Aflimanir ofan ökkla 2010-2019 vegna útæðasjúkdóms og/eða sykursýki : Aðdragandi og áhættuþættir
INTRODUCTION: No recent studies exist on lower extremity amputations (LLAs) in Iceland. The aim of this study was to investigate LLA incidence in Iceland 2010-2019 and preceding procedures in amputations induced by peripheral arterial disease (PAD) and diabetes mellitus (DM). MATERIAL AND METHODS: R...
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Uppsala universitet, Lung- allergi- och sömnforskning
2024
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Online Access: | http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-526268 https://doi.org/10.17992/lbl.2024.01.776 |
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ftuppsalauniv:oai:DiVA.org:uu-526268 2024-05-12T08:05:46+00:00 Aflimanir ofan ökkla 2010-2019 vegna útæðasjúkdóms og/eða sykursýki : Aðdragandi og áhættuþættir Arnadottir, Solrun Dogg Palsdottir, Gudbjorg Logason, Karl Arnardottir, Harpa 2024 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-526268 https://doi.org/10.17992/lbl.2024.01.776 ice ice Uppsala universitet, Lung- allergi- och sömnforskning Univ Akureyri, Sch Hlth Sci, Akureyri, Iceland.;Landspitali Univ Hosp, Vasc Surg Unit, Reykjavik, Iceland. Landspitali Univ Hosp, Wound Care Unit, Reykjavik, Iceland. Landspitali Univ Hosp, Vasc Surg Unit, Reykjavik, Iceland.;Univ Iceland, Fac Med, Reykjavik, Iceland. Univ Akureyri, Sch Hlth Sci, Akureyri, Iceland.;Akureyri Hosp, Rehabil Unit, Akureyri, Iceland. LAEKNAFELAG ISLANDS-ICELANDIC MEDICAL ASSOCIATION Laeknabladid : The icelandic medical journal, 0023-7213, 2024, 110:1, s. 20-27 orcid:0000-0003-0670-8248 http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-526268 doi:10.17992/lbl.2024.01.776 PMID 38126793 ISI:001179765500007 info:eu-repo/semantics/openAccess lower limb amputation peripheral arterial disease diabetes mellitus revascularisation comorbidities risk factors Surgery Kirurgi Cardiac and Cardiovascular Systems Kardiologi General Practice Allmänmedicin Article in journal info:eu-repo/semantics/article text 2024 ftuppsalauniv https://doi.org/10.17992/lbl.2024.01.776 2024-04-17T14:07:23Z INTRODUCTION: No recent studies exist on lower extremity amputations (LLAs) in Iceland. The aim of this study was to investigate LLA incidence in Iceland 2010-2019 and preceding procedures in amputations induced by peripheral arterial disease (PAD) and diabetes mellitus (DM). MATERIAL AND METHODS: Retrospective study on clinical records of all patients (>18 years) who underwent LLA in Iceland's two main hospitals during 2010-2019. Patients were excluded if LLA was performed for reasons other than DM and/or PAD. Symptoms, medication and circulation assessment were recorded from first hospital visit due to symptoms, and prior to the last LLA, respectively. Previous arterial surgeries and amputations were also recorded. RESULTS: A total of 167 patients underwent LLA. Thereof, 134 (77 ± 11 years, 93 men and 41 woman) due to DM and/or PAD. The LLA-rate due to those diseases increased from 4.1/100,000 inhabitants in 2010-2013 to 6.7/100,000 in 2016-2019 (p=0,04). Risk factors were mainly hypertension, 84%, and smoking, 69%. Chronic limb -threatening ischemia induced 71% of first hospital visits. Revascularisations were performed (66% endovascular) in 101 patients. Non -diabetic patients were 52% and had statins less frequently prescribed than DM patients (26:45, p<0.001). CONCLUSION: DM and/or PAD are the leading causes of LLA in Iceland. Amputation rate increased during the period but is low in an international context. Amputation is most often preceded by arterial surgery. DM is present in almost half of cases, similar or less than in most other countries. Opportunities for improved prevention should aim on earlier diagnosis and preventive treatment of non -diabetic individuals with PAD. INNGANGUR: Ekki eru til nýlegar rannsóknir um tÃðni aflimana hérlendis. Tilgangur þessarar rannsóknar var að athuga fjölda og aðdraganda aflimana ofan ökkla á grunni útæðasjúkdóms og/eða sykursýki á Ãslandi 2010-2019. EFNIVIÃUR OG AÃFERÃIR: Afturskyggn rannsókn, byggð á sjúkraskrárgögnum allra ... Article in Journal/Newspaper Iceland Uppsala University: Publications (DiVA) Læknablaðið 110 01 20 27 |
institution |
Open Polar |
collection |
Uppsala University: Publications (DiVA) |
op_collection_id |
ftuppsalauniv |
language |
Icelandic |
topic |
