J Korean Orthop Res Soc.  2014 Dec;17(2):33-40. 10.0000/jkors.2014.17.2.33.

Risk Factor of Depression after Amputation In Treatment of the Lower Extremity Open Fracture Associated with Severe Soft Tissue Injury

• Kim HJ
• Noh YM
• Kim HB

• KMID: 1947131
• DOI: http://doi.org/10.0000/jkors.2014.17.2.33

Abstract

PURPOSE
To evaluate the incidence rate and risk factors for depression after amputation in treatment of the lower extremity open fracture associated with severe soft tissue injury.
MATERIALS AND METHODS
We carried out a retrospective case-control study of 30 patients, who underwent lower extremity amputation between March 2002 and February 2012 and subsequently followed up over 12 months. We classified the patients into two groups: group A (study group, depression expressed) and group B(control group, normal). The risk factors were then subdivided based on patient-related factors such as whether or not patients received psychiatric treatment, sociolopsychological environmental factors, and daily activities after recovery.
RESULTS
The overall incidence rate of depression was 40%;20 patients were male, and 10 patients were female (66.7% and 33.3%, respectively). Age (odd ratio=1.14), Accompanying injury (odd ratio=2.06), underlying disease, Psychiatric treatment (odd ratio=44.73), sociopsychological environment (odd ratio=17.53),daily activities (odd ratio=8.76) were significant.
CONCLUSION
We concluded that the risk factors for depression after amputation are age, accompanying injury, and underlying diseases, irrespective of whether or not patients received psychiatric treatment, and not associated with isolated sociopsychological environments, or hypoactivity of daily living.

Keyword

Amputation; Depression; Risk factor

MeSH Terms

Amputation*
Case-Control Studies
Depression*
Female
Fractures, Open*
Humans
Incidence
Lower Extremity*
Male
Retrospective Studies
Risk Factors*
Soft Tissue Injuries*