PERFIL CLÍNICO E EPIDEMIOLÓGICO DE PACIENTES SUBMETIDOS A AMPUTAÇÃO DE MEMBROS INFERIORES

Alessandra dos Santos de Araújo Rodrigues; Andréa Pereira da Silva; Adelzira Rodrigues Cardoso; Augusto Cezar Antunes  de Araujo Filho; Kamilla Rocha Arrais; Juan Victor da Silva; Maiara  Soares Gomes da Silva; Rosilane  de Lima Brito Magalhães

Authors

Alessandra dos Santos de Araújo Rodrigues Universidade Estadual do Piauí – Campus Drª Josefina Demes – Floriano/PI – Brazil. https://orcid.org/0000-0001-9999-5105
Andréa Pereira da Silva Universidade Federal do Piauí – Programa de Pós-Graduação em Enfermagem – Teresina /PI – Brazil. https://orcid.org/0000-0001-6053-1338
Adelzira Rodrigues Cardoso Universidade Estadual do Piauí – Campus Drª Josefina Demes – Floriano/PI – Brazil. https://orcid.org/0000-0003-3765-6815
Augusto Cezar Antunes de Araujo Filho Universidade Estadual do Piauí – Campus Drª Josefina Demes – Floriano/PI – Brazil. https://orcid.org/0000-0002-3998-2334
Kamilla Rocha Arrais Universidade Estadual do Piauí – Campus Drª Josefina Demes – Floriano/PI – Brazil. https://orcid.org/0000-0002-5937-3798
Juan Victor da Silva Universidade Estadual do Piauí – Campus Drª Josefina Demes – Floriano/PI – Brazil. https://orcid.org/0000-0001-6459-4723
Maiara Soares Gomes da Silva Universidade Estadual do Piauí – Programa de Pós-Graduação em Enfermagem – Teresina /PI – Brazil. https://orcid.org/0000-0003-3586-1639
Rosilane de Lima Brito Magalhães Universidade Federal do Piauí – Campus Drª Josefina Demes – Floriano/PI – Brazil. https://orcid.org/0000-0001-9695-1350

Abstract

Objective: To characterize the clinical and epidemiological profile of patients undergoing lower limb amputation in a public hospital in southern Piauí state, Brazil. Method: Retrospective and descriptive study, with document analysis and quantitative approach. Data collection took place in July and August 2021, using an instrument developed by the researchers. Data were processed using the statistical software Statistical Package for Social Sciences, version 20.0. Results: The sample consisted of 70 patients with a mean age of 65.59 years, most of them male (61.4%), brown (88.6%), married (48.3%), retired (42.9%), coming from other cities of Piauí (87.1%). Most patients (47.1%) had a comorbidity at the time of amputation, with diabetes mellitus (34.3%) being the most prevalent, followed by systemic arterial hypertension (12.9%). Diabetes was the main cause of amputation (48.6%), being the transfemoral level (42.9%) the most affected. All procedures were performed on an emergency basis, and most hospitalizations (94.3%) progressed to discharge. Conclusion: The findings of this study reveal that people with diabetes, males, and the elderly were the individuals who most underwent amputation, with the transfemoral level being the most performed.

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References

Souza YP, Santos ACO, Albuquerque LC. Caracterização das pessoas amputadas de um hospital de grande porte em Recife (PE,Brasil). J Vasc Bras 2019;18:e20190064. https://doi.org/10.1590/1677-5449.190064

Silva AAS, Castro AA, Bomfim LG, Pitta GBB. Amputação de membro inferior por Diabetes Mellitus nos estados e regiões do Brasil. RSD 2021;10(4):e11910413837. https://doi.org/10.33448/rsd-v10i4.13837

Molina CS, Faulk JB. Lower extremity amputation. In: StatPearls [Internet]. Treasure Island: StatPearls.

Minc SD, Budi S, Thibault D, Misra R, Armstrong DG, Smith GS, Marone L. Opportunities for diabetes and peripheral artery disease-related lower limb amputation prevention in an Appalachian state: A longitudinal analysis. Prev Med Rep 2021;23:101505. https://doi.org/10.1016/j.pmedr.2021.101505

Monteiro HC, Silva VFA, Ferreira MB, Barbosa D, Martins CA, Foresti BB. Perfil dos pacientes amputados de membros inferiores atendidos por um centro de referência: Estudo clínico e epidemiológico. RFS 2018;6(1):38-47. https://doi.org/10.22298/rfs.2018.v6.n1.4507

Zhang Y, Lazzarini PA, McPhail SM, Netten JJ, Armstrong DG, Pacella RE. Global disability burdens of diabetes-related lower extremity complications in 1990 and 2016. Diabetes Care 2020;43(5):964-74. https://doi.org/10.2337/dc19-1614

Aljarrah Q, Allouh MZ, Bakkar S, Aleshawi A, Obeidat H, Hijazi E et al. Major lower extremity amputation: A contemporary analysis from an academic tertiary referral centre in a developing community. BMC Surg 2019;19:170. https://doi.org/10.1186/s12893-019-0637-y

Imam B, Miller WC, Finlayson HC, Eng JJ, Jarus T. Incidence of lower limb amputation in Canada. Can J Public Health 2017;180(4):375-80. https://doi.org/10.17269/CJPH.108.6093

