ASSESSMENT OF QUALITY OF LIFE OF PATIENTS AFTER ABOVE AND BELOW KNEE AMPUTATION WITH LOWER LIMB ARTERY OCCLUSION WITH CRITICAL ISCHEMIA
DOI:
https://doi.org/10.34689/18k76s74Keywords:
amputation, above- and below-knee amputation, occlusive arterial disease, critical ischemia, lower limbs, quality of life, vascular surgery, rehabilitation, disability, peripheral arterial diseaseAbstract
Introduction: Lower limb arterial occlusion often leads to critical ischemia requiring amputation. The level of amputation determines not only the patient's functional capabilities but also their quality of life, which makes it important to study the effect of knee preservation on rehabilitation and subjective perception of health. Objective: to determine and compare the quality of life of patients after above-knee amputation (AKA) and below-knee amputation (BKA) performed for occlusive disease of the lower limb arteries with critical ischemia. Research methods: A prospective study of 63 patients (33 BKA, 30 AKA) was conducted. Quality of life was assessed using the SF-36 questionnaire at 1, 6, and 12 months after surgery. The analysis included eight SF-36 scales, as well as comorbidities. Statistical analysis was performed using the χ² test and Student's t-test, significance level p < 0.05. Results: BKA patients had higher scores on physical functioning (68.2 ± 12.1 vs. 39.7 ± 10.4 points, p < 0.001), role functioning due to physical condition (56.7 ± 11.5 vs. 42.3 ± 9.8, p < 0.001), and lower pain severity (63.8 ± 10.9 vs. 49.1 ± 10.2, p < 0.001). General health status was also assessed higher in BKA (59.5 ± 9.8 vs. 48.6 ± 8.9, p < 0.001). No significant differences were found in the psychoemotional scales, but there was a tendency for better indicators in the BKA group. Conclusions: The study showed that the level of amputation significantly affects the physical activity and autonomy of patients. Patients with below-knee amputation (BKA) showed higher indicators of physical functioning (68.2 vs. 39.7 points, p < 0.001), role activity (56.7 vs. 42.3 points, p < 0.001) and less pain severity (63.8 vs. 49.1 points, p < 0.001), which positively affected their psychological state and perception of quality of life. Preservation of the knee joint accelerates rehabilitation, while for patients with above-knee amputation (AKA), comprehensive physical and psychological support is especially important.
References
Kozhakhmetov Z.O., Dyusupov A.A., Sabitov Y.T., Toleutaev T.A., Kazymov E.M., Salmenbaev E.A., Imanbaev M.N., Masalov A.E., Abdrakhmanov S.T. Assessment of quality of life of patients after above and below knee amputation with lower limb artery occlusion with critical ischemia // Nauka i Zdravookhranenie [Science & Healthcare]. 2025. Vol.27 (4), pp. 98-106. doi 10.34689/SH.2025.27.4.013
Кожахметов Ж.О., Дюсупов А.А., Сабитов Е.Т., Толеутаев Т.А., Казымов Е.М., Сальменбаев Е.А., Иманбаев М.Н., Масалов А.Е., Абдрахманов С.Т. Оценка качества жизни пациентов после ампутации выше и ниже коленного сустава при окклюзии артерии нижних конечностей с критической ишемией // Наука и Здравоохранение. 2025. Vol.27 (4), С.98-106. doi 10.34689/SH.2025.27.4.013
Кожахметов Ж.О., Дюсупов А.А., Сабитов Е.Т., Толеутаев Т.А., Казымов Е.М., Сальменбаев Е.А., Иманбаев М.Н., Масалов А.Е., Абдрахманов С.Т. Төменгі артерия окклюзиясындағы тізе буынынан жоғары және төмен ампутациядан кейінгі науқастардың өмір сүру сапасын бағалаужәне критикалық ишемиямен // Ғылым және Денсаулық сақтау. 2025. Vol.27 (4), Б. 98-106. doi 10.34689/SH.2025.27.4.013
Downloads
Published
License
Copyright (c) 2025 Рецензируемый медицинский научно-практический журнал «Наука и здравоохранение»
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.