The Scope of Non-Trauma Lower Limb Amputations at the Komfo Anokye Teaching Hospital, Kumasi-Ghana

Dogbe, Joslin

doi:10.15406/mojor.2015.03.00108

Cited by 3 publications

(2 citation statements)

References 13 publications

(16 reference statements)

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“…This kind of loss stimulates unpleasant emotional experiences (Borsook & Becerra, 2009; Mee et al, 2006). Statistically, 1.7 million people have some part of their body amputated in the United States (Ziegler-Graham et al, 2008), with an estimate of 245,299 amputees in Ghana, with the number rising every year due to several factors (Kyei et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Experiences Following Amputation among Amputees and Their Caregivers: An Exploratory Study in a Developing Country

Ohenewa

Yendork

Amponsah

2022

Illness, Crisis & Loss

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Amputation is necessitated following an accident or a medical condition often to save a patient's life. Despite the existence of the procedure and the rising number of amputees in the Ghanaian context, the emotional experiences of both amputees and their caregivers following amputation has been largely ignored. This qualitative exploratory study explored the emotional experiences of amputees and their caregivers following amputation. Using a semi-structured interview guide, ten (10) amputees and ten (10) caregivers were interviewed. Findings revealed that caregivers and amputees experienced a built up of negative emotions following amputaion. There were slight disparities in the negative emotions experienced by amputees and their caregivers. However, for both amputees and their caregiver, the experience of gratitude and news breaking method influenced their emotional experiences. Implications of the findings are discussed.

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Section: Introductionmentioning

confidence: 99%

Experiences Following Amputation among Amputees and Their Caregivers: An Exploratory Study in a Developing Country

Ohenewa

Yendork

Amponsah

2022

Illness, Crisis & Loss

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“…The effect of predisposing factors on LOS, specifically after lower extremity amputation (LEA) has been sparsely studied with reports largely focused on LEA caused by diabetes mellitus (DM), the leading cause of LEA, and further amalgamating levels of amputation (major/minor) into a single cohort [10,11]. For example, Franklin reported the overall median length of stay in 2010 was 11 days after lower-extremity amputation (LEA) in United States veterans with diabetes; median LOS for toe amputation was 8 days, 12 days for transtibial amputation, and 15 days for trans-femoral amputation [12].…”

Section: Introductionmentioning

confidence: 99%

Factors associated with prolonged post-operative acute care length of stay in limb amputation patients in Saskatchewan, Canada

Essien

Zucker-Levin

2021

BMC Health Serv Res

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Background The effect of predisposing factors on post-operative acute care length of stay (POALOS) after lower extremity amputation (LEA) has been sparsely studied with reports largely focused on major (through/proximal to the ankle) LEA specifically due to diabetes mellitus (DM). Although valuable, the narrow focus disregards the impact of other causes and minor levels (distal to the ankle) of LEA. To address this gap, this study aimed to identify predisposing factors associated with prolonged POALOS after index LEA stratified by amputation level in Saskatchewan. Methods The study used Saskatchewan’s provincial linked administrative health data and demographic factors between 2006 and 2019. Amputation levels, identified as major or minor, were derived from the amputation procedure codes. POALOS was calculated by subtracting patients’ intervention date from discharge date, recorded in days, and categorized as short (< 7 days) or prolonged (> 7 days). Multivariable logistic regression was performed to identify predictors associated with prolonged POALOS. Results Of the 3123 LEA cases 1421 (45.5%) had prolonged POALOS. The median POALOS for the entire cohort was 7 days (IQR 3 to 16 days); 5 days (IQR 1 to 10 days) for minor LEA and 11 days (IQR 5 to 23 days) for major LEA. Predictors of prolonged POALOS after minor LEA were diabetes (AOR = 2.47, 95% CI: 1.87–3.27) and general surgeon (AOR = 1.52, 95% CI: 1.21–1.91). Minor LEA performed by orthopedic surgeons were half (AOR = 0.49, 95% CI: 0.35–0.70) as likely to experience prolonged POALOS. Predictors of prolonged POALOS after major LEA were diabetes (AOR = 1.34, 95% CI: 1.04–1.71), general surgeon (AOR = 1.91, 95% CI: 1.45–2.49), urban residence (AOR = 1.58, 95% CI: 1.25–1.99), Resident Indian (RI) status (AOR = 1.57, 95% CI: 1.15–2.15), and age with the likelihood of prolonged POALOS after LEA attenuating with increasing age: 35–54 years (AOR = 2.73, 95% CI: 1.56–4.76); 55–69 years (AOR = 2.65, 95% CI: 1.54–4.58); and 70+ years (AOR = 1.81, 95% CI: 1.05–3.11). Conclusion This study identified only diabetes and surgical specialty predicted prolonged POALOS after both major and minor LEA in Saskatchewan while residence, RI status, and age were predictors of POALOS after major LEA. These findings shed light on the need for further research to identify confounding factors. It is not clear if general surgeons care for more unplanned, emergent cases with poor entry-level health while specialty surgeons perform more scheduled procedures.

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The experiences of people with diabetes-related lower limb amputation at the Komfo Anokye Teaching Hospital (KATH) in Ghana

et al. 2018

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ObjectiveLower limb amputation not only causes major disfigurement, but renders people less mobile and at risk of loss of independence. Yet with appropriate rehabilitation, many people can learn to walk or function again and live high quality lives. This study sought to explore the experiences of patients with diabetes-related lower limb amputation at the Komfo Anokye Teaching Hospital. An exploratory study design was adopted using a qualitative approach and a purposive sampling to select 10 participants for the study. A semi-structured interview guide was used with an in-depth face-to-face interview. The interview was tape-recorded with an audio recorder while notes were taken in addition to the audio recording.ResultsThere were varying degrees of experiences ranging from physical as well as psychological and economic challenges. Amputees had to cope with playing entirely new roles after the amputation. They also experienced some economic challenges which were as a result of their inability to work. Some of the amputees consoled themselves with the fact that, despite their condition, they were better than other people. Others believed that whatever happened was Gods doing and nothing could be done about it. This self-consolation and the belief in God helped them to cope.Electronic supplementary materialThe online version of this article (10.1186/s13104-018-3176-1) contains supplementary material, which is available to authorized users.

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The Scope of Non-Trauma Lower Limb Amputations at the Komfo Anokye Teaching Hospital, Kumasi-Ghana

Cited by 3 publications

References 13 publications

Experiences Following Amputation among Amputees and Their Caregivers: An Exploratory Study in a Developing Country

Experiences Following Amputation among Amputees and Their Caregivers: An Exploratory Study in a Developing Country

Factors associated with prolonged post-operative acute care length of stay in limb amputation patients in Saskatchewan, Canada

The experiences of people with diabetes-related lower limb amputation at the Komfo Anokye Teaching Hospital (KATH) in Ghana

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