scholarly journals A Novel Prediction Tool to Predict Mobility Outcome After Lower Extremity Amputation Secondary to Peripheral Arterial Disease and/or Diabetes

2016 ◽  
Vol 52 (3) ◽  
pp. 404-405
Author(s):  
J. Czerniecki ◽  
A. Turner ◽  
R. Williams ◽  
M.L. Thompson ◽  
K. Hakimi ◽  
...  
Keyword(s):  
Peripheral Arterial Disease ◽  
Lower Extremity ◽  
Arterial Disease ◽  
Lower Extremity Amputation ◽  
Prediction Tool ◽  
Peripheral Arterial ◽  
Extremity Amputation

Quality of life three years after major lower extremity amputation due to peripheral arterial disease

2010 ◽  
Vol 22 (5-6) ◽  
pp. 395-405 ◽  
Author(s):  
Leena Remes ◽  
Raimo Isoaho ◽  
Tero Vahlberg ◽  
Matti Viitanen ◽  
Markku Koskenvuo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Peripheral Arterial Disease ◽  
Lower Extremity ◽  
Arterial Disease ◽  
Lower Extremity Amputation ◽  
Peripheral Arterial ◽  
Extremity Amputation

scholarly journals The impact of gender, level of amputation and diabetes on prosthetic fit rates following major lower extremity amputation

2016 ◽  
Vol 41 (1) ◽  
pp. 19-25 ◽  
Author(s):  
Fiona Davie-Smith ◽  
Lorna Paul ◽  
Natalie Nicholls ◽  
Wesley P Stuart ◽  
Brian Kennon
Keyword(s):  
Diabetes Mellitus ◽  
Peripheral Arterial Disease ◽  
Lower Extremity ◽  
Clinical Relevance ◽  
Arterial Disease ◽  
Lower Extremity Amputation ◽  
Amputation Level ◽  
Prosthetic Limb ◽  
Peripheral Arterial ◽  
Extremity Amputation

Background: Diabetes mellitus is a leading cause of major lower extremity amputation. Objective: To examine the influence of gender, level of amputation and diabetes mellitus status on being fit with a prosthetic limb following lower extremity amputation for peripheral arterial disease. Study design: Retrospective analysis of the Scottish Physiotherapy Amputee Research Group dataset. Results: Within the cohort with peripheral arterial disease ( n = 1735), 64% were men ( n = 1112) and 48% ( n = 834) had diabetes mellitus. Those with diabetes mellitus were younger than those without: mean 67.5 and 71.1 years, respectively ( p < 0.001). Trans-tibial amputation:trans-femoral amputation ratio was 2.33 in those with diabetes mellitus, and 0.93 in those without. A total of 41% of those with diabetes mellitus were successfully fit with a prosthetic limb compared to 38% of those without diabetes mellitus. Male gender positively predicted fitting with a prosthetic limb at both trans-tibial amputation ( p = 0.001) and trans-femoral amputation ( p = 0.001) levels. Bilateral amputations and increasing age were negative predictors of fitting with a prosthetic limb ( p < 0.001). Diabetes mellitus negatively predicted fitting with a prosthetic limb at trans-femoral amputation level ( p < 0.001). Mortality was 17% for the cohort, 22% when the amputation was at trans-femoral amputation level. Conclusion: Of those with lower extremity amputation as a result of peripheral arterial disease, those with diabetes mellitus were younger, and more had trans-tibial amputation. Although both age and amputation level are good predictors of fitting with a prosthetic limb, successful limb fit rates were no better than those without diabetes mellitus. Clinical relevance This is of clinical relevance to those who are involved in the decision-making process of prosthetic fitting following major amputation for dysvascular and diabetes aetiologies.

scholarly journals Quality of Life and Wellbeing in Peripheral Arterial Disease: A Qualitative Study

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1052-1053
Author(s):  
Mary Byrnes ◽  
Heather Dillaway ◽  
Bryan Aaron ◽  
Alisha Heximer ◽  
Valeria Valbuena ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Peripheral Arterial Disease ◽  
Lower Extremity ◽  
Surgical Care ◽  
Arterial Disease ◽  
Lower Extremity Amputation ◽  
Care Providers ◽  
Peripheral Arterial ◽  
Extremity Amputation

Abstract Peripheral arterial disease (PAD) is a vascular condition disproportionately affecting adults &gt; 60 and the leading cause of disability for adults &gt; 50. Because PAD is marked by severe leg pain and sometimes lower extremity amputation, quality of life (QOL) and wellbeing may be compromised however, we understand little about these constructs in this population. Furthermore, surgical care providers lack a comprehensive understanding of how individuals think about wellbeing and what is important to individuals during surgical care. We conducted a qualitative photographic elicitation study (n = 60) in one academic multidisciplinary PAD clinic to understand specific aspects of QOL of older individuals with PAD. Guided by interpretive description, a methodology pioneered in nursing, we analyzed data within and across five clinical symptom severity categories to examine for QOL constructs, impact on everyday life, understanding of disease, and desired treatment. Results demonstrate that individuals do not fully understand PAD diagnosis or its implications (e.g., “[I] have never heard of it. Do I have that?”). Disease-specific knowledge was prevalent among patients experiencing lower extremity amputation but those suffering from wounds or gangrene had limited understanding. Furthermore, patients’ descriptions of QOL conflicted with the conceptualization of QOL in clinical practice and research. That is, many participants describe QOL based on activities they are capable of performing despite limitations. Results demonstrate the need for integrating gerontological knowledge into clinical care to improve quality of care for older adults.

Amputation and reamputation of the diabetic foot

1997 ◽  
Vol 87 (6) ◽  
pp. 255-259 ◽  
Author(s):  
DG Armstrong ◽  
LA Lavery ◽  
LB Harkless ◽  
WH Van Houtum
Keyword(s):  
Lower Extremity ◽  
Previous History ◽  
Arterial Disease ◽  
Lower Extremity Amputation ◽  
South Texas ◽  
Diabetic Patients ◽  
Amputation Level ◽  
Causal Pathway ◽  
Peripheral Arterial ◽  
Extremity Amputation

The authors compare the level of foot amputation by age, prevalence of arterial disease as a precipitating factor, gender, and ethnicity in persons with diabetes mellitus. Medical records were abstracted for each hospitalization for a lower extremity amputation from January 1 to December 31, 1993, in six metropolitan statistical areas in south Texas. Amputation level was defined by ICD-9-CM codes and were categorized as foot, leg, and thigh amputations. Foot-level amputations were further subcategorized as hallux or first ray, middle, fifth, multiple digit or ray, and midfoot amputations. Only the highest amputation level for each individual was used in the analysis. Of 1,043 subjects undergoing a lower extremity amputation in south Texas in the year 1993, 477 received their amputation at the level of the foot. African-Americans requiring a foot-level amputation were at significantly higher risk to undergo a midfoot-level amputation than was the rest of the population. Nearly 40% of all subjects undergoing a foot-level amputation had a previous history of amputation. However, nearly 40% of subjects undergoing foot amputations had not been diagnosed either before or during admission with peripheral arterial occlusive disease, suggesting a causal pathway dependent primarily on neuropathy. This implies that better screening of diabetic patients with appropriate risk-directed treatment at the primary care level may significantly impact the large number of preventable diabetes-related lower extremity amputations.

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