Evidence map›Paper›PMID 37233748›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2024

Outcome predictors of patients who underwent limb amputation/s following trauma at a level I trauma center in North India.

Parvez Mohi Ud Din Dar, Nida Mir, Anand Kumar Katiyar, Hem Chandra Sati, Pratyusha Priyadarshini, Junaid Alam, Subodh Kumar, Amit Gupta, Sushma Sagar

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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Parvez Mohi Ud Din DarDepartment of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Jammu, Jammu and Kashmir, India.
Nida MirDivision of Trauma Surgery and Critical Care, Jai Prakash Narayan Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, 110029, India.
Anand Kumar KatiyarDepartment of Surgery Division, Command Hospital, Lucknow, Uttar Pradesh, India.
Hem Chandra SatiDepartment of Biostatistics, All India Institute of Medical Sciences, New Delhi, India.
Pratyusha PriyadarshiniDivision of Trauma Surgery and Critical Care, Jai Prakash Narayan Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, 110029, India.
Junaid AlamDivision of Trauma Surgery and Critical Care, Jai Prakash Narayan Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, 110029, India.
Subodh KumarDivision of Trauma Surgery and Critical Care, Jai Prakash Narayan Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, 110029, India.
Amit GuptaDivision of Trauma Surgery and Critical Care, Jai Prakash Narayan Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, 110029, India.
Sushma SagarDivision of Trauma Surgery and Critical Care, Jai Prakash Narayan Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, 110029, India. sagar.sushma@gmail.com.ORCID http://orcid.org/0000-0002-4700-9868

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLimb amputation is one of the oldest medical operations, dating back over 2500 years to Hippocrates' time. In developing countries like India, most of the patients are young, and trauma is the primary cause of limb amputation. The objectives of this study were to investigate the factors that can predict the outcome of patients who underwent upper or lower limb amputations. MATERIALS AND

methodsThis was a retrospective analysis of the prospectively collected data of patients who underwent limb amputations from January 2015 to December 2019.

resultsFrom January 2015 to December 2019, 547 patients underwent limb amputations. Males predominated (86%). Road traffic injuries (RTI) were the most common (323, 59%) mechanism of injury. Hemorrhagic shock was present in 125 (22.9%) patients. Above-knee amputation was the most common (33%) amputation procedure performed. The correlation of hemodynamic status at presentation with the outcome was statistically significant (p-0.001). Outcome measures like delayed presentation, hemorrhagic shock, Injury severity scores (ISS), and the new injury severity scores (NISS) were statistically significant (p-0.001) when compared to the outcome. There were 47 (8.6%) mortalities during the study period.

conclusionFactors that affected the outcome were delayed presentation, hemorrhagic shock, higher ISS, NISS, MESS scores, surgical-site infection, and associated injuries. Overall mortality during the study was 8.6%.

Indexed as

Shock, HemorrhagicTrauma CentersAmputation, SurgicalHumansInjury Severity ScoreLimb SalvageMaleRetrospective StudiesTreatment OutcomeAmputationCrush injuryLimb traumaRoad traffic injuriesTrauma

Identifiers

PMID37233748

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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.