{"id":13430,"date":"2025-04-19T14:58:11","date_gmt":"2025-04-19T12:58:11","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=13430"},"modified":"2025-04-19T14:58:11","modified_gmt":"2025-04-19T12:58:11","slug":"aarsrapport-fra-dansk-amputationsdatabase","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/04\/19\/aarsrapport-fra-dansk-amputationsdatabase\/","title":{"rendered":"\u00c5rsrapport fra Dansk Amputationsdatabase"},"content":{"rendered":"

\"Amputationer\"<\/p>\n

DanAmp-rapporten pr\u00e6senterer de f\u00f8rste samlede resultater fra Dansk Amputationsdatabase<\/strong>
\nRapporten bygger p\u00e5 data fra 295 inkluderede patienter fra 11 afdelinger i perioden januar 2023 til januar 2025. Patientgruppen er karakteriseret ved h\u00f8j alder (median 73 \u00e5r), betydelig komorbiditet (46% har diabetes, 65% arteriosklerose) og lav funktionsevne forud for operation. 27% havde ikke selvst\u00e6ndig gangfunktion \u00e9n m\u00e5ned f\u00f8r amputationen. St\u00f8rstedelen amputeres transfemoralt (68%), og knap halvdelen angiver daglige eller hyppige smerter f\u00f8r operation.<\/p>\n

Der er stor variation i amputationspraksis mellem hospitalerne. 18% af amputationerne foretages af uddannelsesl\u00e6ger uden supervision af speciall\u00e6ge eller fase-3-l\u00e6ge. 75% af operationerne sker i dagtid, og median tid fra beslutning til operation er 2 dage. Postoperativt modtager 89% en eller flere former for invasiv smertebehandling og 99% \u00f8demprofylakse, dog med stor variation i valg af metoder. 68% mobiliseres inden for f\u00f8rste d\u00f8gn.<\/p>\n

Ved udskrivelsen har flertallet (58%) lav mobilitet (BAMS <6), og kun lidt over halvdelen udskrives til egen bolig. 92,5% f\u00e5r udarbejdet en genoptr\u00e6ningsplan. Ved 3 m\u00e5neders opf\u00f8lgning har 32% modtaget protese, mens 48% er i gang med protese-tr\u00e6ning. 71% oplever fantomsmerter, og 55% har stumpsmerter \u2013 begge med betydelig indflydelse p\u00e5 dagligdagen for mange patienter. Kun 30-42% har opn\u00e5et \u2019rimelig\u2019 mobilitet m\u00e5lt ved NMS og WMS.<\/p>\n

21 patienter har gennemg\u00e5et re-amputation, prim\u00e6rt fra TTA til TFA. 16 re-amputationer er foretaget inden for 30 dage. 29 patienter er revideret heraf fandt 14 revisioner fandt sted inden for 30 dage. 12 patienter er efterf\u00f8lgende amputeret p\u00e5 modsatte ben, typisk inden for 50 dage (median).<\/p>\n

Rapporten peger p\u00e5 behov for \u00f8get ensretning i behandlingstilbud, bedre supervision ved kirurgi og styrket opf\u00f8lgning. Resultaterne viser stor variation mellem afdelinger, og fortolkning b\u00f8r ske med forbehold, da afdelingerne er tilkoblet databasen p\u00e5 forskellige tidspunkter og har forskellig datakomplethed og opf\u00f8lgningsl\u00e6ngde.<\/p>\n

L\u00c6S RAPPORTEN <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

DanAmp-rapporten pr\u00e6senterer de f\u00f8rste samlede resultater fra Dansk Amputationsdatabase Rapporten bygger p\u00e5 data fra 295 inkluderede patienter fra 11 afdelinger 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