Early results of an amputee care pathway: a single unit experience

Abstract

Introduction: Major lower limb amputation in critical limb ischemia is associated with significant mortality, morbidity and poor quality of life. The first multidisciplinary amputation care pathway in Sri Lanka was established in January 2022 to improve survival, use of prostheses and reintegration into society. In this study, we present the early outcomes of this amputation care pathway. Methods: All patients with critical limb ischemia who underwent major lower limb amputation in the University Vascular Unit of the National Hospital of Sri Lanka (NHSL) were included in the amputation care pathway. The patients underwent amputation due to non revascularizability of the limb, failed revascularization, non-functional limb or sepsis. Patients were prospectively followed up at three-monthly intervals regarding their adherence to the care pathway, quality of life and use of prosthesis. The level of quality of life was measured using a standard tool; the 5Q-5D-5L index.