lower limb amputation peripheral arterial disease diabetes mellitus revascularisation comorbidities risk factors Surgery Kirurgi Cardiac and Cardiovascular Systems Kardiologi General Practice Allmänmedicin |
spellingShingle |
lower limb amputation peripheral arterial disease diabetes mellitus revascularisation comorbidities risk factors Surgery Kirurgi Cardiac and Cardiovascular Systems Kardiologi General Practice Allmänmedicin Arnadottir, Solrun Dogg Palsdottir, Gudbjorg Logason, Karl Arnardottir, Harpa Aflimanir ofan ökkla 2010-2019 vegna útæðasjúkdóms og/eða sykursýki : Aðdragandi og áhættuþættir |
topic_facet |
lower limb amputation peripheral arterial disease diabetes mellitus revascularisation comorbidities risk factors Surgery Kirurgi Cardiac and Cardiovascular Systems Kardiologi General Practice Allmänmedicin |
description |
INTRODUCTION: No recent studies exist on lower extremity amputations (LLAs) in Iceland. The aim of this study was to investigate LLA incidence in Iceland 2010-2019 and preceding procedures in amputations induced by peripheral arterial disease (PAD) and diabetes mellitus (DM). MATERIAL AND METHODS: Retrospective study on clinical records of all patients (>18 years) who underwent LLA in Iceland's two main hospitals during 2010-2019. Patients were excluded if LLA was performed for reasons other than DM and/or PAD. Symptoms, medication and circulation assessment were recorded from first hospital visit due to symptoms, and prior to the last LLA, respectively. Previous arterial surgeries and amputations were also recorded. RESULTS: A total of 167 patients underwent LLA. Thereof, 134 (77 ± 11 years, 93 men and 41 woman) due to DM and/or PAD. The LLA-rate due to those diseases increased from 4.1/100,000 inhabitants in 2010-2013 to 6.7/100,000 in 2016-2019 (p=0,04). Risk factors were mainly hypertension, 84%, and smoking, 69%. Chronic limb -threatening ischemia induced 71% of first hospital visits. Revascularisations were performed (66% endovascular) in 101 patients. Non -diabetic patients were 52% and had statins less frequently prescribed than DM patients (26:45, p<0.001). CONCLUSION: DM and/or PAD are the leading causes of LLA in Iceland. Amputation rate increased during the period but is low in an international context. Amputation is most often preceded by arterial surgery. DM is present in almost half of cases, similar or less than in most other countries. Opportunities for improved prevention should aim on earlier diagnosis and preventive treatment of non -diabetic individuals with PAD. INNGANGUR: Ekki eru til nýlegar rannsóknir um tÃðni aflimana hérlendis. Tilgangur þessarar rannsóknar var að athuga fjölda og aðdraganda aflimana ofan ökkla á grunni útæðasjúkdóms og/eða sykursýki á Ãslandi 2010-2019. EFNIVIÃUR OG AÃFERÃIR: Afturskyggn rannsókn, byggð á sjúkraskrárgögnum allra ... |
format |
Article in Journal/Newspaper |
author |
Arnadottir, Solrun Dogg Palsdottir, Gudbjorg Logason, Karl Arnardottir, Harpa |
author_facet |
Arnadottir, Solrun Dogg Palsdottir, Gudbjorg Logason, Karl Arnardottir, Harpa |
author_sort |
Arnadottir, Solrun Dogg |
title |
Aflimanir ofan ökkla 2010-2019 vegna útæðasjúkdóms og/eða sykursýki : Aðdragandi og áhættuþættir |
title_short |
Aflimanir ofan ökkla 2010-2019 vegna útæðasjúkdóms og/eða sykursýki : Aðdragandi og áhættuþættir |
title_full |
Aflimanir ofan ökkla 2010-2019 vegna útæðasjúkdóms og/eða sykursýki : Aðdragandi og áhættuþættir |
title_fullStr |
Aflimanir ofan ökkla 2010-2019 vegna útæðasjúkdóms og/eða sykursýki : Aðdragandi og áhættuþættir |
title_full_unstemmed |
Aflimanir ofan ökkla 2010-2019 vegna útæðasjúkdóms og/eða sykursýki : Aðdragandi og áhættuþættir |
title_sort |
aflimanir ofan ã¶kkla 2010-2019 vegna ãºtã¦ã°asjãºkdã³ms og/eã°a sykursã½ki : aã°dragandi og ã¡hã¦ttuã¾ã¦ttir |
publisher |
Uppsala universitet, Lung- allergi- och sömnforskning |
publishDate |
2024 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-526268 https://doi.org/10.17992/lbl.2024.01.776 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
Laeknabladid : The icelandic medical journal, 0023-7213, 2024, 110:1, s. 20-27 orcid:0000-0003-0670-8248 http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-526268 doi:10.17992/lbl.2024.01.776 PMID 38126793 ISI:001179765500007 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.17992/lbl.2024.01.776 |
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Læknablaðið |
container_volume |
110 |
container_issue |
01 |
container_start_page |
20 |
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27 |
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