{"id":{"repo_id":"cape-town","oai_identifier":"oai:open.uct.ac.za:11427/31531"},"canonical_url":"https://search.dev.ndltd.org/etd/cape-town/oai:open.uct.ac.za:11427/31531","repository":{"repo_id":"cape-town","name":"University of Cape Town","base_url":"https://open.uct.ac.za/oai/request"},"display":{"title":"Long term mortality after lower extremity amputation in South Africa","abstract":"Introduction: Long-term mortality after lower extremity amputation is not well reported in low- and middleincome countries. The primary aim of this study was to report 30-day and one-year mortality after lower extremity amputation in South Africa. The secondary objective was to report risk factors for one-year mortality. Methods: This was a retrospective cohort study of patients undergoing lower extremity amputations at New Somerset Hospital from October 1, 2015, to October 31, 2016. A medical record review was undertaken to identify co-morbidities, operation details, and perioperative mortality rate. Outcome status was defined as alive, dead, or lost to follow-up. Outcomes at 30 days and one year were reported. Results: There were 152 patients; 90 (59%) males and the median age (interquartile range, IQR) was 60 (54-67) years. At 30 days, 102 patients were traced and 12 (12%) were dead. At one year, 86 (57%) were traced and 37 (43%) were dead. Conclusion: At this South African hospital, 43% of patients undergoing lower extremity amputations were dead after one year. In resource-constrained settings, mortality data are necessary when considering resource allocation for lower extremity amputations and essential surgical care packages.","abstract_html":"Introduction: Long-term mortality after lower extremity amputation is not well reported in low- and middleincome countries. The primary aim of this study was to report 30-day and one-year mortality after lower extremity amputation in South Africa. The secondary objective was to report risk factors for one-year mortality. Methods: This was a retrospective cohort study of patients undergoing lower extremity amputations at New Somerset Hospital from October 1, 2015, to October 31, 2016. A medical record review was undertaken to identify co-morbidities, operation details, and perioperative mortality rate. Outcome status was defined as alive, dead, or lost to follow-up. Outcomes at 30 days and one year were reported. Results: There were 152 patients; 90 (59%) males and the median age (interquartile range, IQR) was 60 (54-67) years. At 30 days, 102 patients were traced and 12 (12%) were dead. At one year, 86 (57%) were traced and 37 (43%) were dead. Conclusion: At this South African hospital, 43% of patients undergoing lower extremity amputations were dead after one year. In resource-constrained settings, mortality data are necessary when considering resource allocation for lower extremity amputations and essential surgical care packages.","abstract_has_math":false,"creators":["Husein, Salah"],"institution":"Department of Surgery","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Chu, Kathryn"],"committee_chairs":[],"committee_members":[],"year":2019,"date_issued":"2019","date_published":"2019","updated_at":"2026-07-22T22:23:47Z","subjects":["surgery"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://hdl.handle.net/11427/31531","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Chu, Kathryn"]},{"key":"dc:creator","label":"Author","values":["Husein, Salah"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2020-03-10T13:05:40Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2020-03-10T13:05:40Z"]},{"key":"dc:date.issued","label":"Date","values":["2019"]},{"key":"dc:publisher.department","label":"Dc Publisher Department","values":["Department of Surgery"]},{"key":"dc:type","label":"Dc Type","values":["Master Thesis"]},{"key":"dc:type.qualificationlevel","label":"Dc Type Qualificationlevel","values":["Masters"]},{"key":"dc:type.qualificationname","label":"Dc Type Qualificationname","values":["MMed"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["surgery"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://hdl.handle.net/11427/31531"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Introduction: Long-term mortality after lower extremity amputation is not well reported in low- and middleincome countries. The primary aim of this study was to report 30-day and one-year mortality after lower extremity amputation in South Africa. The secondary objective was to report risk factors for one-year mortality. Methods: This was a retrospective cohort study of patients undergoing lower extremity amputations at New Somerset Hospital from October 1, 2015, to October 31, 2016. A medical record review was undertaken to identify co-morbidities, operation details, and perioperative mortality rate. Outcome status was defined as alive, dead, or lost to follow-up. Outcomes at 30 days and one year were reported. Results: There were 152 patients; 90 (59%) males and the median age (interquartile range, IQR) was 60 (54-67) years. At 30 days, 102 patients were traced and 12 (12%) were dead. At one year, 86 (57%) were traced and 37 (43%) were dead. Conclusion: At this South African hospital, 43% of patients undergoing lower extremity amputations were dead after one year. In resource-constrained settings, mortality data are necessary when considering resource allocation for lower extremity amputations and essential surgical care packages."]},{"key":"dc:title","label":"Title","values":["Long term mortality after lower extremity amputation in South Africa"]}]}],"canonical_facts":{"dc:contributor.advisor":["Chu, Kathryn"],"dc:creator":["Husein, Salah"],"dc:date.accessioned":["2020-03-10T13:05:40Z"],"dc:date.available":["2020-03-10T13:05:40Z"],"dc:date.issued":["2019"],"dc:description.abstract":["Introduction: Long-term mortality after lower extremity amputation is not well reported in low- and middleincome countries. The primary aim of this study was to report 30-day and one-year mortality after lower extremity amputation in South Africa. The secondary objective was to report risk factors for one-year mortality. Methods: This was a retrospective cohort study of patients undergoing lower extremity amputations at New Somerset Hospital from October 1, 2015, to October 31, 2016. A medical record review was undertaken to identify co-morbidities, operation details, and perioperative mortality rate. Outcome status was defined as alive, dead, or lost to follow-up. Outcomes at 30 days and one year were reported. Results: There were 152 patients; 90 (59%) males and the median age (interquartile range, IQR) was 60 (54-67) years. At 30 days, 102 patients were traced and 12 (12%) were dead. At one year, 86 (57%) were traced and 37 (43%) were dead. Conclusion: At this South African hospital, 43% of patients undergoing lower extremity amputations were dead after one year. In resource-constrained settings, mortality data are necessary when considering resource allocation for lower extremity amputations and essential surgical care packages."],"dc:identifier.uri":["http://hdl.handle.net/11427/31531"],"dc:publisher.department":["Department of Surgery"],"dc:subject":["surgery"],"dc:title":["Long term mortality after lower extremity amputation in South Africa"],"dc:type":["Master Thesis"],"dc:type.qualificationlevel":["Masters"],"dc:type.qualificationname":["MMed"]},"updated_at":"2026-07-22T22:23:47Z"}