dc.contributor.author |
Amin, Abdi (MD) |
|
dc.contributor.author |
Chali, Moa (MD, Orthopedic Surgeon) |
|
dc.contributor.author |
Kenay, Abera (PhD, Assistant Professor Public Health) |
|
dc.date.accessioned |
2021-11-03T05:51:10Z |
|
dc.date.available |
2021-11-03T05:51:10Z |
|
dc.date.issued |
2020-04 |
|
dc.identifier.uri |
http://localhost:8080/xmlui/handle/123456789/4480 |
|
dc.description |
43 |
en_US |
dc.description.abstract |
Background: Amputation is the removal of whole or part of a limb, often as a life saving
measure. Major limb amputation is reported to be a major preventable public health problem that
is associated with profound economic, social and psychological effects on the patient and.
Knowledge on the leading causesof amputation and common underlying indications are scarce in
Ethiopia. The aim of this study was to assess patterns and indications of amputations among
patients operatedbetween September 11, 2016 and September 11, 2019 inHiwot Fana Specialized
University Hospital, Harar, Ethiopia.
Methods: Facility based retrospective cross-sectional study design was used to review
amputations from the overall major operations performed during the study period. Patients’
charts were retrieved from card room by using medical record number registered on operation
logbook in operation theatre and admission register in the surgical ward.Data from patient’s
charts wasretrieved by trained nurses/interns using check list prepared for this purpose.
Information about the sociodemographic conditions, amputation patterns and indications, and
outcome at discharge were collected. The data were entered using EpiData 3.1 and analyzed
using SPSS 20.0. Descriptive statistics was applied to determine means, frequencies and range.
Results: Of 3433 major operations performed during the study period, a total of 110(3.2%)
were amputations. Majority of the cases were males (73.6%), younger than 46 years of
age(63.6%), lower limb amputations (77.2%), and above knee amputations (47.3%). The leading
cause of amputation was PAD (38.2%) followed by trauma (28.2%), and idiopathic gangrene
(18.2%). Major amputation accounts for 87.3% of all cases.
Conclusions:More than three in hundred operations in the hospitals during the study period
were amputations. The majority of amputees were younger adults and major amputations were
common. Most of cases presented late with advanced stage when limb sparing was not a viable
option. Early identificationof risk factors for PAD and health education for supporting early
health care seeking is required for minimizing late presentation. |
en_US |
dc.description.sponsorship |
HARAMAYA UNIVERSITY |
en_US |
dc.language.iso |
en |
en_US |
dc.publisher |
HARAMYA UNIVERSITY |
en_US |
dc.subject |
amputations, Indication, patterns,Hiwot Fana Specialized University Hospital |
en_US |
dc.title |
PATTERNS AND INDICATIONS OF AMPUTATIONSIN HIWOT FANA SPECIALIZED UNIVERSITY HOSPITAL, HARAR, EASTERN ETHIOPIA: A THREE-YEAR RETROSPECTIVE STUDY |
en_US |
dc.type |
Thesis |
en_US |