Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Very low survival rates after non-traumatic lower limb amputation in a consecutive series: what to do?

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. Preoperative pulmonary function in all comers for cardiac surgery predicts mortality†

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Oxidized resorbable cellulose (Gelita-cel) causing foreign body reaction in the mediastinum

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Influence of external stenting on venous graft flow parameters in coronary artery bypass grafting: a randomized study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Coagulation profile in open and video-assisted thoracoscopic lobectomies: a cohort study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. Measures of right ventricular function after transcatheter versus surgical aortic valve replacement

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer
The aim of this retrospective study was to evaluate factors potentially influencing short- and long-term mortality in patients who had a non-traumatic lower limb amputation in a university hospital. A consecutive series of 93 amputations (16% toe/foot, 33% trans-tibial, 9% through knee and 42% trans-femoral) were studied. Their mean age was 75.8 years; 21 (23%) were admitted from a nursing home and 87 (92%) were amputated due to a vascular disease and/or diabetes. Thirty days and 1-year mortality were 30 and 54%, respectively. Cox regression analysis demonstrated that the 30-day mortality was associated with older age (P = 0.01), and the number of co-morbidities (P = 0.04), when adjusted for gender, previous amputations, cause of and amputation level, and residential status. Thus, a patient with 4 or 5 co-morbidities (n = 20) was seven times more likely to die within 30 days, compared with a patient with 1 co-morbidity (n = 16). Further, the risk of not surviving increased with 7% per each additional year the patient got older. Of concern, almost one-third of patients died within 1 month. This may be unavoidable, but a multidisciplinary, optimized, multimodal pre- and postoperative programme should be instituted, trying to improve the outcome.
OriginalsprogEngelsk
TidsskriftInteractive Cardiovascular and Thoracic Surgery
Vol/bind14
Udgave nummer5
Sider (fra-til)543-7
Antal sider5
ISSN1569-9293
DOI
StatusUdgivet - 2012

ID: 35974732