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2 . 2022

Lower limb amputation

Abstract

Aim. Analysis of incidence of lower limb amputation in the Sverdlovsk region for 2017–2020.

Material and methods. In this work, the indicators of lower limb amputations in the Sverdlovsk region for the period from 2017 to 2020 were studied. Age-adjusted morbidity rates were analyzed for three age groups. In addition, lower limb amputation rates per 100,000 people were calculated separately for each year.

Results. The absolute number of lower limb amputations per year in the Sverdlovsk Region increased slightly from 1487 in 2017 to 1537 (+3.3%) in 2020. Most of the operations were performed on men (n=3811; 62.4±0.6%). Half of amputations occurred in the age group of 51–70 years (n=0.066; 50.2±0.6%). Hospital mortality in absolute numbers increased from 210 in 2017 to 288 (+4.6%)  in 2020. The number of large amputations per 100,000 people increased from 22.1 in 2017 to 23.2  in 2020, an increase of 4.7%. The number of lower limb truncations in the group of patients with diabetes mellitus and its complications increased by more than 25%. However, during the same period  in the Northern Administrative District, there was a decrease in the number of patients with diabetes by 7%, and the number of amputations of the lower extremities by more than 1.5%.

Conclusion. Against the background of an increase in the number of older people in the demographic structure, as well as an annual increase in cases of diabetes mellitus in the Sverdlovsk Region, there was an increase in the number of large limb amputations by about 5% in the period from 2017 to 2020. To reduce the frequency of limb truncations, further work is required to study the causes leading to these severe, disabling operations.

Keywords:lower limb amputation; peripheral artery diseases; atherosclerosis; diabetes mellitus

Funding. The study had no sponsor support.
Conflict of interest. The authors declare no conflict of interest.
For citation: Chernyad’ev S.A., Pogosian V.A., Fadin B.V. Lower limb amputation. Clinical and Experimental Surgery. Petrovsky Journal. 2022; 10 (2): 54–9. DOI: https://doi.org/10.33029/2308-1198-2022-10-2-54-59  (in Russian)

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CHIEF EDITOR
CHIEF EDITOR
Sergey L. Dzemeshkevich
MD, Professor (Moscow, Russia)
Вскрытие
Medicine today

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