Long-Term Survival and Prosthesis Utilization in Lower Limb Amputees Due to Per ipheral Vascular Diseases
Date Issued
2002-10-31
Date
2002-10-31
Author(s)
林銘川
DOI
902314B002309
Abstract
The most common cause of the lower
limb amputation is peripheral vascular
disease (PVD), which includes the diabetic
and non-diabetic group. Those amputees
have been suffered from the higher rate of
reamputation and the lower rate of long-term
survival. The incidence of subsequent
contra-lateral amputation and the length of
patient survival were found to be related to
different race, country and period, meanwhile,
to the control of diabetes mellitus,
hypertension, coronary artery disease. The
main aim of this research is to investigate the
- 2 -
long-term survival rates and its predicting
factors in these amputees.
The goal of prosthetic rehabilitation is
to compensate for the loss of limb by
amputation by, in the case of a lower limb,
encouraging walking, however, the amputees
may use their prosthesis to a greater or lesser
degree or simply stop using it under some
reasons. The other objective of this research
is to study factors such as physical and
mental health, rehabilitation, physical
independence and satisfaction with the
prosthesis to understand why amputees use
their prosthesis or not.
The sample was collected from the
medical records of amputees, who were
amputated due to PVD from January 1st,
1993 to December 31st 1999 in National
Taiwan University Hospital. More
information will be collected by telephone
interview with a questionnaire. There were
347 lower limb amputees during the above
periods, but 174 amputees had been died, the
other 67 amputees couldn’t be contacted
(19.3%). Only 106 amputees complete the
questionnaire by phone. The duration of
amputation was 49±20 months. The higher in
age, amputation level and uremia, the lower
survival rate was found among those
amputees. The higher survival rate and
higher functional level (walking ability
and/or ADL ability) were noted among those
amputees who had received rehabilitation
programs.
Subjects
peripheral vascular disease
lower limb amputation
long-term
survival
survival
utilization of prosthesis
SDGs
Publisher
臺北市:國立臺灣大學醫學院復健科
Type
other
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