Department of Physical Medicine and Rehabilitation, Innlandet Hospital Trust, Ottestad, Norway.
Disabil Rehabil. 2011;33(17-18):1636-49. doi: 10.3109/09638288.2010.541973. Epub 2010 Dec 22.
To estimate the prevalence of adult acquired major upper limb amputation in Norway. To describe this amputee population regarding demographic features and amputation specific features. To compare our data to data collected internationally.
Population-based cross-sectional study on adult upper limb amputees with acquired limb loss through or proximal to the radio-carpal joint. Patients were found in the databases of the two companies in Norway that make upper limb prostheses and in the medical records of three of the largest Norwegian hospitals. Data were collected by postal questionnaires.
We estimated a population prevalence of 11.6 per 100,000 adults (n = 416). Our survey was not 100% comprehensive and the estimate is conservative. The amputees were predominantly men with traumatic, unilateral, distal amputations at a young age. There were significant gender- and amputation level differences in cause. Most amputees had used prostheses. About four in ten were in paid employment.
Our findings are mainly consistent with earlier studies from other countries. Implications of our findings related to the planning of future health care for these patients are outlined, including suggestion of regional multidisciplinary rehabilitation emphasising occupational rehabilitation and focus on preventive measures. Potential areas of follow-up are suggested.
估计挪威成年人后天性上肢大截肢的患病率。描述该截肢人群的人口统计学特征和截肢具体特征。将我们的数据与国际上收集的数据进行比较。
这是一项基于人群的横断面研究，纳入了通过或靠近桡腕关节发生后天性肢体丧失的成年上肢截肢者。患者从挪威的两家制作上肢假肢的公司的数据库以及三家最大的挪威医院的病历中找到。通过邮寄问卷收集数据。
我们估计成年人上肢截肢的患病率为每 10 万人中有 11.6 例（n=416）。我们的调查并非 100%全面，因此估计结果较为保守。截肢者主要为男性，因创伤导致单侧、远端截肢，发生于年轻时。病因存在显著的性别和截肢水平差异。大多数截肢者使用过假肢。约四成有薪就业。
我们的发现主要与来自其他国家的早期研究一致。与规划这些患者未来医疗保健相关的发现意义已列出，包括建议强调职业康复的区域性多学科康复和关注预防措施。还提出了一些潜在的随访领域。
