Primary amputation after trauma: profile of a hospital in the Mid-West of Brazil (original) (raw)
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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...
Revista Brasileira de Epidemiologia, 2016
ABSTRACT: Objective: It was to identify trends of traumatic and non-traumatic causes of lower limb amputations, as well as the role played by population aging, traffic violence increase, public health policy of diabetes control program and drivers anti-alcohol laws on these amputations. Method: Hospitalization data recorded in the discharge forms of 32 hospitals located in the region of Ribeirão Preto, Brazil, from 1985 to 2008 were analyzed. Result: A total of 3,274 lower-limb amputations were analyzed, of which 95.2% were related to non-traumatic causes, mainly infectious and ischemic complications of diabetes mellitus. Cancer (2.8%) and congenital (1.3%) causes were included in this group. Only 4.8% were related to traumatic causes. Traumatic amputation average rate was 1.5 amputations in 100,000 habitants with a slight tendency of increase in the last 5 years. Non-traumatic causes showed an average rate of 30.0 amputations for 100,000 habitants and remained relatively constant d...
CLINICAL AND EPIDEMIOLOGICAL PROFILE OF PATIENTS SUBMITTED TO LOWER LIMB AMPUTATION
Objective: To characterize the clinical and epidemiological profile of patients undergoing lower limb amputation in a public hospital in southern Piauí state, Brazil. Method: Retrospective and descriptive study, with document analysis and quantitative approach. Data collection took place in July and August 2021, using an instrument developed by the researchers. Data were processed using the statistical software Statistical Package for Social
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.
A Descriptive Study of Traumatic Lower Limb Amputees from the Hospital del Trabajador
Prosthetics & Orthotics International, 2006
The purpose of the study was to describe the demographics, the causes of amputations, the amputation levels, the clinical outcomes, the durability of prostheses in unilateral lower limb amputee among workers entitled to non-state related work insurance, the ACHS, Chile, between 1974 and 2001. It was a retrospective descriptive study based on selected clinical files. One hundred files, with the minimal data required, were selected with a diagnosis of traumatic lower limb amputation, the levels ranging from Boyd's foot amputation to hip disarticulation, as defined by the Occupational Accidents Act from 1974 to December 2001. The mean age was 35.5 years, 96% were males, with an average follow-up of 7.7 years. In 50% of the cases the education level did not exceed elementary school. Ninety-eight percent were blue collar workers. The traumatic injury resulting in amputation took place during work in 89% of the cases the main causes being crushing injury (50%), traffic accident (19%),...
East African Medical Journal, 2007
The decision to attempt salvage or to amputate a severely injured limb is among the most difficult decision that the orthopaedist must face. Objective: To determine possible predictive factors that could become guides in taking decision for primary amputation as a first line treatment for trauma patients. Design: A prospective study of post-traumatic primary limb amputations. Results: Sixty six traumatised patient limbs were primarily amputated during the study period.
Capture-recapture method to estimate lower extremity amputation rates in Rio de Janeiro, Brazil
… de Salud Pública, 2001
Objective. To estimate rates of lower extremity amputations (LEAs) in persons with peripheral vascular disease, diabetes mellitus, trauma, neoplasm, osteomyelitis, or emphysematous gangrene. Methods. Regional amputee registries were used to estimate the rate of lower extremity amputations with the capture-recapture (CR) technique. Data were extracted from three amputee registries in Rio de Janeiro: source 1, with 1 191 cases from 23 hospitals; source 2, with 157 cases from a limb-fitting center; and source 3, with 34 cases from a rehabilitation center. Amputee death certificates from source 1 identified 257 deaths from 1992 to 1994. Three CR models were evaluated using sources 2 and 3. In order to avoid an overestimation of the rate of LEAs, two models were applied for the data analysis: in one case, deceased patients listed in source 1 were excluded from the model, and in the other case, deceased patients were included as well. Results. Excluding the 257 deaths, the estimated number of amputations in the municipality of Rio de Janeiro from 1992 to 1994 was 3 954, for a mean annual incidence rate of 13.9 per 100 000 inhabitants. Among persons with diabetes, the annual incidence rate of lower extremity amputations was substantially higher (180.6 per 100 000 persons per year), representing 13 times the risk of individuals without diabetes. The yearly rate of LEAs according to the routine surveillance system was estimated at 5.4 and 96.9 per 100 000 in the general population and in diabetics, respectively. If data from the three registries are added, 1 382 patients with LEAs were identified, with the reasons for the amputations distributed as follows: peripheral vascular disease = 804 (58.1%); diabetes mellitus = 379 (27.4%); trauma = 103 (7.4%); osteomyelitis = 44 (3.1%); gangrene = 36 (2.6%), and neoplasm = 16 (1.1%). Conclusions. These findings show a high incidence of LEAs in Brazil, when compared to countries such as Spain, that is attributable mainly to peripheral vascular disease and diabetes mellitus.
Panamerican Journal of Trauma, Critical Care & Emergency Surgery, 2014
Background Lower limb injuries are related to important disability to deal with environment. Socioeconomic characteristics also must be considered since they lead to a particular trauma profile. This association is necessary to guide control measures to prevent morbidity and mortality. Study design In the region, the human development index (HDI) varies from 0.772 to 0.804), per capita income varies from 1.62 to 2.36 (minimum wage) and the average years of study in the population was 6.5 years. Data collected from 334 admitted trauma patients between 2011 and 2012 at Hospital Pirajussara, a tertiary reference center in São Paulo, Brazil, linked to the Federal University of São Paulo, Paulista School of Medicine (UNIFESP-EPM) compiled the following parameters: length of stay, age, sex, mechanism of injury and mortality, which was associated with the local characteristics and data from the existing literature. The environment characteristics surrounding the hospital are of slums witho...