Behrendt CA, Sigvant B, Szeberin Z, Beiles B, Eldrup N, Thomson IA et al. International variations in amputation practice: A VASCUNET Report. Eur J Vasc Endovasc Surg 2018;56(3):391-9. https://doi.org/10.1016/j.ejvs.2018.04.017

Garcia M, Hernandez B, Ellington TG, Kapadia A, Michalek J, Fisher-Hoch S et al. A lack of decline in major nontraumatic amputations in Texas: Contemporary trends, risk factor associations, and impact of revascularization. Diabetes Care 2019;42(6):1061-6. https://doi.org/10.2337/dc19-0078

Lemos APF, Ribeiro C, Fernandes J, Bernardes K, Fernandes RTP. Saúde do homem: Os motivos da procura dos homens pelos serviços de saúde. Rev Enferm UFPE on line. 2017;11(11):4645-52. https://doi.org/10.5205/1981-8963-v11i11a231205p4645-4652-2017

Tan TW, Armstrong DG, Concha-Moore KC, Marrero DG, Zhou W, Calhoun E et al. Association between race/ethnicity and the risk of amputation of lower extremities among medicare beneficiaries with diabetic foot ulcers and diabetic foot infections. BMJ Open Diab Res Care 2020;8(1):e001328. https://doi.org/10.1136/bmjdrc-2020-001328

Pran L, Harnanan D, Baijoo S, Short A, Cave C, Maharaj R et al. Major lower limb amputations: Recognizing pitfalls. Cureus 2021;13(8):e16972. https://doi.org/10.7759/cureus.16972

Moreira APL, Malta DC, Vianna RPT, Moreira PVL, Carvalho AT. Risk and protection factors for self-reported hypertension and diabetes in João Pessoa, Brazil. The VIGITEL survey, 2014. A cross-sectional study. São Paulo Med J 2017;135(5):450-61. https://doi.org/10.1590/1516-3180.2017.0044250517

Soeiro VMS, Coimbra LC, Aquino DMC, Goiabeira YNLA, Viana LS, Ramos ELA. Perfil dos pacientes acompanhados pelo SIS-HiperDia em um estado do nordeste brasileiro. Arch Health Sci 2019;26(1):28-31. https://doi.org/10.17696/2318-3691.26.1.2019.1230

Kalbaugh CA, Strassle PD, Paul NJ, McGinigle KL, Kibbe MR, Marston WA. Trends in surgical indications for major lower limb amputation in the USA from 2000 to 2016. Eur J Vasc Endovasc Surg 2020;60(1):88-96. https://doi.org/10.1016/j.ejvs.2020.03.018

Diniz IV, Oliveira PS, Santos ICRV, Matos SDO, Costa IKF, Costa MML, Soares MJGO. Fatores associados à amputação não traumática em pessoas com diabetes mellitus: Um estudo transversal. Rev Eletr Enferm 2019;21:52484. https://doi.org/10.5216/ree.v21.52484

Sarfo-Kantanka O, Sarfo FS, Kyei I, Agyemang C, Mbanya JC. Incidence and determinants of diabetes-related lower limb amputations in Ghana, 2010-2015 – A retrospective cohort study. BMC Endocr Disord 2019;19:27. https://doi.org/10.1186/s12902-019-0353-8

Ambler GK, Thomas-Jones E, Edwards AGK, Twine CP. Prognostic risk modelling for patients undergoing major lower limb amputation: An analysis of the UK National Vascular Registry. Eur J Vasc Endovasc Surg 2020;59(4):606-13. https://doi.org/10.1016/j.ejvs.2019.12.006

Peixoto AM, Zimpel AS, Oliveira ACA, Monteiro LRS, Carneiro TKG. Prevalência de amputações de membros superiores e inferiores no estado de Alagoas atendidos pelo SUS entre 2008 e 2015. Fisioter Pesqui 2017;24(4):378-84. https://doi.org/10.1590/1809-2950/17029524042017

Kamitani F, Nishioka Y, Noda T, Myojin T, Kubo S, Higashino T et al. Incidence of lower limb amputation in people with and without diabetes: A nationwide 5-year cohort study in Japan. BMJ Open 2021;11(8):e048436. https://doi.org/10.1136/ bmjopen-2020-048436

Dabkana TM, Nyaku FT, Bwala ST. Current indications for extremity amputations in Maiduguri, North-East Nigeria: A 6-year retrospective review. Ann Afr Med 2018;17(1):22-5. https://www.annalsafrmed.org/text.asp?2018/17/1/22/223874

Meza-Torres B, Carinci F, Heiss C, Joy M, Lusignan S. Health service organisation impact on lower extremity amputations in people with type 2 diabetes with foot ulcers: Systematic review and meta-analysis. Acta Diabetol 2021;58(6):735-47. https://doi.org/10.1007/s00592-020-01662-x

Jesus-Silva SG, Oliveira JP, Brianezi MHC, Silva MAM, Krupa AE, Cardoso RS. Análise dos fatores de risco relacionados às amputações maiores e menores de membros inferiores em hospital terciário. J Vasc Bras 2017;16(1):16-22. https://doi.org/10.1590/1677-5449.008916