Causes of hospitalization among amputees who evolved to death
Journal Title: International Journal of Medical Science And Advanced Clinical Research (IJMACR) - Year 2018, Vol 1, Issue 6
Abstract
Background: Peripheral arterial disease (PAD), a major cause of disability and critical limb ischemia is the end stage of peripheral arterial occlusive disease, with a deep impact in patient's quality of life. Aim: The aim of this study was to evaluate the causes of rehospitalization of major lower limb amputees who died. Method: In a cohort study the causes of hospitalization of all amputees who died between January 2005 and January 2007 in Base Hospital, Medicine School in Sao Jose do Rio Preto (FAMERP) were evaluated in a retrospective quantitatively study. Amputees who suffered amputation of the arm and minor amputations were excluded. The diagnosis at admission was evaluated and only those who were hospitalized after one month of amputation and died were included in this study. The study was approved by the Research Ethics Committee of FAMERP. Percentages were used for statistical analysis. Results: There were 231 amputations in this period; 25 patients were re-hospitalized after one month of the amputation and died. For 10 (40%) patients the cause of death was pulmonary complications, in 5 (20%) due to another amputation, in 5 (20%) to kidney problems, 2 (8%) due to cerebral hemorrhages, in one (4%) due to an ischemic stroke, one (4%) to intestinal obstruction and one (4%) secondary to sepsis. Conclusion: Disease of the circulatory system was the main cause of death; second limb amputations are an important cause of mortality.
Authors and Affiliations
Jose Maria Pereira de Godoy
Keywords
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