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Risk Factors for Early Lower Limb Re-Amputation in Vascular Diseases
Diego Castro Musial1, Maria Eduardha Ligocki Irigaray2, Lauanny Caroline Gerber2
1Hospital Regional Hans Dieter Schmidt, Joinville, Santa Catarina, Brazil.
Annals of Vascular Surgery
|April 6, 2024
Summary
Dialysis, smoking, and hypertension significantly increase the risk of lower limb re-amputation within six months. Early intervention for patients with these factors is crucial to prevent repeat amputations.
Area of Science:
- Medical research
- Surgical outcomes
- Public health
Background:
- Lower limb amputations carry known risks.
- Identifying predictors for repeat amputations is essential for patient care.
- This study focuses on re-amputation risk within six months of the initial procedure.
Purpose of the Study:
- To identify risk factors for re-amputation within six months of a lower limb amputation.
- To inform early interventions for high-risk patients.
Main Methods:
- Retrospective cohort study at a single center in Brazil (2013-2022).
- Included 652 adult patients undergoing lower limb amputation.
- Analyzed patient demographics, comorbidities, and amputation history using statistical tests.
Main Results:
- 35.2% of patients required re-amputation within six months.
- Dialysis (OR 8.36), smoking (OR 1.67), and hypertension (OR 1.55) were significant predictors of re-amputation.
- Statistical significance was determined using Chi-squared and student's t-tests.
Conclusions:
- Early intervention is vital for patients with identified risk factors.
- Targeted support for dialysis, smoking, and hypertension can reduce re-amputation rates.
- Proactive management can improve outcomes after lower limb amputation.
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