دورية أكاديمية
أعرض في EDS

Editor's Choice - Analysis of Lower Limb Amputations in Brazil's Public Health System over 13 Years.

التفاصيل البيبلوغرافية
العنوان: Editor's Choice - Analysis of Lower Limb Amputations in Brazil's Public Health System over 13 Years.
المؤلفون: Portela FSO; Hospital Israelita Albert Einstein, São Paulo, Brazil. Electronic address: fsoaresportela@gmail.com., Louzada ACS; Hospital Israelita Albert Einstein, São Paulo, Brazil., da Silva MFA; Hospital Israelita Albert Einstein, São Paulo, Brazil., Teivelis MP; Hospital Israelita Albert Einstein, São Paulo, Brazil., Kuzniec S; Hospital Israelita Albert Einstein, São Paulo, Brazil., Wolosker N; Hospital Israelita Albert Einstein, São Paulo, Brazil; Faculdade Israelita de Ciências da Saúde Albert Einstein, São Paulo, Brazil.
المصدر: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery [Eur J Vasc Endovasc Surg] 2024 Jul; Vol. 68 (1), pp. 91-98. Date of Electronic Publication: 2024 Feb 22.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: England NLM ID: 9512728 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-2165 (Electronic) Linking ISSN: 10785884 NLM ISO Abbreviation: Eur J Vasc Endovasc Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: 2002-: London : Elsevier
Original Publication: London, UK : W.B. Saunders Co. Ltd., c1995-
مواضيع طبية MeSH: Amputation, Surgical*/trends , Amputation, Surgical*/statistics & numerical data , Amputation, Surgical*/mortality , Hospital Mortality*/trends , Lower Extremity*/surgery , Lower Extremity*/blood supply, Humans ; Brazil/epidemiology ; Male ; Retrospective Studies ; Female ; Aged ; Middle Aged ; Adult ; Length of Stay/statistics & numerical data ; Aged, 80 and over ; Risk Factors ; Time Factors
مستخلص: Objective: Understanding the causes of amputation is crucial for defining health policies that seek to avoid such an outcome, but only a few studies have investigated the epidemiology of patients submitted to amputations in developing countries. The objective of this study was to analyse all lower limb amputations performed in the public health system in Brazil over a 13 year period, evaluating trends in the number of cases, patient demographics, associated aetiologies, hospital length of stay, and in hospital mortality rate.
Methods: This was a retrospective, population based analysis of all lower limb amputations performed in the Brazilian public health system between 1 January 2008 and 31 December 2020. Using a public database, all types of amputations were selected, defining the number of procedures, their main aetiologies, anatomical level of limb loss, demographic data, regional distribution, and other variables of interest.
Results: A total of 633 455 amputations were performed between 2008 and 2020, mostly (55.6%) minor amputations, predominantly in males (67%). There was an upward trend in the number of amputations, determined mainly by the increase in major amputations (50.4% increase in the period). Elderly individuals have the highest rates of amputation. Diabetes mellitus (DM) is becoming the main primary diagnosis associated with amputations over the years. The highest in hospital mortality rate occurred after major amputations and was associated with peripheral arterial disease (PAD).
Conclusion: Amputation rates in Brazil show an upward trend. DM is becoming the most frequent associated primary diagnosis, although PAD is the diagnosis most associated with major amputations and in hospital death.
(Copyright © 2024 European Society for Vascular Surgery. Published by Elsevier B.V. All rights reserved.)
فهرسة مساهمة: Keywords: Amputation; Big data; Peripheral arterial disease; Surgical
تواريخ الأحداث: Date Created: 20240223 Date Completed: 20240710 Latest Revision: 20240710
رمز التحديث: 20240711
DOI: 10.1016/j.ejvs.2024.02.028
PMID: 38395382
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-2165
DOI:10.1016/j.ejvs.2024.02.028