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

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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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Data availability

With the corresponding author and will be provided only on reasonable request.

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Funding

No funding was received for this research study.

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Authors and Affiliations

  1. Department of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Jammu, Jammu and Kashmir, India

    Parvez Mohi Ud Din Dar

  2. Division of Trauma Surgery and Critical Care, Jai Prakash Narayan Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, 110029, India

    Nida Mir, Pratyusha Priyadarshini, Junaid Alam, Subodh Kumar, Amit Gupta & Sushma Sagar

  3. Department of Surgery Division, Command Hospital, Lucknow, Uttar Pradesh, India

    Anand Kumar Katiyar

  4. Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India

    Hem Chandra Sati

Authors
  1. Parvez Mohi Ud Din Dar
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  2. Nida Mir
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  3. Anand Kumar Katiyar
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  4. Hem Chandra Sati
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  7. Subodh Kumar
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  9. Sushma Sagar
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Correspondence to Sushma Sagar.

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Dar, P.M.U.D., Mir, N., Katiyar, A.K. et al. Outcome predictors of patients who underwent limb amputation/s following trauma at a level I trauma center in North India. Eur J Trauma Emerg Surg 50, 233–242 (2024). https://doi.org/10.1007/s00068-023-02273-1

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  • DOI: https://doi.org/10.1007/s00068-023-02273-1

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