- Title
- Short and long term mortality rates after a lower limb amputation
- Creator
- Fortington, Lauren; Geertzen, Jan; Van Netten, Jaap; Postema, Klaas; Rommers, Gerardus; Dijkstra, Pieter
- Date
- 2013
- Type
- Text; Journal article
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/74429
- Identifier
- vital:7273
- Identifier
-
https://doi.org/10.1016/j.ejvs.2013.03.024
- Identifier
- ISSN:1078-5884
- Abstract
- Objective: To determine mortality rates after a first lower limb amputation and explore the rates for different subpopulations. Methods: Retrospective cohort study of all people who underwent a first amputation at or proximal to transtibial level, in an area of 1.7 million people. Analysis with Kaplan-Meier curves and Log Rank tests for univariate associations of psycho-social and health variables. Logistic regression for odds of death at 30-days, 1-year and 5-years. Results: 299 people were included. Median time to death was 20.3 months (95%CI: 13.1; 27.5). 30-day mortality = 22%; odds of death 2.3 times higher in people with history of cerebrovascular disease (95%CI: 1.2; 4.7, P = 0.016). 1 year mortality = 44%; odds of death 3.5 times higher for people with renal disease (95%CI: 1.8; 7.0, P < 0.001). 5-years mortality = 77%; odds of death 5.4 times higher for people with renal disease (95%CI: 1.8; 16.0,P = 0.003). Variation in mortality rates was most apparent in different age groups; people 75-84 years having better short term outcomes than those younger and older. Conclusions: Mortality rates demonstrated the frailty of this population, with almost one quarter of people dying within 30-days, and almost half at 1 year. People with cerebrovascular had higher odds of death at 30 days, and those with renal disease and 1 and 5 years, respectively.; C1
- Relation
- European Journal of Vascular and Endovascular Surgery Vol. 46, no. 1 (July 2013), p. 124-131
- Rights
- © 2013 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
- Rights
- No open access
- Rights
- This metadata is freely available under a CCO license
- Subject
- Amputation; Diabetes mellitus; Mortality; 1103 Clinical Sciences; 1102 Cardiorespiratory Medicine and Haematology
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