Major amputation in a defined population: incidence, mortality and results of treatment.

作者: A. Kald , R. Carlsson , E. Nilsson

DOI: 10.1002/BJS.1800760328

关键词: PopulationMedical recordMedicineEpidemiologyVascular surgeryProsthesisSurgeryIncidence (epidemiology)Mortality rateAmputation

摘要: Medical records of all patients, from a defined population 88,000 inhabitants, who underwent major lower limb amputation during 1980-82 were retrospectively scrutinized. The showed 131 amputations performed in 106 patients at the district hospital and 22 on 17 local university hospital, referral centre, altogether 57 men 66 women. This gave an incidence 46 per 10(5) inhabitants year. Of amputees 47 cent older than 80 years. Only two reconstructive vascular surgery (at hospital) before surgery. Final level was above-knee 61 treated hospital. Mortality rates 30 days 2 years after 23 56 cent, respectively, age-corrected survival 55 cent. For came eventually returned to their own homes mean stay amounted 184 (postoperative deaths excluded). After 26 trained wear prosthesis 16 these used amputation. present study underlines need for prospective parallel studies as well analyses risk factors involved ischaemia populations.

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