Three-Year Morbidity and Mortality Rates After Nontraumatic Transmetatarsal Amputation

作者: Barbara E. Adams , Joshua P. Edlinger , Miranda L. Ritterman Weintraub , Jason D. Pollard

DOI: 10.1053/J.JFAS.2018.03.047

关键词:

摘要: Abstract Patients requiring a nontraumatic transmetatarsal amputation (TMA) typically have multiple comorbidities that place them at high risk of postoperative complications and additional surgery. The present study identified the demographic, clinical, surgical factors predict after TMA, including incidence 3-year mortality, proximal limb amputation, lack healing. electronic medical records patients who had undergone TMA within Kaiser Permanente Northern California facility from March 2007 to January 2012 (n = 375) were reviewed. We used bivariate multivariate analyses examine variations in rates according sex, age, race, comorbid conditions, nonpalpable pedal pulses, end-stage renal disease, coronary artery hypertension, smoking status, preoperative albumin 2 times odds not healing (aOR 2.45; 95% CI 1.40 4.31). with disease 3 dying years (aOR 3.10; 1.69 5.70). findings can help us identify an increased pulses or suggest vulnerability this patient population.

参考文章(20)
Robert J. Beaulieu, Joshua C. Grimm, Heather Lyu, Christopher J. Abularrage, Bruce A. Perler, Rates and predictors of readmission after minor lower extremity amputations Journal of Vascular Surgery. ,vol. 62, pp. 101- 105 ,(2015) , 10.1016/J.JVS.2015.02.021
Matthew T. Nelson, David Yu Greenblatt, Gauthami Soma, Victoria Rajimanickam, Caprice C. Greenberg, K. Craig Kent, Preoperative factors predict mortality after major lower-extremity amputation. Surgery. ,vol. 152, pp. 685- 696 ,(2012) , 10.1016/J.SURG.2012.07.017
Javier La Fontaine, Damieon Brown, Moffatt Adams, Michael VanPelt, New and Recurrent Ulcerations after Percutaneous Achilles Tendon Lengthening in Transmetatarsal Amputation Journal of Foot & Ankle Surgery. ,vol. 47, pp. 225- 229 ,(2008) , 10.1053/J.JFAS.2008.01.006
Joe Feinglass, William H. Pearce, Gary J. Martin, James Gibbs, Diane Cowper, Mark Sorensen, William G. Henderson, Jennifer Daley, Shukri Khuri, Postoperative and late survival outcomes after major amputation: findings from the Department of Veterans Affairs National Surgical Quality Improvement Program. Surgery. ,vol. 130, pp. 21- 29 ,(2001) , 10.1067/MSY.2001.115359
Patrick J. O'Brien, Mitchell W. Cox, Cynthia K. Shortell, John E. Scarborough, Risk Factors for Early Failure of Surgical Amputations: An Analysis of 8,878 Isolated Lower Extremity Amputation Procedures Journal of the American College of Surgeons. ,vol. 216, pp. 836- 842 ,(2013) , 10.1016/J.JAMCOLLSURG.2012.12.041
Peter Blume, Christine Salonga, Juan Garbalosa, Daphne Pierre-Paul, Jonathon Key, Vivian Gahtan, Bauer E. Sumpio, Predictors for the healing of transmetatarsal amputations: retrospective study of 91 amputations. Vascular. ,vol. 15, pp. 126- 133 ,(2007) , 10.2310/6670.2007.00035
Jason Pollard, Graham A. Hamilton, Shannon M. Rush, Lawrence A. Ford, Mortality and Morbidity After Transmetatarsal Amputation: Retrospective Review of 101 Cases Journal of Foot & Ankle Surgery. ,vol. 45, pp. 91- 97 ,(2006) , 10.1053/J.JFAS.2005.12.011
DC Barry, KA Sabacinski, GM Habershaw, JM Giurini, JS Chrzan, Tendo Achillis procedures for chronic ulcerations in diabetic patients with transmetatarsal amputations Journal of the American Podiatric Medical Association. ,vol. 83, pp. 96- 100 ,(1993) , 10.7547/87507315-83-2-96
Michael J. Mueller, Brent T. Allen, David R. Sinacore, Incidence of skin breakdown and higher amputation after transmetatarsal amputation: Implications for rehabilitation Archives of Physical Medicine and Rehabilitation. ,vol. 76, pp. 50- 54 ,(1995) , 10.1016/S0003-9993(95)80042-5