Prevalence and Pattern of Major Limb Amputation and its Associated Factors Among Patients Admitted to Pediatric and Adult Orthopedic Wards at Three Public Hospitals in Addis Ababa, Ethiopia

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Addis Abeba University


Limb Amputation (LA) is a surgical procedure for the removal of a limb which is indicated when limb recovery is impossible. It is one of the oldest surgical procedures with a history of over 2500 years. It is estimated that 1.2 million individuals are living with an amputation; and that 185,000 are performed each year worldwide. In Ethiopia most prior research concerning limb amputation has focused almost exclusively on lower limb amputation and there is little information regarding the prevalence of limb amputation. Objectives: To assess the prevalence, and pattern of limb amputation and its associated factors among patients admitted to pediatric and adult orthopedic wards at three public hospitals in Addis Ababa, Ethiopia, 2020 Methods and Materials: Institutional based cross-sectional retrospective study design had been conducted from September 11, 2020, to August 28, 2022. A serial number on patient registration book from adult and pediatric orthopedic wards of selected hospitals was used to select MRN numbers of patient charts randomly. Data was entered into the Open Data Kit (ODK), a data collection tool’s latest version, and stored on kobo tool. Then the data was exported to SPSS version 26 for statistical analysis. Bivariable and multivariable binary logistic regression tests were done to analyze Factors associated with major limb amputation by considering a statistical significance level of 5%, and 95% confidence interval (CI) Results: During the study period, a total of 3,236 patients underwent surgery and among them medical records of 422 cases were selected from