Incidence of lower extremity amputations over a five-year period in Hospital University Sains Malaysia.

It was difficult to obtain the estimated of amputation from the worldwide prevalence as the amputation receives very little resources and attention in countries where the survival of people was very low. In Malaysia, the number of lower extremity amputation was increased, but there was no specific number of cases that being recorded. Therefore, the purpose of this research was to describe the population-wide trends in the incidence of lower extremity amputation levels in Hospital Universiti Sains Malaysia over a 5- year period. The objectives of this research is to identify the variation of amputation incidence over a period of five years; to determine the demographics of gender, age and race of the amputees; to describe the amputation etiology over a period of five years; to compare the correlation between demographics of gender, age and race and amputation etiology; and to compare the correlation between demographics of gender, age and race and amputation level over a period of 5 years. This study adopted a single-case study which conducted at Hospital Universiti Sains Malaysia at Physical and Rehabilitation Department in orthopedic surgery. The respondents of this study were the patients who underwent the major limb amputation in Hospital Universiti Sains Malaysia. This research adopted descriptive and correlation analysis. The findings of this study indicated that the most common level of amputation performed by amputees was transtibial. Male was the majority respondents of this research, whereby the respondents age were between 16 to 54 years old. The majority amputees were malay. The most common indication for major limb amputation was dysvascularity or diabetic foot complications. There were no significant relationship between demographics of gender, age and race and amputation etiology. The result also showed, there were no significant relationship between the gender, age and race and amputation level over a period of 5 year period. In conclusion, this study indicated the characteristic of the incidence of lower extremity levels in Hospital Universiti Sains Malaysia from January 2012 to December 2016. This research recommended that, the amputation preventable when government gather statistic of amputees in Malaysia, hospital provide the provision of health education services for a better quality and efficiency prosthetic services and devices.