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European Journal of Trauma and Emergency Surgery

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26-05-2023 | Shock | Original Article

Outcome predictors of patients who underwent limb amputation/s following trauma at a level I trauma center in North India

Authors: Parvez Mohi Ud Din Dar, Nida Mir, Anand Kumar Katiyar, Hem Chandra Sati, Pratyusha Priyadarshini, Junaid Alam, Subodh Kumar, Amit Gupta, Sushma Sagar

Published in: European Journal of Trauma and Emergency Surgery | Issue 1/2024

Abstract

Purpose

Limb amputation is one of the oldest medical operations, dating back over 2500 years to Hippocrates' time. In developing countries like India, most of the patients are young, and trauma is the primary cause of limb amputation. The objectives of this study were to investigate the factors that can predict the outcome of patients who underwent upper or lower limb amputations.

Materials and methods

This was a retrospective analysis of the prospectively collected data of patients who underwent limb amputations from January 2015 to December 2019.

Results

From January 2015 to December 2019, 547 patients underwent limb amputations. Males predominated (86%). Road traffic injuries (RTI) were the most common (323, 59%) mechanism of injury. Hemorrhagic shock was present in 125 (22.9%) patients. Above-knee amputation was the most common (33%) amputation procedure performed. The correlation of hemodynamic status at presentation with the outcome was statistically significant (p-0.001). Outcome measures like delayed presentation, hemorrhagic shock, Injury severity scores (ISS), and the new injury severity scores (NISS) were statistically significant (p-0.001) when compared to the outcome. There were 47 (8.6%) mortalities during the study period.

Conclusion

Factors that affected the outcome were delayed presentation, hemorrhagic shock, higher ISS, NISS, MESS scores, surgical-site infection, and associated injuries. Overall mortality during the study was 8.6%.

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Title: Outcome predictors of patients who underwent limb amputation/s following trauma at a level I trauma center in North India
Authors: Parvez Mohi Ud Din Dar
Nida Mir
Anand Kumar Katiyar
Hem Chandra Sati
Pratyusha Priyadarshini
Junaid Alam
Subodh Kumar
Amit Gupta
Sushma Sagar
Publication date: 26-05-2023
Publisher: Springer Berlin Heidelberg
Keywords: Shock
Shock
Published in: European Journal of Trauma and Emergency Surgery / Issue 1/2024
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-023-02273-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Outcome predictors of patients who underwent limb amputation/s following trauma at a level I trauma center in North India

Abstract

Purpose

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Materials and methods

Results

Conclusion

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