Murat Yilmaz1, Deniz Gulabi2, Ibrahim Kaya3, Erhan Bayram4, Gultekin Sitki Cecen5. 1. Haseki Training and Research Hospital, Fatih, 34096, Istanbul, Turkey. muratyilmazctfhsk@yahoo.com. 2. Dr. Lütfi Kırdar Kartal Training and Research Hospital, Semsi Denizer Cad. E5. Yanyol Cevizli Kavsagi, Kartal, 34890, Istanbul, Turkey. dgulabi@yahoo.com. 3. Haseki Training and Research Hospital, Fatih, 34096, Istanbul, Turkey. drikaya27@hotmail.com. 4. Haseki Training and Research Hospital, Fatih, 34096, Istanbul, Turkey. bayerhan@yahoo.com. 5. Dr. Lütfi Kırdar Kartal Training and Research Hospital, Semsi Denizer Cad. E5. Yanyol Cevizli Kavsagi, Kartal, 34890, Istanbul, Turkey. gcecen2002@yahoo.com.
Abstract
INTRODUCTION: In this retrospective study, the impact of age, amputation level and the cause of amputation were examined using the Hospital Anxiety and Depression Scale (HADS) and Medicare K scores of amputees with unilateral lower-limb amputation. MATERIALS AND METHODS: In total, 135 patients with unilateral transfemoral (TF) or (TT) transtibial amputations were examined. All data were collected using questionnaires that were either self-administered or administered during an interview. The HADS was developed as a self-reporting questionnaire to detect adverse anxiety and depressive status. K code is used to describe the functional abilities of amputees. RESULTS: The mean age at the time of surgery was 52.79 ± 13.08 years. The mean time since amputation was 59.20 ± 24.41 months for TT, and 60.89 ± 22.09 months for TF amputation. The HADS-A scores of the transfemoral amputation group were determined as significantly high compared to those of the transtibial group (p < 0.05). The K index of the group aged 35 years and below was significantly higher than that of the other groups (p 0.002, p 0.001, p < 0.01). CONCLUSION: The data show higher HADS-A scores with traumatic transfemoral amputation. Therefore, adequate psychiatric evaluation and rehabilitation should be applied to all amputees, especially in cases of young, traumatic, transfemoral amputations. LEVEL OF EVIDENCE: Level 3, retrospective comparative cohort study.
INTRODUCTION: In this retrospective study, the impact of age, amputation level and the cause of amputation were examined using the Hospital Anxiety and Depression Scale (HADS) and Medicare K scores of amputees with unilateral lower-limb amputation. MATERIALS AND METHODS: In total, 135 patients with unilateral transfemoral (TF) or (TT) transtibial amputations were examined. All data were collected using questionnaires that were either self-administered or administered during an interview. The HADS was developed as a self-reporting questionnaire to detect adverse anxiety and depressive status. K code is used to describe the functional abilities of amputees. RESULTS: The mean age at the time of surgery was 52.79 ± 13.08 years. The mean time since amputation was 59.20 ± 24.41 months for TT, and 60.89 ± 22.09 months for TF amputation. The HADS-A scores of the transfemoral amputation group were determined as significantly high compared to those of the transtibial group (p < 0.05). The K index of the group aged 35 years and below was significantly higher than that of the other groups (p 0.002, p 0.001, p < 0.01). CONCLUSION: The data show higher HADS-A scores with traumatic transfemoral amputation. Therefore, adequate psychiatric evaluation and rehabilitation should be applied to all amputees, especially in cases of young, traumatic, transfemoral amputations. LEVEL OF EVIDENCE: Level 3, retrospective comparative cohort study.
Authors: Evren Karaali; Altuğ Duramaz; Osman Çiloğlu; Mustafa Yalın; Mehmet Atay; Furkan Çağlayan Aslantaş Journal: Turk J Phys Med Rehabil Date: 2020-10-16