Related Experiment Video

Updated: Aug 4, 2025

Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia
07:25

Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia

Published on: September 22, 2020

3.5K

Lessons Learned: A Disruption in Care Leads to Increased Rates of Proximal Amputations

Justin Yu1, Jai Joshi2, Carmen Wong3

  • 1Resident Physician, Department of Surgery, Zucker School of Medicine at Hoftsra/Northwell, Hempstead, NY.

Wound Management & Prevention
|April 4, 2023
PubMed

Insights

The COVID-19 pandemic led to increased proximal amputations due to hospital restrictions. This study highlights the indirect negative impact of these measures on limb salvage surgeries during the initial shutdown period.

Area of Science:

  • Vascular Surgery
  • Public Health
  • Epidemiology

Background:

  • COVID-19 pandemic restrictions limited hospitalizations to emergencies in New York.
  • Non-COVID lower extremity wound cases were only admitted for acute infections and limb salvage.
  • These restrictions placed patients at increased risk of limb loss.

Purpose of the Study:

  • To assess the impact of COVID-19 on lower extremity amputation rates.
  • To compare amputation rates before, during, and after pandemic-related hospital shutdowns.

Main Methods:

  • Retrospective review of lower limb amputations at Northwell Health (January 2020 - January 2021).
  • Comparison of amputation rates across pre-pandemic, shutdown, post-shutdown, and reopening periods.
  • Analysis focused on the proportion of proximal amputations.

Main Results:

  • The shutdown period saw a significant increase in proximal amputations (25.58%) compared to pre-pandemic (8.38%, p=0.0009).
  • Patients had 4.89 times higher odds of proximal amputation during the shutdown.
  • Amputation rates returned to baseline after the shutdown period.

Conclusions:

  • COVID-19 hospital restrictions indirectly increased proximal amputations during the initial shutdown.
  • The findings suggest a negative impact of pandemic-related surgical restrictions on limb salvage outcomes.
  • Further research is needed to understand long-term effects and optimize care during public health crises.
Abstract

More Related Videos

Microscopic Replantation of Penile Glans Amputation Due to Circumcision07:28

Microscopic Replantation of Penile Glans Amputation Due to Circumcision

Published on: June 3, 2022

19.1K
Bioelectric Analyses of an Osseointegrated Intelligent Implant Design System for Amputees14:31

Bioelectric Analyses of an Osseointegrated Intelligent Implant Design System for Amputees

Published on: July 15, 2009

14.1K

Related Concept Videos

Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
14
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
15
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.7K
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
21
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
15
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.7K