Abstract
IntroductionAmputation of a limb is a loss of physical integrity that has disastrous consequences for a person's mental, physical, and social well-being.AimWe aim to analyze the quality of life (QoL) after major amputations and long-term outcomes.Method and materialsA prospective, observational study has been conducted in a health care institute in western Rajasthan from January 2019 to July 2020. This study included 64 patients who had major upper or lower limb amputations. We analyzed the sociodemographic factors of the patients, the type of procedure, postoperative hospital stay, complications, and follow-up status with both the SF-12 and the World Health Organization Quality of Life (WHOQOL)-BREF questionnaires. Mean, median, range, standard deviation, percentages, univariable, and multivariable logistic regression were analyzed with SPSS version 23.0 software (IBM Corp., Armonk, NY).ResultsThe mean age of the study patients was 53.6 years (SD 2.6) and they were mostly male (71.9%). Atherosclerotic peripheral vascular disease (PVD) was the most common indication (37.5%) of amputation, and below-the-knee amputation (46.88%) was the most commonly performed procedure. There was a significant increment in both PCS (p-value= 0.001), MCS scores (p-value=0.0001) of SF-12 and physical (p-value=0.0001) and psychological domains (p-value=0.001) of the WHOQOL-BREF questionnaire in the postoperative period. A total of 83.9% of patients have used prostheses, and 15.6% had mortality.ConclusionsMajor amputations can significantly affect the quality of life of patients, and all efforts should be made to avoid factors that adversely affect their quality of life.
Highlights
ObjectivesThe primary objective was to measure the quality of life and health status using the World Health Organization Quality of Life (WHOQOL)-BREF and SF12 questionnaires, respectively
Amputation of a limb is a loss of physical integrity that has disastrous consequences for a person's mental, physical, and social well-being
There was a significant increment in both PCS (p-value= 0.001), MCS scores (p-value=0.0001) of SF-12 and physical and psychological domains (p-value=0.001) of the World Health Organization Quality of Life (WHOQOL)-BREF questionnaire in the postoperative period
Summary
The primary objective was to measure the quality of life and health status using the WHOQOL-BREF and SF12 questionnaires, respectively. Secondary objectives were to determine all factors affecting the changes in quality of life, like an indication of amputation, postoperative complications or morbidity, hospital stay, and the frequency of prosthesis use among the amputees. A predesigned proforma was used to collect the demographic characteristics, indications for amputation, presence of comorbid conditions, and baseline investigations. A baseline HS was measured using the SF-12 questionnaire. Patients were assessed for QOL and HS using the WHOQOLBREF and SF-12 questionnaires at the second and sixth months. The Indian adapted version of the WHOQOL-BREF was used. An interviewer-structured WHOQOL-BREF questionnaire was used when it could not be self-administered [2]. At the six-monthly follow-up, it was determined whether the patient was using a prosthesis or not
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