Mortality prediction following non-traumatic amputation of the lower extremity

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Clinical characteristics and survival of patients with diabetes mellitus following non-traumatic lower extremity amputation.

BACKGROUND Diabetes mellitus-related lower extremity amputation is a major complication severely affecting patient survival and quality of life. OBJECTIVES To analyze epidemiological and clinical trends in the incidence and survival of lower extremity amputations among diabetes patients. METHODS We conducted a retrospective observational cohort study of 565 consecutive diabetes patients who...

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An enhanced treatment program with markedly reduced mortality after a transtibial or higher non-traumatic lower extremity amputation

Background and purpose - Historically, high 30-day and 1-year mortality post-amputation rates (> 30% and 50%, respectively) have been reported in patients with a transtibial or higher non-traumatic lower extremity amputation (LEA). We evaluated whether allocating experienced staff and implementing an enhanced, multidisciplinary recovery program would reduce the mortality rates. We also determin...

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The Military Extremity Trauma Amputation/Limb Salvage (METALS) study: outcomes of amputation versus limb salvage following major lower-extremity trauma.

BACKGROUND The study was performed to examine the hypothesis that functional outcomes following major lower-extremity trauma sustained in the military would be similar between patients treated with amputation and those who underwent limb salvage. METHODS This is a retrospective cohort study of 324 service members deployed to Afghanistan or Iraq who sustained a lower-limb injury requiring eith...

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Amputation surgery in the lower extremity.

This contr ibut ion is intended to be a review of amputa t ion surgery as it is today; yet, to present a purely surgical viewpoint would be uncomfortable for the au thor and inappropriate if the best interests of the patient are to be preserved. It is hoped that the review will be understandable to those others in the clinic team who are essential to the best management for the patient. Knowled...

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Diabetes, lower-extremity amputation, and death.

OBJECTIVE The goal of the study was to determine whether complications of diabetes well-known to be associated with death such as cardiovascular disease and renal failure fully explain the higher rate of death in those who have undergone a lower-extremity amputation (LEA). RESEARCH DESIGN AND METHODS This was a longitudinal cohort study of patients cared for in the Health Improvement Network....

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ژورنال

عنوان ژورنال: British Journal of Surgery

سال: 2019

ISSN: 0007-1323,1365-2168

DOI: 10.1002/bjs.11124