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Long term mortality after lower extremity amputation in South Africa
Introduction: Long-term mortality after lower extremity amputation is not well reported in low- and middleincome countries. The primary aim of this study was to report 30-day and one-year mortality after lower extremity amputation in South Africa. The secondary objective was to report risk factors f...
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| Format: | Thesis |
| Language: | English |
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Department of Surgery
2020
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| _version_ | 1867614472119517184 |
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| access_status_str | Open Access |
| author | Husein, Salah |
| author2 | Chu, Kathryn |
| author_browse | Chu, Kathryn Husein, Salah |
| author_facet | Chu, Kathryn Husein, Salah |
| author_sort | Husein, Salah |
| collection | Thesis |
| description | Introduction: Long-term mortality after lower extremity amputation is not well reported in low- and middleincome countries. The primary aim of this study was to report 30-day and one-year mortality after lower extremity amputation in South Africa. The secondary objective was to report risk factors for one-year mortality. Methods: This was a retrospective cohort study of patients undergoing lower extremity amputations at New Somerset Hospital from October 1, 2015, to October 31, 2016. A medical record review was undertaken to identify co-morbidities, operation details, and perioperative mortality rate. Outcome status was defined as alive, dead, or lost to follow-up. Outcomes at 30 days and one year were reported. Results: There were 152 patients; 90 (59%) males and the median age (interquartile range, IQR) was 60 (54-67) years. At 30 days, 102 patients were traced and 12 (12%) were dead. At one year, 86 (57%) were traced and 37 (43%) were dead. Conclusion: At this South African hospital, 43% of patients undergoing lower extremity amputations were dead after one year. In resource-constrained settings, mortality data are necessary when considering resource allocation for lower extremity amputations and essential surgical care packages. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/31531 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:52:35.009Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2020 |
| publishDateRange | 2020 |
| publishDateSort | 2020 |
| publisher | Department of Surgery |
| publisherStr | Department of Surgery |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/31531 Long term mortality after lower extremity amputation in South Africa Husein, Salah Chu, Kathryn surgery Introduction: Long-term mortality after lower extremity amputation is not well reported in low- and middleincome countries. The primary aim of this study was to report 30-day and one-year mortality after lower extremity amputation in South Africa. The secondary objective was to report risk factors for one-year mortality. Methods: This was a retrospective cohort study of patients undergoing lower extremity amputations at New Somerset Hospital from October 1, 2015, to October 31, 2016. A medical record review was undertaken to identify co-morbidities, operation details, and perioperative mortality rate. Outcome status was defined as alive, dead, or lost to follow-up. Outcomes at 30 days and one year were reported. Results: There were 152 patients; 90 (59%) males and the median age (interquartile range, IQR) was 60 (54-67) years. At 30 days, 102 patients were traced and 12 (12%) were dead. At one year, 86 (57%) were traced and 37 (43%) were dead. Conclusion: At this South African hospital, 43% of patients undergoing lower extremity amputations were dead after one year. In resource-constrained settings, mortality data are necessary when considering resource allocation for lower extremity amputations and essential surgical care packages. 2020-03-10T13:05:40Z 2020-03-10T13:05:40Z 2019 2020-03-10T06:22:51Z Master Thesis Masters MMed http://hdl.handle.net/11427/31531 eng application/pdf Department of Surgery Faculty of Health Sciences |
| spellingShingle | surgery Husein, Salah Long term mortality after lower extremity amputation in South Africa |
| thesis_degree_str | Master's |
| title | Long term mortality after lower extremity amputation in South Africa |
| title_full | Long term mortality after lower extremity amputation in South Africa |
| title_fullStr | Long term mortality after lower extremity amputation in South Africa |
| title_full_unstemmed | Long term mortality after lower extremity amputation in South Africa |
| title_short | Long term mortality after lower extremity amputation in South Africa |
| title_sort | long term mortality after lower extremity amputation in south africa |
| topic | surgery |
| url | http://hdl.handle.net/11427/31531 |
| work_keys_str_mv | AT huseinsalah longtermmortalityafterlowerextremityamputationinsouthafrica |