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2021, Number 2

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Revista Cubana de Angiología y Cirugía Vascular 2021; 22 (2)

Patients with amputation of lower limbs due to vascular causes in Cerro municipality

Nonell ML, Valdés PC, Fabelo MA, Figueroa MA, Pérez LD, Álvarez LA

Language: Spanish
References: 34
Page: 1-17
PDF size: 508.79 Kb.


ABSTRACT

Introduction: Amputation as a result of peripheral vascular disease causes physical disability and impairment.
Objective: Characterize amputee patients of lower limbs due to vascular causes in Cerro municipality.
Methods: A descriptive study was carried out in the 114 lower limbs amputee patients that were registered, between 2016 and 2018, in the Municipal Health Division of Cerro municipality. The sample consisted of the 64 vascular-cause amputees. The study variables were: age, sex, risk factors, type of amputation and its level, most affected limb and vascular cause of amputation. Absolute and relative frequencies were estimated, and the chi square test was used to identify the association between variables.
Results: There was predominance of vascular-cause amputees (56.1%), the female sex (54.7%), the 60-year-old and older age group (84.4%), and HTA and smoking having (both 60.9%). Supracondylar amputation was the most performed one (64.1%). Ischemic diabetic foot and obliterating atherosclerosis resulted in the vascular causes that produce the highest percentages of amputation. A highly significant association was found between the male sex and obliterating atherosclerosis (X2 = 5.4; p = 0.113; OR = 2.68 and RR = 1.81), which pointed to this as an amputation risk factor.
Conclusions: Amputations most often appeared in women over the age of 60, as supracondyle type and diabetic foot as a vascular cause. Obliterating atherosclerosis in men was a risk factor for amputation.


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