Global incidence of major, non-fatal amputation due to traumatic causes
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Objective: This article reports and interprets estimates of global incidence of major limb amputation due to traumatic causes. Design: A secondary database descriptive study to report amputation incidence and incidence rate per 100,000 using the extensive 2015 Global Burden of Disease (GBD) results was conducted. Results: In 2015, 1.2 million people sustained major limb amputations due to traumatic causes worldwide. Leading traumatic causes of limb amputation were war (27.1%), other unintentional injuries (18.4%), falls (13.3%), mechanical forces (10.5%) and road injuries (8.1%). The highest incidence is seen in Middle East and North Africa (370,800 UI 261,745 to 479,854) due to high incidence rate followed by South Asia (273,949 UI 249,694 to 298,203) and East Asia (144,268 UI 132,996 to 155,540) due to population size. Discussion: GBD describes etiologies requiring rehabilitation, and regional need for prosthetic services such as upper limb prostheses, pediatrics and surgical considerations. Conclusions: Amputation incidence estimates and patterns are essential to understand global prosthetic service needs. Estimates provide foundational information to assess change over time and to plan future prosthetic service development.
- Global health