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约旦下肢截肢的健康影响:人口模式与病因的回顾性分析

Health implications of lower extremity amputations in Jordan: A retrospective analysis of demographic patterns and causes.

作者信息

Alfatafta Mahmoud, Alsubahi Nizar, Alfatafta Huda, Atallah Huthaifa, Alshawabka Amneh, McGarry Anthony, Ahmad Alaeddin

机构信息

Department of Prosthetics and Orthotics, School of Rehabilitation Sciences, The University of Jordan, Amman, Jordan.

Department of Health Services and Hospitals Administration, Faculty of Economics and Administration, King Abdulaziz University, Jeddah, Saudi Arabia.

出版信息

PLoS One. 2025 Jul 24;20(7):e0329149. doi: 10.1371/journal.pone.0329149. eCollection 2025.

Abstract

Lower extremity amputation (LEA) is a significant health concern in Jordan, yet comprehensive data on its demographic and clinical characteristics remain limited. This retrospective analysis evaluated 893 LEA cases collected from Al-Basheer Hospital and six private prosthetic clinics in Amman between 2017 and 2023. Transtibial amputations (68.99%) were the most common, followed by transfemoral amputations (24.53%). Males were three times more likely than females to undergo LEA, with an overall mean age of 48.43 years (SD = 20.42). Diabetes mellitus (55.88%) was the leading cause, followed by cancer (18.48%) and trauma (11.65%). Age and cause were significantly associated (p < 0.01); DM-related amputations were more prevalent among older adults (mean age 62.04 years). The findings highlight that TT amputations in older males with diabetes represent the most common LEA profile in Jordan. Targeted public health initiatives including diabetic foot care education, early detection, and regular screenings, are urgently needed to reduce LEA incidence in the country.

摘要

下肢截肢(LEA)是约旦一个重大的健康问题,但关于其人口统计学和临床特征的全面数据仍然有限。这项回顾性分析评估了2017年至2023年间从安曼的Al-Basheer医院和六家私人假肢诊所收集的893例LEA病例。经胫骨截肢(68.99%)最为常见,其次是经股骨截肢(24.53%)。接受LEA的男性比女性多两倍,总体平均年龄为48.43岁(标准差=20.42)。糖尿病(55.88%)是主要原因,其次是癌症(18.48%)和创伤(11.65%)。年龄和病因显著相关(p<0.01);与糖尿病相关的截肢在老年人中更为普遍(平均年龄62.04岁)。研究结果表明,患有糖尿病的老年男性的经胫骨截肢是约旦最常见的LEA类型。迫切需要有针对性的公共卫生举措,包括糖尿病足护理教育、早期检测和定期筛查,以降低该国的LEA发病率。

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