Etiology of Amputation among Patients Presented At Helping Hand Institute of Rehabilitation Sciences Mansehra (original) (raw)
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A survey on causes of amputation in a 9-year period in Iran
Archives of Orthopaedic and Trauma Surgery, 2012
Background Limb loss occurs as a result of different causes and has been increasing in many countries. This study determines the demography of amputees in one of the relatively large cities of Iran. Methods This retrospective study was undertaken on all of the amputees between 2003 and 2011. Patients' demographics including age, sex, the limb that had undergone amputation, etiology of limb loss and side and level of amputation were recorded. Also, the level of amputation was recorded as minor (below wrist or ankle) or major (above wrist or ankle). Results In total, 624 patients were enrolled in the study. The number of amputees was from 53 to 118/year. Of the patients, 508 were male (81.4 %) and 118 were female (18.6 %). The men with amputation were younger on average than women; 61.9 % of the amputations (386) were major and 38.1 % were minor (238). Overall, the most common cause of amputation was trauma and the most common level was transmetatarsal. The most common level for major amputations was below knee. Conclusion In contrast to similar studies in developed countries, trauma was found to be the major cause of all types of amputations and in all age groups, which emphasizes the need for preventive measures in the country.
Resumo Introdução/Objetivos: A amputação é a retirada cirúrgica, total ou parcial, de um membro. Objetivos: A presente pesquisa tem por objetivo traçar o perfil epidemiológico de amputados de membros superiores e inferiores atendidos no CRER (Centro de Reabilitação e Readaptação Dr. Henrique Santillo). Métodos: Foram analisados 113 prontuários, para descrever as variáveis sexo, nível da amputação, idade e causas da amputação dos pacientes atendidos nesta instituição no período de janeiro a julho de 2011. Resultados/Conclusão: Conclui-se que ocorreu uma maior incidência dos pacientes com amputação de membros inferiores e do gênero masculino, cujas principais causas encontradas foram as doenças vasculares e os acidentes automobilísticos. Abstract Introduction/Objective: Amputation is the surgical removal of all or part of a limb. Objectives: This study aims to trace the epidemiological profile of amputees of upper and lower limbs treated at CRER (Center for Rehabilitation and Readaptation Dr. Henry Santillo). Methods: We analyzed 113 folders in order to describe the gender, level of amputation, age and cause of amputation of the patients treated at this institution from January to July 2011. Results/Conclusion: We conclude that there was a higher incidence of patients with lower limb amputation and males. The main causes found were vascular diseases and car accidents.
Perfil epidemiológico de pacientes amputados num hospital de referência brasileiro, 2012-2019
Research, Society and Development, 2021
Responsible for high rates of morbidity and mortality, amputation has constituted a great public health problem, which burdens the social security costs and the health system. We aimed to describe the epidemiological profile of people who suffered amputation in a public hospital in the interior of Brazil, which is a reference for a macroregion.This was a retrospective and descriptive epidemiological study, carried out by analyzing the medical records of 214 patients who underwent amputations of various causes, between the years 2012 and 2019 at the Municipal Hospital Dr. Raimundo Gobira, located in Teófilo Otoni, Minas Gerais, Brazil. Statistical analysis of Pearson's correlation, mean and standard deviation was performed. A significance level of 5% was adopted. Of the 214 cases of amputations, the majority were men (91.12%), aged 19-30 years (21.96%), from the urban area (63.45%). Of these, 46.26% were associated with work. The maquita was the tool responsible for most injuries (17.35%). The fingers of the left hand were the main body segments affected (23.60%). Most of the subjects were residents of Teófilo Otoni (34.57%). Approximately 20.10% of amputations occurred in the year 2018. Statistical significance was not demonstrated when age and length of hospital stay were correlated, although the results point to a longer length of stay as age increases. The results made it possible to understand the epidemiological reality of the causes of amputations performed in the region and provide public managers with the opportunity to make decisions based on prevention.
The Epidemiological Features of Amputations at the University Teaching Hospital in Lusaka, Zambia
Science Journal of Public Health, 2015
Introduction: While major limb amputations are reported to be a major surgical procedure that is a preventable public health problem, they are associated with profound economic, social and psychological effects on the patient, family and the country at large. There is however, limited data on the epidemiological features of amputations in developing countries where the impact is huge due to poor prosthetic services and unaffordable costs where services are available. The aim of the study was to determine the epidemiological features of amputations done at the University Teaching Hospital in Lusaka, Zambia. Methods: Data was collected using a checklist. The study was retrospective and descriptive in nature. Convenient sampling was used on records of patients who underwent major limb amputations between 2013 and 2014. Results: Out of 84 records that were reviewed, the commonest indication for amputation was trauma 29.8% (n=25), followed by Diabetic complications 21.4% (n=18) and the prevalent age group was 31-50 years 35.8% (n=30). Men were the most affected (70.2%; n=59) giving a ratio of 2.3:1. Lower limbs were more frequent 75% (n=63) than upper limbs 25% (n=21) ratio 3:1. Above knee amputation was the commonest procedure accounting for 45.2% (n=38) cases. Conclusion: Trauma and diabetes were the common indications for amputations at the University Teaching Hospital in Lusaka, Zambia and mostly affected is the productive age group of 31-50 years. Given that both are non-communicable conditions we can conclude that the majority of the amputations could have been prevented with the behaviour change and adherence to traffic regulations by drivers, more road safety education for road users, health education, early presentation and intervention on patients plus appropriate management of the common indications.
