Non-traumatic lower limb older amputees: a database survey from a geriatric centre

Citation
A. Adunsky et al., Non-traumatic lower limb older amputees: a database survey from a geriatric centre, DISABIL REH, 23(2), 2001, pp. 80-84
Citations number
25
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Rehabilitation
Journal title
DISABILITY AND REHABILITATION
ISSN journal
0963-8288 → ACNP
Volume
23
Issue
2
Year of publication
2001
Pages
80 - 84
Database
ISI
SICI code
0963-8288(200101)23:2<80:NLLOAA>2.0.ZU;2-F
Abstract
Purpose : The purpose of this survey was to examine the characteristic of a geriatric population admitted for amputation of a lower limb and to explor e some of the factors that may affect the course of their hospital stay. Method: The study took place in the geriatric division of a tertiary genera l hospital and included a close geriatric-orthopaedic liaison. Two-hundred and forty-one patients were included in the final analysis. Results : Many above knee amputations were performed, which correlated with advanced age. Rates of in hospital mortality and systemic complications we re 16% and 19%, respectively. Thirty-three percent of the patients were dis charged back home, and only 6% were supplied with an artificial limb. The g eneral condition of most patients remained poor. Conclusion : We conclude that despite a team approach to the care of the ge riatric amputee a poor functional result was obtained. By encouraging earli er referrals from the community it is postulated that a reduction in the co stly provision of antibiotics would be beneficial and that perhaps lower le vels of amputation could be perfromed thereby enhancing the possibilities f or ambulation.