RESUMO
Utilization of prosthetic and orthotic care services among patients with limb stump due to obliterative diseases of peripheral arteries was analyzed based on population register of limb amputations. It was established that not more than 34% of patients apply for primary prosthesis after lower limb amputation. This rate decreases among patients older than 60 years, and significantly decreases among patients older than 70 years - down to 16,2%. In order to improve the mobility level and quality of life among this population of patients it is considered to design and implement interdepartmental rehabilitation programs in the regions.
Assuntos
Membros Artificiais , Pessoas com Deficiência , Doenças Vasculares , Idoso , Idoso de 80 Anos ou mais , Amputação Cirúrgica , Humanos , Qualidade de Vida , Doenças Vasculares/reabilitaçãoRESUMO
AIM: To investigate five-year survival, short- and long-term outcomes of hip stump ischemia treatment. MATERIAL AND METHODS: There were 383 patients with hip stump in 1997-2013. Critical hip stump ischemia in 3 months after amputation occurred in 45 patients. RESULTS: Two-fold decrease of 5-year survival was found. Five-year survival was higher 3 times in patients after arterial reconstruction compared with those without revascularization. The same tendency was confirmed in analysis of groups standardized by gender, age and type of arterial disease.
Assuntos
Cotos de Amputação/irrigação sanguínea , Quadril/irrigação sanguínea , Isquemia/cirurgia , Salvamento de Membro/métodos , Doença Arterial Periférica/complicações , Procedimentos Cirúrgicos Vasculares , Amputação Cirúrgica/efeitos adversos , Amputação Cirúrgica/mortalidade , Artérias/cirurgia , Doença Crônica , Quadril/cirurgia , Humanos , Isquemia/mortalidade , Salvamento de Membro/mortalidade , Doença Arterial Periférica/cirurgia , Estudos Retrospectivos , Fatores de Risco , Análise de Sobrevida , Fatores de Tempo , Resultado do Tratamento , Procedimentos Cirúrgicos Vasculares/métodos , Procedimentos Cirúrgicos Vasculares/mortalidadeRESUMO
AIM: To study the incidence of hip stump ischemia, risk factors for 5-year survival after amputation, clinical features and diagnosis of this complication. MATERIAL AND METHODS: 1287 patients with peripheral artery disease followed by hip amputation were examined within 1997-2015. 50 of them had stump ischemia. RESULTS: It was found that hip stump ischemia occurs in 5.2% of cases and significantly aggravates 5-year survival. Transcutaneous oxygen tension less than 20 mm Hg is reliable hemodynamic criterion of ischemia.