Ethiopian Journal of Health Sciences, 2018
BACKGROUND: Amputation is a surgical procedure for the removal of a limb which is indicated when limb recovery is impossible. There are different types of amputation, and their causes can vary from one area to the other. Therefor, the aim of this study is to find out the patterns and causes of amputations in patients presented to Ayder Referral Hospital, Mekelle, Ethiopia. METHODS: the record of 87 patients who had amputation at different sites after admission to Ayder referral hospital, Mekelle, Ethiopia in three years period were reviewed retrospectively. RESULT: A total of 87 patients had amputation of which 78.2% were males. The age range was from 3 to 95 years, and the mean age was 40.6 in years. The most common indications were trauma (37.7%), tumor (24.1%), and peripheral arterial disease (PAD) (20.7%). The commonest type of amputation was major lower limb amputation (58.6%) which includes above knee amputation (35.6%)and below knee amputation (23%) followed by digital amputation (17.2%). There was 11.4% major upper limb amputation of which there was one patient who had re-amputation. CONCLUSION: Most of the indications for amputations in our setup are potentially preventable by increasing awareness in the society on safety measures both at home and at work and early presentation to health facilities.
Amputation demographic assessment at Saiful Anwar hospital: 5 years of study
International Journal of Research in Medical Sciences
Background: Loss of limbs occurs due to different causes and has increased in many countries. This has large economic, physical and social impacts. This study investigates the demographics of patients undergoing amputation at Saiful Anwar Hospital Malang.Methods: This retrospective study was done from January 2014 to December 2018. The patient demographics included age, sex, organ amputation, etiology and amputation level. A total of 479 patients were studied in the study.Results: The average amputation value was 95.8 per year and varied from 72 to 134. The average age of the subjects was 44 years. Of all patients, 311 were male (64.93) and 168 women (35.07), 236 of amputations (49.27%) were major and 243 (50.73%) were minor.Conclusions: The main cause of amputation is trauma and most often is the amputation of the lower extremity. In trauma patients, the average age is 29 years. This result shows the same characteristic in the cause of amputation as in many other developing countri...
The Patterns of Acquired Upper and Lower Extremity Amputation at a Tertiary Centre in Saudi Arabia
Cureus
Introduction: Upper and lower extremity amputations are associated with variable degrees of physical disability. In Saudi Arabia, disability still represents a major challenge for healthcare systems. There are insufficient data to describe the incidence and prevalence of impairment and disability. This study attempts to identify the patterns of limb amputations at a tertiary centre. Methods: A retrospective chart review of the data of patients who received integrated tertiary healthcare in an amputation rehabilitation program (ARP) from 2013 to 2018 at King Fahad Medical City, Riyadh, Saudi Arabia was conducted. Data were collected using the demographic data and clinical history of amputees. Results: A total of 412 patients were included in the study. Transtibial amputation (70%) and partial hand amputation (48%) were the most common levels for lower and upper limb amputations, respectively. There was a significantly higher rate of lower limb amputations secondary to vascular causes than that of upper limb amputations, which were more related to traumatic causes. Most patients, 213 (52%), were enrolled in an amputation rehabilitation program over a year after their amputation. Conclusion: Vascular amputation is the most common cause of amputation. Most patients entered the rehabilitation program over a year after amputation. National guidelines for the prevention and management of the risk factors for vascular amputations should be developed.
Major Limb Amputations: Etiological and Clinical Profile in a Hospital in Sub-Saharan Africa
Open Journal of Orthopedics
Introduction: During the 19 th and 20 th centuries, the Wars were the cause of many amputations among military and civilians. Despite the absence of armed conflict in our country, we notice a high frequency of major amputations in our activity. Objective: The aim of this work was to study the causes of major amputations observed in our practice in order to develop preventive measures. Materials and Method: This was a descriptive retrospective study over a 6-year period, from January 1, 2008 to December 31, 2014. The following parameters were studied: epidemiological aspects (age according to WHO age groups and gender of patients), type of amputation, level of amputation and causes. Results: Two hundred and fifty-two patients were included. The distribution of amputations by cause and age group showed two distinct entities: The forms of the young subject where there was a predominance of tumour and traumatic causes; and the forms of the elderly person caused by vascular infections and conditions. Infections were the main cause of amputation in both sexes. Conclusion: The causes of major limb amputations vary according to age and limb: tumor and trauma in young people and for the upper limb, infectious and vascular in the elderly and for the lower limb.
Pattern of Limb Amputations in Male Patients in a Nigerian Teaching Hospital
IOSR Journal of Dental and Medical Sciences, 2014
Introduction: Most amputation surgeries worldwide are carried out in male patients. This negatively affects the socioeconomic fortunes of the individual, family and society especially in places were rehabilitative and prosthetic facilities are lacking. The aim of this study is to highlight the pattern of limb amputation surgeries in male patients in our centre with a view to suggesting possible ways of prevention and improvement in the functionality and quality of life of amputees. Patients and Methods: Case notes of male patients who had amputation surgeries during the study period in the centre were retrieved from the records department and relevant information extracted. The extracted data were analysed accordingly. Results: Sixty three male patients had 69 limb amputation surgeries in the centre during the study period. The mean age of the patients was 48.7 + 20.6 years. The most frequent level of amputation was at below knee level in 46% of cases followed by above knee in 17.4% of cases. The lower limb was involved in 74.5% of cases, the rest 25.5% involving the upper limb. Diabetic foot disease was the commonest indication for amputation in 37.7% of cases followed by trauma in 30.4% of cases. Wound infection was the most frequent post-operative complication occurring in 43.5% of wounds in this study. Conclusion: Limb amputation surgeries frequently involve male patients with diabetic foot disease and trauma ranking as the most common indications here. Preventive measures such education of diabetic patients on foot car and, public enlightenment on accident and trauma prevention strategies will go a long way in reducing the burden of amputation. Making prosthesis available and affordable to amputees is also suggested as a way of improving on the quality of life and functionality of amputees.