Community-based survey of amputation derived from the physically disabled person’s certification in Kitakyushu City, Japan

Ohmine, Saburo; Kimura, Yoshiko; Saeki, Satoru; Hachisuka, Kenji

doi:10.1177/0309364611433443

Cited by 17 publications

(9 citation statements)

References 12 publications

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“…In previous studies, among patients undergoing LLA, the proportions that underwent hemodialysis, had DM, and had PVD were reportedly 9.0% to 26.8%, 24.6% to 92.5%, and 49.5% to 58.0%, respectively. 3,6,11,22) The proportions of patients in the present large, nationally representative study that underwent hemodialysis or had DM or PVD were similar to those in the above-mentioned studies.…”

Section: Discussionsupporting

confidence: 81%

Risk Factors for In-hospital Mortality and Reamputation Following Lower Limb Amputation

Endoh

Yamana

Nakahara

et al. 2017

PRM

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Objective: Studies on the outcomes of lower limb amputation have been limited by the use of selected study populations and small sample sizes. Although reamputation is an important outcome following lower limb amputation, the risk factors for reamputation remain to be elucidated. The present study was performed to identify risk factors for in-hospital death and reamputation following lower limb amputation. Methods: Using a national inpatient database in Japan, we identified 13,774 patients who underwent lower limb amputation. We examined the patients' backgrounds and employed a multivariable logistic regression analysis to identify factors associated with in-hospital death or reamputation. Results: The average age of the 13,774 patients was 72.4 years, and 63.1% (n=8694) were male. The overall in-hospital mortality rate was 10.8% (1481/13,774). The reamputation rate was 10.1% (782/7779) for patients who initially underwent foot or transtibial amputation (18.2% [391/2148] for foot amputations and 6.9% [391/5631] for transtibial amputations). Multivariable logistic regression analysis revealed higher age, male sex, peripheral vascular disease, use of insulin, hemodialysis, and higher numbers of comorbidities as significant risk factors for reamputation or in-hospital death. Use of hemodialysis was the strongest risk factor (odds ratio, 2.10; 95% confidence interval, 1.87-2.35). Conclusions: The in-hospital mortality and reamputation rates following lower limb amputation were considerably high, reflecting the severely ill conditions of patients with advanced chronic diseases. Risk factors for in-hospital death and reamputation following lower limb amputation were identified. These should aid surgeons in determining a patient's risk of a poor outcome and deciding on the level of amputation.

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Section: Discussionsupporting

confidence: 81%

Risk Factors for In-hospital Mortality and Reamputation Following Lower Limb Amputation

Endoh

Yamana

Nakahara

et al. 2017

PRM

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“…The number of amputees aged > 65 years has been increasing with the aging of the society in Japan 5 , 12 ) . A study performed in Kitakyushu City revealed that 55.4% of all amputees between 2001 and 2005 were > 65 years old 13 ) . However, in our institution, only 3 (13.6%) of the 22 patients treated between April 2008 and April 2016 were older.…”

Section: Discussionmentioning

confidence: 99%

Investigation of amputees with prosthetic limbs at our hospital

et al. 2017

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Objectives: This study was performed to elucidate the characteristics of amputees in our hospital. We also evaluated whether the causes and characteristics of the amputations influenced the patients’ prosthetic walking ability.Materials and Methods: We retrospectively examined 47 amputees in our hospital from December 1996 to April 2016 with respect to the causes and levels of amputation. Of 28 lower limb amputees from April 2008 to April 2016, 22 received prostheses and were divided into 2 groups according to the cause of the amputation, as follows: the internal cause group (e.g., vascular deficiency and infection) and the external cause group (e.g., trauma, burn injury, and crush syndrome). The characteristics and process of achieving prosthetic ambulation were compared between these groups.Results: Trauma was the most common cause of both upper (70.0%) and lower limb amputations (40.5%). Unilateral amputation was performed in 93.2% of patients (upper limb amputation, 100.0%; lower limb amputation, 91.9%). Patients were older in the internal than in the external cause group (P = 0.026). The serum albumin (P = 0.003) and total cholesterol concentrations (P = 0.046) on admission were significantly lower in the internal than in the external cause group. All patients in the internal cause group had comorbidities. The proportions of patients with diabetes mellitus (P = 0.011) and cerebrovascular disease (P=0.036) were significantly higher in the internal than in the external cause group. No significant difference in walking ability was found between the internal and external cause groups at the time of discharge.Conclusion: Most amputees in our hospital underwent unilateral lower limb amputation due to trauma. Although the patients with internal causes of amputation were older, more frequently had malnutrition, and had more comorbidities than those with external causes, they achieved prosthetic walking with statistically insignificant difference at the end of hospitalization, excluding six patients who had no prosthetic prescription.

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“…Limb loss in children is caused by congenital disorders or amputation resulting from trauma, malignancy, infection, or other pathology. A survey on amputation from 2001 to 2005 by Ohmine et al 2…”

Section: Discussionmentioning

confidence: 99%

Successful First Gait of a Child With Hip-Disarticulation Prosthesis

Hara

Kawamoto

Fukase

et al. 2018

Am J Phys Med Rehabil

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An infant boy underwent hip disarticulation for infantile fibrosarcoma immediately after birth. His rehabilitation began when he was 4 mos old and involved training with his left (residual) leg. He could stand with support at 12 mos. His initial prosthesis fitting was performed at the age of 13 mos. He could stand and walk with support at 15 mos of age and could walk with no additional support and go up and down stairs at 2 yrs. A single-axis prosthetic knee joint was introduced at the age of 2 yrs 3 mos. His first gait using a hip prosthesis was successful, and his prosthesis was replaced at appropriate intervals with no major problems. The authors believe that the key to achieving a successful prosthetic gait in children is good communication among the medical team, which should comprise an orthopedic doctor, rehabilitation doctor, nurse, physical therapist, prosthetist/orthotist, and the patient's parents.

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Community-based survey of amputation derived from the physically disabled person’s certification in Kitakyushu City, Japan

Cited by 17 publications

References 12 publications

Risk Factors for In-hospital Mortality and Reamputation Following Lower Limb Amputation

Risk Factors for In-hospital Mortality and Reamputation Following Lower Limb Amputation

Investigation of amputees with prosthetic limbs at our hospital

Successful First Gait of a Child With Hip-Disarticulation Prosthesis

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