The Reasons for Amputations in Children (0–18 Years) in a Developing Country

Loro, A.; Franceschi, Francesco; Lago, Aa Dal

doi:10.1177/004947559402400302

Cited by 10 publications

(3 citation statements)

References 5 publications

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“…Most of our amputations were performed in the lower limbs like other studies (4, 16). This finding is in agreement with earlier findings that lower extremities are injured more often than the upper extremities and diabetic gangrene is common in the lower extremities than elsewhere on the body (3, 24, 25). All of patients with diabetics had lower extremity amputations in our study.…”

Section: Discussionsupporting

confidence: 93%

Amputation: A Ten-Year Survey

Sarvestani¹,

Azam²

2013

Trauma Mon

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BackgroundLimb loss occurs due to different causes and has been increased in many countries. It has without exception, great economic, psychological and social impacts.ObjectivesThis study assesses the demographics of amputees in one city of Iran.Patients and MethodsThis retrospective study was undertaken on all of the amputees between April 2002 and December 2011. Patients’ demographics including age, sex, the amputated limb, etiology of limb loss and level of amputation were recorded.ResultsWe had 216 patients in the study. The average number of amputations was 21.6 per year and varied from 14 to 32. The mean age of amputation was 39.26± 12.6 years. Of the patients, 172 were male (79.62%) and 44 female (20.37%); 119 of the amputations (55.09 %) were major and 97 minor (44.9 %). The most common cause of amputation was trauma and the most common was the toe. In trauma patients the mean age was 38.12± 10.25 years and 98 (83.7%) were male.ConclusionsIn contrast to similar studies in developed countries, trauma was found to be the major cause of all types of amputations. Results of this study may be used in prevention planning.

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Section: Discussionsupporting

confidence: 93%

Amputation: A Ten-Year Survey

Sarvestani¹,

Azam²

2013

Trauma Mon

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“…This finding confirms the earlier findings that lower extremities are injured more often than the upper extremities and diabetic gangrene is common on the lower extremities than elsewhere on the body [5,29,30]. However, other studies reported above knee amputation as the most common procedure performed than below knee amputation [3,18,31].…”

Section: Discussionsupporting

confidence: 89%

Major limb amputations: A tertiary hospital experience in northwestern Tanzania

et al. 2012

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BackgroundMajor limb amputation is reported to be a major but preventable public health problem that is associated with profound economic, social and psychological effects on the patient and family especially in developing countries where the prosthetic services are poor. The purpose of this study was to outline the patterns, indications and short term complications of major limb amputations and to compare our experience with that of other published data.MethodsThis was a descriptive cross-sectional study that was conducted at Bugando Medical Centre between March 2008 and February 2010. All patients who underwent major limb amputation were, after informed consent for the study, enrolled into the study. Data were collected using a pre-tested, coded questionnaire and analyzed using SPSS version 11.5 computer software.ResultsA total of 162 patients were entered into the study. Their ages ranged between 2–78 years (mean 28.30 ± 13.72 days). Males outnumbered females by a ratio of 2:1. The majority of patients (76.5%) had primary or no formal education. One hundred and twelve (69.1%) patients were unemployed. The most common indication for major limb amputation was diabetic foot complications in 41.9%, followed by trauma in 38.4% and vascular disease in 8.6% respectively. Lower limbs were involved in 86.4% of cases and upper limbs in 13.6% of cases giving a lower limb to upper limb ratio of 6.4:1 Below knee amputation was the most common procedure performed in 46.3%. There was no bilateral limb amputation. The most common additional procedures performed were wound debridement, secondary suture and skin grafting in 42.3%, 34.5% and 23.2% respectively. Two-stage operation was required in 45.4% of patients. Revision amputation rate was 29.6%. Post-operative complication rate was 33.3% and surgical site infection was the most common complication accounting for 21.0%. The mean length of hospital stay was 22.4 days and mortality rate was 16.7%.ConclusionComplications of diabetic foot ulcers and trauma resulting from road traffic crashes were the most common indications for major limb amputation in our environment. The majority of these amputations are preventable by provision of health education, early presentation and appropriate management of the common indications.

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“…There is meagre literature about the care of children in hospitals in developing countries. Where it does exist, it usually covers topics such as morbidity and/or mortality of certain diseases (Nakamura 1992; Choudhury et al 1990; Gamatie et al 1994; Loro et al 1994), the use of technology (Basch 1993; Perry & Marx 1992) and services for disabled children (Wallace 1991). Nursing in developing countries has been discussed, usually by nurses from developed countries who visit to teach nursing (Toyoshima 1994; Conrad 1997) or to develop research programmes (Kirkpatrick 1990; Mangay‐Maglacas 1992).…”

Section: Children In Hospital In Developing Countriesmentioning

confidence: 99%

A review of the literature from developed and developing countries relating to the effects of hospitalization on children and parents

Shields

2001

International Nursing Review

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There is a literature base about the care of children in hospital in developed nations, but little from, or about, developing countries. The aim of this review was to critically examine publications relating to the effect of hospitalization on children and their parents. 'Parents', in this context, were considered as the child's natural or adoptive parents, step-parents or any other context of parent-child relationship, in other words, the primary care-giver to the child. Most of the work reviewed from developed countries was sourced from the nursing literature, while in developing countries, the available literature was largely from medicine. Conclusions from developed countries indicated that parents should be allowed to stay in hospital with their child, and that care must be developmental-stage appropriate. Furthermore, staff need to be educated about special needs of children, children should be prepared for hospital admission (if possible) and parents' needs met. In developing countries, the meagre literature available suggested that recognition of the important role parents play in a child's hospitalization is starting to become recognized.

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The Reasons for Amputations in Children (0–18 Years) in a Developing Country

Cited by 10 publications

References 5 publications

Amputation: A Ten-Year Survey

Amputation: A Ten-Year Survey

Major limb amputations: A tertiary hospital experience in northwestern Tanzania

A review of the literature from developed and developing countries relating to the effects of hospitalization on children and parents

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