Journal of wound care · 2025
Non-traumatic limb amputations in the Kingdom of Bahrain: an 11-year single-centre experience.
СтатьяНазвание и аннотация: Перевод в очереди
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Kamal Dhafer M, Matar Ebrahim, Husain Aseel Ahmed, Alnetaifi Najla Mohammed, Hasan Wafa Fawzi, Alsayyad Adel Salman
Аннотация
OBJECTIVE: Lower extremity amputations (LEA) due to severe trauma, diabetes and peripheral artery disease significantly affect patients' quality of life and require comprehensive rehabilitation. Identifying predictors of LEA is crucial for reducing mortality and morbidity.
METHOD: This retrospective study analysed data from the Bahrain Defense Force Hospital (Kingdom of Bahrain) (2010-2020) on patients who underwent non-traumatic amputations. Statistical analyses were conducted using Statistical Package for the Social Sciences (SPSS, IBM, US), with a Chi-squared test for categorical variables and logistic regression analysis to identify significant predictors.
RESULTS: Among the 426 patients who underwent 800 amputations, 52.8% (n=225) had minor amputations and 47.2% (n=201) had major amputations. Risk factors for major amputation included age (>70 years), sex (female), hypertension, cardiac disease and chronic kidney disease. Major amputations were significantly associated with high mortality rates.
CONCLUSION: This study describes the characteristics of patients undergoing non-traumatic LEA in the Kingdom of Bahrain and highlights the risk factors for these procedures, emphasising the need for targeted preventive measures and comprehensive management strategies to improve outcomes. Future studies should focus on developing interventions to address these risk factors.
METHOD: This retrospective study analysed data from the Bahrain Defense Force Hospital (Kingdom of Bahrain) (2010-2020) on patients who underwent non-traumatic amputations. Statistical analyses were conducted using Statistical Package for the Social Sciences (SPSS, IBM, US), with a Chi-squared test for categorical variables and logistic regression analysis to identify significant predictors.
RESULTS: Among the 426 patients who underwent 800 amputations, 52.8% (n=225) had minor amputations and 47.2% (n=201) had major amputations. Risk factors for major amputation included age (>70 years), sex (female), hypertension, cardiac disease and chronic kidney disease. Major amputations were significantly associated with high mortality rates.
CONCLUSION: This study describes the characteristics of patients undergoing non-traumatic LEA in the Kingdom of Bahrain and highlights the risk factors for these procedures, emphasising the need for targeted preventive measures and comprehensive management strategies to improve outcomes. Future studies should focus on developing interventions to address these risk factors.