Amputee rehabilitation

Stewart, C. P. U.; Condie, M. E.

doi:10.1017/s0959259800004779

Rev. Clin. Gerontol.

1996

DOI: 10.1017/s0959259800004779

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Amputee rehabilitation

C. P. U. Stewart¹,

M. E. Condie

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2017

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“…Optimally, the transtibial to transfemoral incidence ratio should be no less than 2.5. 29,30 In the current study, this ratio was below the optimal level; however, the transtibial to transfemoral incidence ratio continued to increase over time, which indicates a decrease in the number of transfemoral amputations and perhaps surgeons' increased efforts to preserve the knee joints. Future studies should investigate whether this trend will help reduce mortality and complications and increase prosthetic walking in this population.…”

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confidence: 49%

Incidence of lower limb amputation in Canada

Imam

Miller

Finlayson

et al. 2017

Can J Public Health

136

108

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OBJECTIVES: To determine the Canadian age-adjusted incidence rates of lower limb amputation (LLA) by province, sex, level, and cause of amputation.METHODS: Data on all hospital discharges associated with LLA from April 1, 2006, to March 31, 2012, were obtained from the Canadian Institute for Health Information's Discharge Abstract Database. National and provincial age-adjusted rates were calculated per 100 000 individuals by sex, level, and cause of LLA using the direct method of standardization. The relative risk of LLA in people with diabetes was calculated.RESULTS: There were a total of 44 430 LLAs performed in Canada over the study years. The number of LLAs increased from 7331 in 2006 to 7708 in 2011. Mean (SD) age was 65.7 (16.6) years, and 68.8% were males. Sixty-five percent of the LLA cases were due to diabetes. The average age-adjusted rate of LLA in Canada was 22.9 per 100 000 individuals. The age-adjusted rates declined over the study years. The relative risk of diabetes-related LLAs was 28.9.CONCLUSION: This study provided the first Canadian national and provincial age-adjusted incidence rates of LLA and a baseline for monitoring and evaluation in the future. Understanding the incidence of LLA is essential to managing preventive and rehabilitation services for this population. Although the age-adjusted LLA incidence rates have decreased, the number of new LLAs has increased. The increase in the number of LLAs has important implications for social and health care costs.KEY WORDS: Incidence; epidemiology; amputation; diabetes; Canada La traduction du résumé se trouve à la fin de l'article.

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confidence: 49%

Incidence of lower limb amputation in Canada

Imam

Miller

Finlayson

et al. 2017

Can J Public Health

136

108

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Amputee rehabilitation

Cited by 1 publication

References 36 publications

Incidence of lower limb amputation in Canada

Incidence of lower limb amputation in Canada

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