertension101 (89.38%)
Ischemic heart disease72 (63.72%)
Chronic heart failure42 (37.17%)
Atrial fibrillation12 (10.62%)
Cardiovascular events16 (14.16%)
Cerebrovascular events21 (18.58%)
Diabetes mellitus70 (61.95%)
Chronic obstructive pulmonary disease12 (10.62%)
Obesity26 (23.01%)
Active smoking73 (64.60%)
Dyslipidemia52 (46.02%)
Laboratory data, median (Q1-Q3)
Hemoglobin, g/dl13.0 (11.5-14.0)
Hematocrit, %38.20 (34.15-42.25)
WBC9.16 (7.32-10.51)
BUN, mg/dl38.5 (30.4-55.64)
Creatinine, mg/dl0.91 (0.78-1.16)
eGFR, ml/min/1.73 m284.76 (60.44-103.34)
Glucose, mg/dl117.0 (96.1-148.45)
Neutrophils, × 103/μl6.27 (4.73-7.71)
Lymphocytes, × 103/μl1.80 (1.44-2.26)
Monocytes, × 103/μl0.65 (0.51-0.85)
PLT, × 103/μl249.35 (205.25-307.1)
Clinical severity, n (%)
Stage III Leriche-Fontaine, n (%)47 (41.59%)
Stage IV Leriche-Fontaine, n (%)66 (58.41%)
Depression or anxiety disorder, n (%)14 (12.39%)
Length of stay, days, mean ± s.d.6.27 ± 4.03

Demographic data, comorbidities, risk factors, and laboratory data based on the presence of depression or anxiety disorder

VariableDepression or anxiety disorderp value
No (n = 99)Yes (n = 14)
Age, years, mean ± s.d.70.37±9.1571.71±7.320.656
Male, n (%)79 (79.80%)9 (64.29%)0.191
Hypertension, n (%)90 (90.91%)11 (78.57%)0.161
Ischemic heart disease, n (%)60 (60.61%)12 (85.71%)0.067
Chronic heart failure, n (%)39 (39.39%)3 (21.43%)0.193
Atrial fibrillation, n (%)11 (11.11%)1 (7.14%)0.652
Cardiovascular events, n (%)11 (11.11%)5 (35.71%)0.013
Cerebrovascular events, n (%)12 (12.12%)9 (64.29%)<0.001
Diabetes mellitus, n (%)61 (61.62%)9 (64.29%)0.529
Chronic obstructive pulmonary disease, n (%)11 (11.11%)1 (7.14%)0.652
Obesity, n (%)20 (20.20%)6 (42.86%)0.059
Active smoking, n (%)64 (64.65%)9 (64.29%)0.979
Dyslipidemia, n (%)45 (45.45%)7 (50.00%)0.749
Hemoglobin, g/dl13.02 (11.62–14.03)12.40 (10.28–13.58)0.312
Hematocrit, %38.25 (34.5–42.0)36.11 (32.95–42.8)0.593
WBC8.94 (7.11–10.49)9.58 (9.16–10.52)0.118
BUN, mg/dl36.44 (29.8–50.77)48.1 (38.1–71.4)0.023
Creatinine, mg/dl0.91 (0.76–1.09)1.08 (0.83–1.29)0.305
eGFR, ml/min/1.73 m285.82 (62.49–104.34)70.54 (43.31–99.80)0.199
Glucose, mg/dl118.45 (96.13–150.4)114.0 (95.0–121.0)0.448
Neutrophils, × 103/μl6.26 (4.56–7.65)6.27 (5.92–8.32)0.308
Lymphocytes, × 103/μl1.80 (1.43–2.19)1.94 (1.55–2.92)0.426
Monocytes, × 103/μl0.65 (0.50–0.86)0.73 (0.52–0.79)0.849
PLT, × 103/μl246.5 (202.25–311.5)254.85 (232.5–290.1)0.657
Stage III Leriche–Fontaine, n (%)42 (42.42%)5 (35.71%)0.634
Stage IV Leriche–Fontaine, n (%)57 (57.58%)9 (64.29%)
Length of stay, days, mean ± s.d.6.02 ± 3.968.00 ± 4.180.064
DOI: https://doi.org/10.2478/jce-2025-0022 | Journal eISSN: 2457-5518 | Journal ISSN: 2457-550X
Language: English
Page range: 156 - 163
Submitted on: Nov 2, 2025
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Accepted on: Dec 15, 2025
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Published on: Dec 27, 2025
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Gabriela Elena Strete, Alexandru Andrei Ujlaki Nagi, Andreea Daniela Joenel, Alecu Vicenţiu Ciapi, Răzvan Cătălin Son, Zoltán László, Paula Bândea, Alexandru Mureşan, published by Asociatia Transilvana de Terapie Transvasculara si Transplant KARDIOMED
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.