Predictive Factors for Mortality Following Major Lower Extremity Amputation.
major amputation
mortality
vascular
Journal
The American surgeon
ISSN: 1555-9823
Titre abrégé: Am Surg
Pays: United States
ID NLM: 0370522
Informations de publication
Date de publication:
27 Apr 2023
27 Apr 2023
Historique:
medline:
27
4
2023
pubmed:
27
4
2023
entrez:
27
4
2023
Statut:
aheadofprint
Résumé
Despite advances in techniques and care, major amputation bears a high risk for mortality. Previously identified factors associated with increased risk of mortality include amputation level, renal function, and pre-operative white cell count. A single center retrospective chart review was conducted identifying patients who had undergone a major amputation. Chi-squared, t-testing, and Cox proportional hazard modeling were performed examining death at 6 months and 12 months. Factors associated with an increased risk of six-month mortality include age (OR 1.01-1.05, Patients undergoing major amputation continue to suffer high mortality. Those patients who received their amputation under physiologically stressful conditions were more likely to die within 6 months. Reliably predicting six-month mortality can assist surgeons and patients in making appropriate care decisions.
Sections du résumé
BACKGROUND
BACKGROUND
Despite advances in techniques and care, major amputation bears a high risk for mortality. Previously identified factors associated with increased risk of mortality include amputation level, renal function, and pre-operative white cell count.
METHODS
METHODS
A single center retrospective chart review was conducted identifying patients who had undergone a major amputation. Chi-squared, t-testing, and Cox proportional hazard modeling were performed examining death at 6 months and 12 months.
RESULTS
RESULTS
Factors associated with an increased risk of six-month mortality include age (OR 1.01-1.05,
DISCUSSION
CONCLUSIONS
Patients undergoing major amputation continue to suffer high mortality. Those patients who received their amputation under physiologically stressful conditions were more likely to die within 6 months. Reliably predicting six-month mortality can assist surgeons and patients in making appropriate care decisions.
Identifiants
pubmed: 37102711
doi: 10.1177/00031348231167396
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM