Prevalence of Major Amputation in COVID-19 Era Compared to Non-COVID-19 Era- A Descriptive Retrospective Single Centre Study

Author(s): Ahmed J, Saha H, Rouf MA, Wadud MA, Islam S, Russel SMGS

Introduction Amputation is the loss or removal of a body part such as a finger, toe, hand, foot, arm or leg. It can be a life changing experience affecting your ability to move, work, interact with others and maintain your independence. Continuing pain, phantom limb phenomena and emotional trauma can complicate recovery. Objective To assess the Prevalence of major amputation in covid-19 era compared to non-covid-19 era. Materials and Methods A descriptive Retrospective single Centre study was contacted in the Department Of Vascular Surgery, Ibrahim Cardiac Hospital And Research Institute, Shahbag, Dhaka, Bangladesh from Pre-pandemic era- 1st March 2018 to 3th August 2019: 18 months Group A and Pre-pandemic era- 1st March 2020 to 31th August 2021: 18 months Group B. We used the admission registers of all the hospital’s departments. We carried out a data collection sheet which allowed us to study the following parameters: the demographic aspects (age: according to WHO age groups and the sex of the patients), the type of amputation, the level of amputation and the causes. Results In the prepandemic phase, 18 major amputations were done (BK, 10 and AK, 8, and in the pandemic phase, 68 major amputations (BK, 53 and AK, 15) (P =.527) were undergone (fig-1). The age of the study participants in the prepandemic and pandemic period who had undergone a major amputation was 60.2 ± 13.4 and 62.88 ± 11.08 years (p=.241), respectively. The majority of the study participants were male in both the periods (prepandemic, M: F = 12:6; pandemic, M: F = 50:18) (P = .705). The mean duration of ulcer in the prepandemic period was 9 days and the same during the pandemic period was 10.8 days (P = .269). Co morbidities DM was present in 12(66.66%) study participants in the prepandemic and 40(58.82%) participants in the pandemic period (p=1.000). Diabetes Mellitus (DM) was present in 16 (88.88%) study participants in the prepandemic and 42(61.76%) participants in the pa

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