Epidemiologic data of trauma-related lower limb amputees: A single center 10-year experience.

Autor: Yaşar E; Gulhane Military Medical Academy, Department of Physical Medicine and Rehabilitation, Ankara, Turkey. Electronic address: evrenyasar@yahoo.com., Tok F; Gulhane Military Medical Academy, Department of Physical Medicine and Rehabilitation, Ankara, Turkey., Kesikburun S; Gulhane Military Medical Academy, Department of Physical Medicine and Rehabilitation, Ankara, Turkey., Ada AM; Gulhane Military Medical Academy, Department of Sports Medicine, Ankara, Turkey., Kelle B; Cukurova University, Department of Physical Medicine and Rehabilitation, Adana, Turkey., Göktepe AS; Medipol University Hospital, Department of Physical Medicine and Rehabilitation, İstanbul, Turkey., Yazıcıoğlu K; Güven Hospital, Department of Physical Medicine and Rehabilitation, Ankara, Turkey., Tan AK; Gulhane Military Medical Academy, Department of Physical Medicine and Rehabilitation, Ankara, Turkey.
Jazyk: angličtina
Zdroj: Injury [Injury] 2017 Feb; Vol. 48 (2), pp. 349-352. Date of Electronic Publication: 2016 Dec 23.
DOI: 10.1016/j.injury.2016.12.019
Abstrakt: Objective: The aim of this study is three fold: 1) to introduce epidemiologic data of patients with trauma-related amputations as a 10-year experience of a rehabitation center; 2) to determine comorbidities and secondary conditions of lower limb loss; 3) to determine the rehospitalization reasons for lower limb amputee patients.
Materials and Methods: This retrospective study was conducted in a tertiary rehabilitation center in Turkey. Clinical and demographic data of amputees including sex, age, employment status, time since amputation, time after amputation to first hospitalization, length of hospitalization, how many times the patient was hospitalized, reason for hospitalization, stump complications, comorbid conditions, amputation level and K classifacation were documented.
Results: Three hundred ninetynine patients with a mean age of 23,48±6,04 (4-74) years were included in this study. Mean duration after amputation was 119,71±68,86months. Patients were 3,43±2,53 times hospitalized. Landmine explosion was the most common etiology of amputation with 370 patients (92.7%). Below knee amputation was the most common amputation level with 230 (50,77%) amputations. 399 patients were hospitalized 1369 times and the most common hospitalization reason were stump complications (356 times, 26,00%). Spur formation (202 times) was the most common stump complications. Pyscologic disorders were the most common comorbidity with 68 patient (37,56%).
Conclusion: Patients with traumatic limb amputations are likely to experience several complications and comorbidities. Prevention of secondary conditions affecting those living with the loss of a limb is an important part of amputee rehabilitation and may prevent rehospitalization.
(Copyright © 2016 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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