| Titre : | Prosthetic fitting associated with better survival at 5 years after above-knee amputation due to vascular insufficiency (2023) |
| Auteurs : | Alexandre Brügger ; François Luthi ; Philippe Vuistiner ; Stéphane Cherix ; Olivier Borens ; Sylvain Steinmetz |
| Type de document : | Article |
| Dans : | Annals of Physical and Rehabilitation Medicine (Vol. 66, n° 5, June 2023) |
| Article en page(s) : | 101727 |
| Note générale : | https://doi.org/10.1016/j.rehab.2022.101727 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Amputation chirurgicale ; Morbidité ; Mortalité ; Prothèses et implants |
| Mots-clés: | Adaptation prothétique |
| Résumé : | Background Individuals requiring non-traumatic Gritti-Stokes amputation or mid-thigh amputation usually have multiple comorbidities that place them at high risk of mortality. Objective To determine survival rate 5 years after Gritti-Stokes and mid-thigh amputation in individuals with vascular insufficiency and to identify the predictors of survival. Methods We conducted a retrospective observational study including all individuals with vascular insufficiency who underwent amputation from September 2007 to December 2015 in our University Hospital. The indication for amputation was limb necrosis in 86% of cases, infection in 10%, and complications with the stump (discomfort, neuroma or scar dehiscence) in 4%. Medical records were analysed to determine factors and comorbidities. The date of death was retrieved from the national death registry at a minimum of 5 years after amputation. Cox proportional-hazard regression was used to estimate associations between factors and post-amputation survival with hazard ratios (HR) and 95% confidence intervals (CIs). Results We included 126 people with vascular insufficiency (83 men), mean age was 70 years [20; 97]; eighty-nine participants (71%) died during the study period. Survival rate was 68% at 1 year, 48% at 3 years and 37% at 5 years. Survival was associated with prosthetic fitting (HR 0.306 [95% CI 0.180; 0.521], p |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1877065722000999 |
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