Evidence map›Paper›PMID 32323085›Full record

ReviewIrish journal of medical science2020

Trends and outcomes of non-traumatic major lower extremity amputations in an Irish tertiary referral hospital.

Seán C Maguire, H M Mohan, C Fenelon, J Stow, P Nicholson, A Huang, N Ryall, S Sheehan, D Mehigan, J Dowdall and 1 more

Abstract readReview
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In one paragraph

Review in Irish journal of medical science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 42% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Seán C MaguireDepartment of Vascular Surgery, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland. seanmaguire@rcsi.ie.ORCID https://orcid.org/0000-0002-2981-1718
H M MohanDepartment of Vascular Surgery, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
C FenelonDepartment of Vascular Surgery, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
J StowNational Rehabilitation Hospital, Dun Laoghaire, Co. Dublin, Ireland.
P NicholsonDepartment of Vascular Surgery, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
A HuangDepartment of Vascular Surgery, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
N RyallNational Rehabilitation Hospital, Dun Laoghaire, Co. Dublin, Ireland.
S SheehanDepartment of Vascular Surgery, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
D MehiganDepartment of Vascular Surgery, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
J DowdallDepartment of Vascular Surgery, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
M C BarryDepartment of Vascular Surgery, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
St. Vincent's University Hospital · IENational Rehabilitation Hospital · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesData on vascular patients following amputation in Ireland is lacking, limiting capability to plan services. This paper seeks to benchmark survival and rehabilitation outcomes among vascular patients in Ireland following lower extremity amputation (LEA), and compare subgroups of those undergoing transfemoral (TFA) or transtibial amputation (TTA).

methodsA review was conducted of all patients who underwent non-traumatic TFA or TTA from 2000 to 2009 in a tertiary vascular surgery centre. Demographics, surgical data, perioperative outcomes, medium-term functional outcomes, and survival were assessed.

resultsOne hundred and seventy-two patients (2:1 male: female) underwent 192 non-traumatic LEAs. Median age for TFA was 75 years and TTA 67 (p = 0.002). A percentage of 36.5% had undergone prior attempts at surgical revascularization, 25% had undergone prior distal amputation or debridement. Thirty-three (17%) required stump revision. Twenty-three (13.2%) died in hospital. Median survival for those who died in hospital was 17 days (0-367), versus 17 months (2-106) for those who survived to discharge.

conclusionLEA for vascular pathology has significant morbidity and mortality, with long in-patient stays and short median survival; there is need to focus on improving quality of life in postoperative pathways.

Indexed as

AgedAmputation, SurgicalFemaleHumansIrelandLower ExtremityMaleQuality of LifeRetrospective StudiesTertiary Care CentersLower extremity amputationTransfemoralTranstibial amputation

Identifiers

PMID32323085
OpenAlexW3018951633

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.