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Updated: Nov 11, 2025

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Lower extremity amputations in Ireland: a registry-based study.

Anna Mealy1, Sean Tierney2, Jan Sorensen3

  • 1The Royal Hospital, Perth, Australia. mealyan@tcd.ie.

Irish Journal of Medical Science
|March 23, 2021
PubMed
Summary
This summary is machine-generated.

Establishing a national multi-disciplinary foot protection clinic could significantly reduce lower extremity amputations (LEAs), particularly among diabetic patients. This initiative offers substantial cost savings and improved patient health outcomes.

Keywords:
IrelandLower extremity amputationsRegistry-based study

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Area of Science:

  • Podiatry
  • Vascular Surgery
  • Public Health

Background:

  • Lower extremity amputations (LEAs) represent a significant burden on patient well-being and healthcare resources in Irish public hospitals.
  • Diabetes is a major contributing factor to LEAs, necessitating targeted prevention strategies.

Purpose of the Study:

  • To analyze patient characteristics associated with LEAs in Irish public hospitals between 2016-2019.
  • To evaluate the potential cost savings and health benefits of implementing a national multi-disciplinary foot protection clinic (MDFPC).

Main Methods:

  • Analysis of LEA patient characteristics using national hospital inpatient discharge data (2016-2019).
  • Extrapolation of national consequences based on existing literature.
  • Modeling potential savings from a 20% reduction in diabetic LEAs via an MDFPC.

Main Results:

  • 3104 LEAs were recorded in Irish public hospitals from 2016-2019, with 68% being minor amputations.
  • Diabetes was a primary diagnosis in 76% of minor and 52% of major LEAs.
  • A national MDFPC could prevent 106 diabetic LEAs annually, saving nearly 3000 hospital bed days and €3 million.

Conclusions:

  • LEAs have a profound impact on patients and strain hospital resources.
  • Effective preventive strategies, such as a national MDFPC, can lead to significant health improvements and cost reductions.