Epidemiological profile of amputee patients monitored at a large reference rehabilitation center in Pernambuco
DOI:
https://doi.org/10.11606/issn.2317-0190.v30i2a193962Keywords:
Amputees, Health Profile, Rehabilitation CentersAbstract
The amputation of a limb is more dramatic and sensorimotor limitations in young patients, as well as in the adult or elderly population with comorbidities. Objective: This study outlined the demographic and epidemiological profile of patients treated at a large referral rehabilitation center in Pernambuco. Methods: A cross-sectional study was carried out with a review of active medical records. The results were processed by Microsoft Excel® and the program used for the statistical calculations was the IBM® SPSS® version 23. Results: It was observed a mean age of 48.36 years, male gender (76.6%), married (47.7%), elementary education (64.8%) and from all regions of the state. As for amputation, with no predilection for the side, more frequent in the lower limbs transfemoral (55.1%), variable length stumps and more frequent vascular and traumatic causes. On physical examination, stumps in rehabilitation conditions, use of community or home addition in the first consultation and no previous use of prosthesis. In 83.6% of the cases, the patients used their prosthesis more than 7h/day and 58.6% had independent walking in the community, with prosthesis durability of up to 36 months (75.8%). Conclusion: Amputation occurs at a young age, with men being more affected, vascular diseases and accidents involving motor vehicles are the main causes, surgeries occur more in bone diaphyses. The therapy time was effective. Public policies are needed to speed up patient access to specialized centers and from them to rehabilitation centers and to improve the materials and components that make up the prostheses offered by the SUS.
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References
Lima VJB. Modelagem estrutural de joelhos protéticos para próteses transfemorais microprocessadas [Dissertação]. Recife: Universidade Federal de Pernambuco; 2016.
Ziegler-Graham K, MacKenzie EJ, Ephraim PL, Travison TG, Brookmeyer R. Estimating the prevalence of limb loss in the United States: 2005 to 2050. Arch Phys Med Rehabil. 2008;89(3):422-9. Doi: https://doi.org/10.1016/j.apmr.2007.11.005
Carvalho FS, Kunz VC, Depieri TZ, Cervelini R. Prevalência de amputação em membros inferiores de causa vascular: análise de prontuários. Arq Ciênc Saúde UNIPAR. 2005;9(1):23-30.
Espinoza MJ, Garcia SD. Niveles de amputación en extremidades inferiores: repercusión en el futuro del paciente. Rev Med Clin Condes. 2014;25(2):276-80. Doi: https://doi.org/10.1016/S0716-8640(14)70038-0
Shurr DG, Michael JW. Prosthetics and orthotics. 2nd ed. New Jersey: Pretice Hall; 2000.
VA/DoD Clinical Practice Guideline for Rehabilitation of Individuals with Lower Limb Amputation. Washington, DC: Department of Veterans Affairs; 2017.
Fleury AM, Salih SA, Peel NM. Rehabilitation of the older vascular amputee: a review of the literature. Geriatr Gerontol Int. 2013;13(2):264-73. Doi: https://doi.org/10.1111/ggi.12016
Jones WS, Patel MR, Dai D, Vemulapalli S, Subherwal S, Stafford J, et al. High mortality risks after major lower extremity amputation in Medicare patients with peripheral artery disease. Am Heart J. 2013;165(5):809-15. Doi: https://doi.org/10.1016/j.ahj.2012.12.002
Ephraim PL, Wegener ST, MacKenzie EJ, Dillingham TR, Pezzin LE. Phantom pain, residual limb pain, and back pain in amputees: results of a national survey. Arch Phys Med Rehabil. 2005;86(10):1910-9. Doi: https://doi.org/10.1016/j.apmr.2005.03.031
Pezzin LE, Dillingham TR, MacKenzie EJ. Rehabilitation and the long-term outcomes of persons with trauma-related amputations. Arch Phys Med Rehabil. 2000;81(3):292-300. Doi: https://doi.org/10.1016/s0003-9993(00)90074-1
Wong MW. Predictors for mortality after lower-extremity amputations in geriatric patients. Am J Surg. 2006;191(4):443-7. Doi: https://doi.org/10.1016/j.amjsurg.2006.01.003
Murray MP, Mollinger LA, Sepic SB, Gardner GM, Linder MT. Gait patterns in above-knee amputee patients: hydraulic swing control vs constant-friction knee components. Arch Phys Med Rehabil. 1983;64(8):339-45.
