Activity Worth: 1 CPD hours

Australasian Podiatry Conference 2017: What factors are linked with minor and major amputations in a representative Australian population? - APodC

by Peter Lazzarini1,2, Jaap van Netten1, Sheree Hurn1, Suzanne Kuys2,3, Maarten Kamp1, Lloyd Reed1 on Sunday, 24 February 2019 - 7:15am

The Australasian Podiatry Conference 2017 featured an array of great speakers and exemplary papers.

We are pleased to provide here a selection of conference abstracts and invite you to read the abstract and then complete the writing task detailed below.

CPD Activity: Value – 1 hour – Consider category 4 Self-directed Learning under Podiatry Board of Australia Guidelines.  Consider also Category 3 Quality Improvement Activities under the guidelines

 

50 What factors are linked with minor and major amputations in a representative Australian population?

Peter Lazzarini1,2, Jaap van Netten1, Sheree Hurn1, Suzanne Kuys2,3, Maarten Kamp1, Lloyd Reed1

1Queensland University of Technology, Brisbane, Australia; 2Metro North Hospital & Health Service, Brisbane, Australia; 3Australian Catholic University, Brisbane, Australia

Correspondence: Peter Lazzarini

 

Objectives

Minor and major amputations are reportedly performed for different clinical reasons; yet very few Australian studies have investigated the factors associated with these different amputations. The aim of this study was to investigate the independent factors associated with minor amputations and major amputations in a representative Australian inpatient population.

Method

This study was a secondary analysis of data collected from the Foot disease in inpatients study, a multi-site point-prevalence study of 733 representative Australian inpatients; age 62 ± 19 years, 55.8% male, 23.5% diabetes, 4.6% indigenous. Self-reported demographic, social determinant, medical history, self-care ability and footwear variables were obtained from all participants. Clinically- diagnosed minor and major amputation history, foot ulcer history, peripheral arterial disease (PAD), peripheral neuropathy (PN) and foot deformity were also collected from all participants. Multivariate logistic regression was used to identify independent factors associated with minor and major amputations; and were adjusted for age, sex and diabetes.

Results

Overall, 37 participants (5.0% (95% CI: 3.7–6.9)) had an amputation history. Minor amputation history, present in 28 participants (3.8% (2.6–5.5)), was independently associated with foot ulcer history, cerebrovascular accident history, peripheral neuropathy and foot deformity (p < 0.03). Major amputation history, present in 9 participants (1.2% (0.6–2.4)), was independently associated with foot ulcer history only (p < 0.001).

Conclusions

Minor amputations were linked with foot ulcers, neuropathy, foot deformity and cerebrovascular accident. Major amputations were linked with foot ulcers. These findings suggest minor amputations may be prevented by intervening in patients with neuropathy and foot deformity; whilst both amputations may be prevented by intervening in patients with foot ulcers.

The task

 

Read the abstract, then prepare a brief paper (250 – 500 words) in which you explain why the subject matter is important to you. Give your initial response, and then write about the aspect you have chosen to reflect upon. You may wish to relate to your own skills, professional experience or discipline knowledge.

 

Outline any changes in your understanding and/or behaviour as a result of the experience. What actions may flow from your engagement? Explain the implications for this in your future professional practice. What actions might you take and why?

 

Don’t forget to upload your completed work to your e-portfolio, citing paper number and title, as evidence of completion.

 

This abstract can be viewed at the below link.  This abstract is number 50.

Resource Items

Name Resource
url
Full conference proceedings
Download | View | Play
Add to Cart
Buy Now
$0.00 inc. GST

Login

Register

Please enter your details below to login.
Forgot your password?



APodC Sponsors and Supporters