Long term mortality after lower extremity amputation in South Africa

dc.contributor.advisorChu, Kathryn
dc.contributor.authorHusein, Salah
dc.date.accessioned2020-03-10T13:05:40Z
dc.date.available2020-03-10T13:05:40Z
dc.date.issued2019
dc.date.updated2020-03-10T06:22:51Z
dc.description.abstractIntroduction: Long-term mortality after lower extremity amputation is not well reported in low- and middleincome countries. The primary aim of this study was to report 30-day and one-year mortality after lower extremity amputation in South Africa. The secondary objective was to report risk factors for one-year mortality. Methods: This was a retrospective cohort study of patients undergoing lower extremity amputations at New Somerset Hospital from October 1, 2015, to October 31, 2016. A medical record review was undertaken to identify co-morbidities, operation details, and perioperative mortality rate. Outcome status was defined as alive, dead, or lost to follow-up. Outcomes at 30 days and one year were reported. Results: There were 152 patients; 90 (59%) males and the median age (interquartile range, IQR) was 60 (54-67) years. At 30 days, 102 patients were traced and 12 (12%) were dead. At one year, 86 (57%) were traced and 37 (43%) were dead. Conclusion: At this South African hospital, 43% of patients undergoing lower extremity amputations were dead after one year. In resource-constrained settings, mortality data are necessary when considering resource allocation for lower extremity amputations and essential surgical care packages.
dc.identifier.apacitationHusein, S. (2019). <i>Long term mortality after lower extremity amputation in South Africa</i>. (). ,Faculty of Health Sciences ,Department of Surgery. Retrieved from http://hdl.handle.net/11427/31531en_ZA
dc.identifier.chicagocitationHusein, Salah. <i>"Long term mortality after lower extremity amputation in South Africa."</i> ., ,Faculty of Health Sciences ,Department of Surgery, 2019. http://hdl.handle.net/11427/31531en_ZA
dc.identifier.citationHusein, S. 2019. Long term mortality after lower extremity amputation in South Africa. . ,Faculty of Health Sciences ,Department of Surgery. http://hdl.handle.net/11427/31531en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Husein, Salah AB - Introduction: Long-term mortality after lower extremity amputation is not well reported in low- and middleincome countries. The primary aim of this study was to report 30-day and one-year mortality after lower extremity amputation in South Africa. The secondary objective was to report risk factors for one-year mortality. Methods: This was a retrospective cohort study of patients undergoing lower extremity amputations at New Somerset Hospital from October 1, 2015, to October 31, 2016. A medical record review was undertaken to identify co-morbidities, operation details, and perioperative mortality rate. Outcome status was defined as alive, dead, or lost to follow-up. Outcomes at 30 days and one year were reported. Results: There were 152 patients; 90 (59%) males and the median age (interquartile range, IQR) was 60 (54-67) years. At 30 days, 102 patients were traced and 12 (12%) were dead. At one year, 86 (57%) were traced and 37 (43%) were dead. Conclusion: At this South African hospital, 43% of patients undergoing lower extremity amputations were dead after one year. In resource-constrained settings, mortality data are necessary when considering resource allocation for lower extremity amputations and essential surgical care packages. DA - 2019 DB - OpenUCT DP - University of Cape Town KW - surgery LK - https://open.uct.ac.za PY - 2019 T1 - Long term mortality after lower extremity amputation in South Africa TI - Long term mortality after lower extremity amputation in South Africa UR - http://hdl.handle.net/11427/31531 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/31531
dc.identifier.vancouvercitationHusein S. Long term mortality after lower extremity amputation in South Africa. []. ,Faculty of Health Sciences ,Department of Surgery, 2019 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/31531en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDepartment of Surgery
dc.publisher.facultyFaculty of Health Sciences
dc.subjectsurgery
dc.titleLong term mortality after lower extremity amputation in South Africa
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMMed
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