Alshehri Fayez M, Ahmed Salwa A, Ullah Sami, Ghazal Haitham, Nawaz Shah, Alzahrani Ahmed S
Department of Physical Medicine and Rehabilitation, Rehabilitation Hospital, King Fahad Medical City, Riyadh, SAU.
Department of Physical Therapy, Rehabilitation Hospital, King Fahad Medical City, Riyadh, SAU.
Cureus. 2022 Apr 11;14(4):e24026. doi: 10.7759/cureus.24026. eCollection 2022 Apr.
Upper and lower extremity amputations are associated with variable degrees of physical disability. In Saudi Arabia, disability still represents a major challenge for healthcare systems. There are insufficient data to describe the incidence and prevalence of impairment and disability. This study attempts to identify the patterns of limb amputations at a tertiary centre.
A retrospective chart review of the data of patients who received integrated tertiary healthcare in an amputation rehabilitation program (ARP) from 2013 to 2018 at King Fahad Medical City, Riyadh, Saudi Arabia was conducted. Data were collected using the demographic data and clinical history of amputees.
A total of 412 patients were included in the study. Transtibial amputation (70%) and partial hand amputation (48%) were the most common levels for lower and upper limb amputations, respectively. There was a significantly higher rate of lower limb amputations secondary to vascular causes than that of upper limb amputations, which were more related to traumatic causes. Most patients, 213 (52%), were enrolled in an amputation rehabilitation program over a year after their amputation.
Vascular amputation is the most common cause of amputation. Most patients entered the rehabilitation program over a year after amputation. National guidelines for the prevention and management of the risk factors for vascular amputations should be developed.
上肢和下肢截肢与不同程度的身体残疾相关。在沙特阿拉伯，残疾仍然是医疗系统面临的一项重大挑战。目前尚无足够数据来描述损伤和残疾的发病率及患病率。本研究旨在确定一家三级中心的肢体截肢模式。
对2013年至2018年在沙特阿拉伯利雅得法赫德国王医疗城接受截肢康复项目综合三级医疗服务的患者数据进行回顾性病历审查。通过收集截肢者的人口统计学数据和临床病史来获取数据。
本研究共纳入412例患者。胫骨截肢（70%）和手部部分截肢（48%）分别是下肢和上肢截肢最常见的部位。因血管原因导致的下肢截肢发生率显著高于上肢截肢，上肢截肢更多与创伤原因相关。大多数患者（213例，52%）在截肢一年后才参加截肢康复项目。
血管性截肢是截肢最常见的原因。大多数患者在截肢一年后才进入康复项目。应制定国家血管性截肢危险因素预防和管理指南。
