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Non-traumatic limb amputations in the Kingdom of Bahrain: an 11-year single-centre experience
Dhafer M Kamal1, Ebrahim Matar2, Aseel Ahmed Husain3
1King Hamas University Hospital, Royal Medical services, Kingdom of Bahrain.
Insights
Identifying predictors for lower extremity amputations (LEA) is vital. This study found that older age, female sex, hypertension, cardiac disease, and chronic kidney disease are significant risk factors for major LEA, which are linked to higher mortality.
Area of Science:
- Vascular Surgery
- Public Health
- Epidemiology
Background:
- Lower extremity amputations (LEA) significantly impair quality of life and necessitate extensive rehabilitation.
- Identifying predictors of LEA is critical for mitigating associated mortality and morbidity.
Purpose of the Study:
- To describe patient characteristics undergoing non-traumatic LEA in Bahrain.
- To identify significant risk factors associated with major LEA.
Main Methods:
- Retrospective analysis of non-traumatic amputation data from Bahrain Defense Force Hospital (2010-2020).
- Statistical analysis including Chi-squared tests and logistic regression to determine predictors of LEA.
Main Results:
- Out of 426 patients and 800 amputations, 52.8% were minor and 47.2% were major LEA.
- Risk factors for major LEA included age over 70, female sex, hypertension, cardiac disease, and chronic kidney disease.
- Major amputations showed a significant association with elevated mortality rates.
Conclusions:
- The study characterizes non-traumatic LEA patients in Bahrain and identifies key risk factors.
- Highlights the importance of targeted preventive strategies and comprehensive management for improved patient outcomes.
- Recommends future research focused on developing interventions to address identified risk factors.
Objective:
Lower extremity amputations (LEA) due to severe trauma, diabetes and peripheral artery disease significantly affect patients' quality of life and require comprehensive rehabilitation. Identifying predictors of LEA is crucial for reducing mortality and morbidity.
Method:
This retrospective study analysed data from the Bahrain Defense Force Hospital (Kingdom of Bahrain) (2010-2020) on patients who underwent non-traumatic amputations. Statistical analyses were conducted using Statistical Package for the Social Sciences (SPSS, IBM, US), with a Chi-squared test for categorical variables and logistic regression analysis to identify significant predictors.
Results:
Among the 426 patients who underwent 800 amputations, 52.8% (n=225) had minor amputations and 47.2% (n=201) had major amputations. Risk factors for major amputation included age (>70 years), sex (female), hypertension, cardiac disease and chronic kidney disease. Major amputations were significantly associated with high mortality rates.
Conclusion:
This study describes the characteristics of patients undergoing non-traumatic LEA in the Kingdom of Bahrain and highlights the risk factors for these procedures, emphasising the need for targeted preventive measures and comprehensive management strategies to improve outcomes. Future studies should focus on developing interventions to address these risk factors.
