Characterization of SUS-treated amputees at the Itanhaém Municipal Rehabilitation Center from 2012 to 2020

Dérrick Patrick Artioli, Gladson Ricardo Flor Bertolini
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Abstract

Introduction and aim. Analyzing the factors related to amputations and understanding which factors are changeable can assist in the development of public policies for the prevention and education of the population. Objective: To describe the main etiological characteristics and symptoms after amputation in the Unified Health System (Sistema Único de Saúde – SUS) patients in order to contribute to the information for treatment planning by the multiprofessional team for these patients. Material and methods. Retrospective study from 2012 to 2020, evaluating data from all amputation cases seen at the Itanhaém Municipal Rehabilitation Service, SP. Results. 76 cases were studied, mostly middle-aged men, Caucasian, smokers, hypertensive, type II diabetics, some with dyslipdemia, cardiopathies, and the main cause of amputation was infection after wound. Conclusion. The population needs to be warned about the risk of amputation due to infected wounds in patients with difficulty in controlling their comorbidities. Patients who have undergone amputation, should be oriented towards an early utilization of rehabilitation services, and municipalities should prepare their medical and rehabilitation professionals for the treatment of characteristic symptoms that amputees report and prosthetization.
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2012 至 2020 年伊塔内姆市康复中心接受 SUS 治疗的截肢者的特征描述
导言和目的。分析与截肢有关的因素并了解哪些因素是可以改变的,有助于制定预防和教育人口的公共政策。目的:描述统一卫生系统(SUS)患者截肢后的主要病因特征和症状,以便为多专业团队为这些患者制定治疗计划提供信息。材料与方法2012年至2020年的回顾性研究,评估了南太平洋伊塔内姆市康复服务机构接诊的所有截肢病例的数据。研究结果研究对象为76例截肢患者,大部分为中年男性、白种人、吸烟者、高血压患者、II型糖尿病患者,部分患者伴有血糖异常和心脏病,截肢的主要原因是伤口感染。结论需要提醒人们注意难以控制合并症的患者因伤口感染而截肢的风险。应引导截肢患者尽早利用康复服务,市政当局应让医疗和康复专业人员做好准备,以治疗截肢者报告的特征性症状和安装假肢。
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