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ANZSVS Conference 2024

Major Amputation rates during the COVID-19 era, what can we learn?

Verbal Presentation
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Verbal Presentation

2:26 pm

19 October 2024

Conference Hall 1

DIABETIC FOOT ULCER

Disciplines

Vascular

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Presentation Description

Institution: Wollongong Hospital - NSW, Australia

The COVID-19 pandemic has dramatically reshaped healthcare systems worldwide, influencing patient care and medical practices across various domains. One critical area examined during this period is the rate of major amputation surgeries that profoundly impact patients' lives, involving the removal of a limb above the ankle. A retrospective study conducted at The Wollongong Hospital in New South Wales, Australia, sheds light on the effects of the pandemic on major amputation rates and healthcare-seeking behaviors. This study meticulously compared major amputation rates during the pandemic to those from the pre-pandemic period, analysing patient parameters and healthcare behaviours. Contrary to the literature, the results revealed no statistically significant increase in major amputations during the pandemic. This finding suggests that telehealth services and lockdown measures may have effectively mitigated the anticipated rise in amputation cases. A key observation from the study is the delay in patients seeking medical attention during the pandemic, leading to longer symptom durations before hospital visits. This delay, driven by factors such as lockdowns and self-imposed isolation, underscores the pandemic's impact on healthcare access. Although the study found no immediate increase in major amputations due to these delays, the long-term consequences remain uncertain. Delayed presentations in emergency departments have been linked to more severe illnesses, longer hospital stays, and increased mortality rates, raising concerns about future healthcare challenges. The study also explored various established risk factors for amputations, such as diabetes, peripheral vascular disease, and smoking status, finding no significant differences between the pre-pandemic and pandemic periods. This indicates that the management of these risk factors was not substantially affected by the pandemic, possibly due to the successful implementation of telehealth and remote healthcare policies.

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Authors

Dr Calyb Austin - , Dr Andrew Bullen -

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