Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA.
Department of Global Health, University of Washington, Seattle, WA, USA.
Prosthet Orthot Int. 2021 Apr 1;45(2):105-114. doi: 10.1177/0309364620972258.
Reliable information on both global need for prosthetic services and the current prosthetist workforce is limited. Global burden of disease estimates can provide valuable insight into amputation prevalence due to traumatic causes and global prosthetists needed to treat traumatic amputations.
This study was conducted to quantify and interpret patterns in global distribution and prevalence of traumatic limb amputation by cause, region, and age within the context of prosthetic rehabilitation, prosthetist need, and prosthetist education.
A secondary database descriptive study.
Amputation prevalence and prevalence rate per 100,000 due to trauma were estimated using the 2017 global burden of disease results. Global burden of disease estimation utilizes a Bayesian metaregression and best available data to estimate the prevalence of diseases and injuries, such as amputation.
In 2017, 57.7 million people were living with limb amputation due to traumatic causes worldwide. Leading traumatic causes of limb amputation were falls (36.2%), road injuries (15.7%), other transportation injuries (11.2%), and mechanical forces (10.4%). The highest number of prevalent traumatic amputations was in East Asia and South Asia followed by Western Europe, North Africa, and the Middle East, high-income North America and Eastern Europe. Based on these prevalence estimates, approximately 75,850 prosthetists are needed globally to treat people with traumatic amputations.
Amputation prevalence estimates and patterns can inform prosthetic service provision, education and planning.
可靠的全球假肢服务需求信息和当前假肢技师劳动力信息十分有限。全球疾病负担估计数可深入了解创伤性原因导致的截肢流行率和治疗创伤性截肢所需的全球假肢技师数量。
本研究旨在定量和解释假肢康复、假肢技师需求和假肢技师教育背景下，创伤性肢体截肢的全球分布和流行模式及其病因、地区和年龄分布情况。
二次数据库描述性研究。
利用 2017 年全球疾病负担研究结果，估算因创伤导致的截肢流行率和每 10 万人中因创伤导致的截肢率。全球疾病负担估计数利用贝叶斯荟萃回归和最佳可用数据来估算疾病和伤害（如截肢）的流行率。
2017 年，全球有 5770 万人因创伤性原因导致肢体截肢。导致肢体截肢的主要创伤性原因包括跌倒（36.2%）、道路交通伤害（15.7%）、其他交通伤害（11.2%）和机械力（10.4%）。创伤性截肢的流行率最高的地区是东亚和南亚，其次是西欧、北非和中东、高收入北美和东欧。根据这些流行率估计，全球约需要 75850 名假肢技师来治疗创伤性截肢患者。
截肢流行率估计和模式可以为假肢服务提供、教育和规划提供信息。
