Diabetes or war? Incidence of and indications for limb amputation in Lebanon, 2007

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Title: Diabetes or war? Incidence of and indications for limb amputation in Lebanon, 2007
Authors: Yaghi, K
Yaghi, Y
McDonald, AA
Yadegarfar, G
Cecil, E
Seidl, J
Dubois, E
Rawaf, S
Majeed, A
Item Type: Journal Article
Abstract: Chronic diseases such as diabetes and vascular disease are a major public health problem in Lebanon, where primary care is not well developed. This study aimed to describe the incidence and indications for limb amputation in Lebanon and identify associated factors (age, sex, level of surgery, length of hospital stay). There were 1.6 amputations per 10 000 persons. The rate of amputation was highest in southern Lebanon at 3.8 per 10 000. The most important indication for surgery was diabetes (59%). Diabetic patients were older (mean age 73 years versus 30 years), more likely to have major surgery (OR = 7.87; 95% CI: 2.83-21.9) and stay in hospital longer (RR = 4.56, 95% CI: 2.41-8.64) than patients with trauma-related amputation. Diabetes prevention, detection and management should be prioritized in any attempt to reduce the current incidence of amputation in Lebanon.
Issue Date: 1-Jan-2012
Date of Acceptance: 12-Dec-2011
URI: http://hdl.handle.net/10044/1/66858
DOI: https://dx.doi.org/10.26719/2015.18.12.1178
ISSN: 1020-3397
Publisher: World Health Organization (WHO)
Start Page: 1178
End Page: 1186
Journal / Book Title: Eastern Mediterranean Health Journal
Volume: 18
Issue: 12
Copyright Statement: © World Health Organization (WHO) 2012. Some rights reserved. This work is available under the Creative Commons Attribution Non-Commercial ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo).
Keywords: Adolescent
Adult
Age Distribution
Aged
Aged, 80 and over
Amputation
Amputation, Traumatic
Child
Child, Preschool
Diabetes Mellitus
Humans
Incidence
Infant
Lebanon
Length of Stay
Middle Aged
Residence Characteristics
Sex Distribution
Vascular Diseases
Warfare
Young Adult
War
General & Internal Medicine
Publication Status: Published
Conference Place: Egypt
Appears in Collections:Faculty of Medicine
Epidemiology, Public Health and Primary Care



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