Epidemiology of Amputation;

Abstract

Amputation is stated to be a foremost but preventable community health problem causing intense financial, social andemotional effects on the patient and family particularly in developing countries where the prosthetic services are limited. The purpose ofthis study was to identify the causes and levels of amputation in low resource community, Sindh Pakistan. Methods: This was aretrospective chart review study that was carried out at first civilian Institute of physical medicine & rehabilitation-Dow University of healthsciences from October 2007 to June 2012. After verbal informed consent all patients, who underwent major or minor amputation wereenrolled for the study. Data was collected using a pre-tested, coded questionnaire and analysed using SPSS version 16. Results: A total of1115 patients were enrolled into the study. Their ages were ranged between 2–95 years (mean 38.40±17.38). Among total population ofamputees 83.58% were males. The most common cause for major limb amputation was road Traffic accident 38.38%, followed byDiabetes 15.42%, infection 14.26% and trauma 12.37%. Lower limbs (trans-tibial) amputations were in 47.35% of cases and transfemoralin 27.98% of cases. While for the upper limb trans-radial amputation (7.4%) were found to be more common than trans-humeral(5.56%). Other amputations were for shoulder, hip and knee disarticulations. Conclusions: Road traffic accidents, complications ofdiabetic foot ulcers, infections and trauma were the most common causes for major limb amputations found in low resource community,Sindh Pakistan. The majority of these amputations are preventable by endowment of traffic rules, health education, early preventions andappropriate management of the common infections.

Determinant Causes of Limb Amputation in Ethiopia: A Systematic Review and Meta-Analysis

“…Each of these considerations would play a role in the decision to ablate the limb at a specific level with a varying weight depending on the clinical situation ( 10 ). In descending order, the patterns of LA in low income countries were trans-tibial, trans-femoral, trans-radial and trans-humeral ( 11 ). The majority of amputee patients in developed countries were over 60 years old, and vascular issues accounted for 80-90% of LEA ( 12 ).…”

Correlation Between Satisfaction with Life, Self-esteem, and Flourishing among Educated Working Women of Leh

“…They believe in themselves (Nathawat & Mathur, 1993). Higher job prospects, higher qualifications (Del Mar Salinas-Jiménez et al, 2011) and financial status help develop self-esteem (McMullin & Cairney, 2004;Zeab 2015;Rehman, 2019;Al-Qahtani, 2021, Jayachitra andJagannarayan, 2021), self-efficacy (Bharvad, 2016) better subjective well-being (Del Mar Salinas-Jiménez et al, 2013;Soomro et al, 2013;Singh, 2014). A study by Shaheen (2015) found a correlation between overall life and psychological well-being, indicating higher satisfaction with life, optimism, and psychological well-being among employed women when compared with homemakers.…”