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The AMPREDICT Decision Support Tool estimates a patient’s chance of mortality, need for reamputation and at least achieving basic ambulation after lower limb amputation at each major amputation level.
At 1 year, the reamputation rate for all contralateral and ipsilateral reamputations was found to be 19% (IQR=5.1%–31.6%), and at 5 years, it was found to be 37.1% (IQR=27.0%–47.2%). The contralateral reamputation rate at 5 years was found to be 20.5% (IQR=13.3%–27.2%).
Estimated body weight loss (EBWL) describes the amount of body mass lost due to an amputation. EBWL is most commonly utilized for determining an amputee's ideal body weight, which is a function of patient height.
6 Ιαν 2019 · This study aims to analyze trends in lower limb amputations over time, as well as outcomes of care concerning in-hospital mortality and reamputation rates during the same hospital stay which might indicate the quality of surgical and perioperative health care processes.
What is perhaps most notable however, is how few measured factors were strong predictors of the need for re-amputation, despite re-amputation rates of 41% and 25% in the transmetatarsal and transtibial populations (to a higher level in 29% and 15% respectively).
Overall, lower level amputations were associated with a higher reamputation rate (BKA, 2.5%; AKA, 0.8%; P < .001). Reamputation was associated with increased length of stay (8 days vs 5 days; P < .001) and greater rates of readmission (64.9% vs 13.6%; P < .001).
Patients with peripheral arterial disease that undergo major lower extremity amputation (LEA) are higher risk patients because of their medical comorbidities. The objective of this study was to compare various surgical risk calculators to assess 30-day mortality of patients undergoing major LEA.
