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Angiología
versión On-line ISSN 1695-2987versión impresa ISSN 0003-3170
Resumen
MORENO-PALACIOS, Juan Antonio et al. Functional results and mortality in elderly patients with major lower limb amputation. Angiología [online]. 2023, vol.75, n.4, pp.204-211. Epub 27-Nov-2023. ISSN 1695-2987. https://dx.doi.org/10.20960/angiologia.00412.
Introduction and objectives:
the objectives of this work have been to know what factors influence in the functional recovery of elderly patients who suffer a major lower limb amputation (SMA) of vascular etiology and to analyze the recovery of gait and mortality one year after the amputation.
Material and methods:
longitudinal observational study of patients older than 70 years assessed by the Rehabilitation Service after SMA from January 1, 2019 to January 1, 2021.
The following variables were collected: Age, sex, etiology, body mass index, comorbidity (Charlson scale), independence in basic ADL (Barthel index) and previous walking capacity (FAC). One year later, walking ability and mortality.
Results:
the study was conducted in 45 patients with a mean age of 80.3 years, 64.3 % male. All were of vascular etiology. The level of amputation was: supracondylar 31 and infracondylar 14. After a year, only 5 patients were walking and 21 had died.
The variables related to the possibility of rehabilitation-fitting were: having less comorbidity (p = 0.004) as well as having greater functional and gait independence prior to amputation (p = 0.000), as well as those related to no mortality, with a (p = 0.005) and (p = 0.017) (p = 0.013) respectively.
Conclusion:
the best functional and clinical situation prior to amputation are the most important factors both for the possibility of prosthetic rehabilitation and for the survival of our elderly amputees.
Palabras clave : Amputees; Old age; Rehabilitation; Peripheral arterial occlusive disease; Mortality.