Instituto Brasileiro de Geografia e Estatística. Cidades e Estados – Pernambuco [texto na Internet]. Brasília: IBGE; c2020 [citado em 2021 maio 21]. Disponível em: https://ibge.gov.br/cidades-e-estados/pe.html
Unwin N. Epidemiology of lower extremity amputation in centres in Europe, North America and East Asia. Br J Surg. 2000;87(3):328-37. Doi: https://doi.org/10.1046/j.1365-2168.2000.01344.x
Silveira CLG, Melo VFC, Barreto AJR. Attention to the health of men in primary health care: integrative review. Rev Enferm UFPE on line. 2017;11(Suppl3):1528-35.
Johannesen CDL, Flachs EM, Ebbehøj NE, Marott JL, Jensen GB, Nordestgaard BG, et al. Sedentary work and risk of venous thromboembolism. Scand J Work Environ Health. 2020;46(1):69-76. Doi: https://doi.org/10.5271/sjweh.3841
Turner AP, Williams RM, Norvell DC, Henderson AW, Hakimi KN, Blake DJ, et al. Prevalence and 1-year course of alcohol misuse and smoking in persons with lower extremity amputation as a result of peripheral arterial disease. Am J Phys Med Rehabil. 2014;93(6):493-502. Doi: https://doi.org/10.1097/PHM.0000000000000055
Swaminathan A, Vemulapalli S, Patel MR, Jones WS. Lower extremity amputation in peripheral artery disease: improving patient outcomes. Vasc Health Risk Manag. 2014;10:417-24. Doi: https://doi.org/10.2147/VHRM.S50588
Weiser TG, Regenbogen SE, Thompson KD, Haynes AB, Lipsitz SR, Berry WR, et al. An estimation of the global volume of surgery: a modelling strategy based on available data. Lancet. 2008;372(9633):139-144. Doi: https://doi.org/10.1016/S0140-6736(08)60878-8
Bell JC, Wolf EJ, Schnall BL, Tis JE, Potter BK. Transfemoral amputations: is there an effect of residual limb length and orientation on energy expenditure? Clin Orthop Relat Res. 2014;472(10):3055-61. Doi: https://doi.org/10.1007/s11999-014-3630-x
Yaşar E, Tok F, Kesikburun S, Ada AM, Kelle B, Göktepe AS, et al. Epidemiologic data of trauma-related lower limb amputees: A single center 10-year experience. Injury. 2017;48(2):349-352. Doi: https://doi.org/10.1016/j.injury.2016.12.019
Jaegers SM, Arendzen JH, de Jongh HJ. Changes in hip muscles after above-knee amputation. Clin Orthop Relat Res. 1995;(319):276-84.
Dellon AL, Aszmann OC. In musculus, veritas? Nerve "in muscle" versus targeted muscle reinnervation versus regenerative peripheral nerve interface: Historical review. Micro-surgery. 2020;40(4):516-522. Doi: https://doi.org/10.1002/micr.30575
Matos DR. Reabilitação e qualidade de vida em pessoas com amputação de membros inferiores [Tese]. Brasília: Universidade de Brasília; 2019.
Desteli EE, İmren Y, Erdoğan M, Sarısoy G, Coşgun S. Com-parison of upper limb amputees and lower limb amputees: a psychosocial perspective. Eur J Trauma Emerg Surg. 2014;40(6):735-9. Doi: https://doi.org/10.1007/s00068-014-0418-3
Wan-Nar Wong M. Changing dynamics in lower-extremity amputation in China. Arch Phys Med Rehabil. 2005;86(9):1778-81. Doi: https://doi.org/10.1016/j.apmr.2005.03.025
Lin-Chan SJ, Nielsen DH, Yack HJ, Hsu MJ, Shurr DG. The effects of added prosthetic mass on physiologic responses and stride frequency during multiple speeds of walking in persons with transtibial amputation. Arch Phys Med Rehabil. 2003;84(12):1865-71. Doi: https://doi.org/10.1016/j.apmr.2003.03.006
Scherer RF, Dowling JJ, Frost G, Robinson M, McLean K.Mechanical and metabolic work of persons with lower-extremity amputations walking with titanium and stainless steel prostheses: a preliminary study. J Prosthet Orthot. 1999;11(2):38-42.
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