caa a22 4500 606191623 CHVBK 20210128100900.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s00391-014-0812-9 doi (NATIONALLICENCE)springer-10.1007/s00391-014-0812-9 Norton scale scores and 1-year mortality in elderly patients following lower limb amputations [Elektronische Daten] [R. Sever, S. Sherman, N. Rozen, O. Chechik, S. Hilu, S. Abdelrazek, M. Salai, D. Justo] Norton-Skala-Scores und Einjahresmortalität von älteren Patienten nach Amputation an der unteren Extremität Background: The Norton scale is used for assessing the risk of pressure ulcers. The association between low admission Norton scale scores (ANSS), complications and mortality in elderly patients following lower limb amputations has never been studied until now. Objectives: The aim of this study was to investigate if low ANSSs are associated with complications the 30-day and 1-year mortality in elderly patients following lower limb amputations. Materials and methods: The medical charts of 104 elderly (≥ 65 years) patients following lower limb amputations were studied for the following measurements: ANSS, demographics, comorbidities, complications during hospitalization, 30-day mortality and 1-year mortality. Complications included acute coronary syndrome, major bleeding, stroke, systemic infections, organ failure and thromboembolism. An ANSS ≤ 14 was considered as being low. Results: Overall 54 (51.9 %) patients underwent below-knee amputations and 50 (48.1 %) patients underwent above-knee amputations. Most (n = 78; 75.0 %) patients were men and the mean age was 78.5 ± 7.9 years. Following the amputation 46 (44.2 %) patients had complications other than pressure ulcers, 24 (23.1 %) patients died within 30 days and 63 (60.6 %) patients died within 1 year. A total of 61 (58.7 %) patients had a low ANSS. The incidence of complications other than pressure ulcers, 30-day and 1-year mortality rates were higher in patients with a low ANSS relative to patients with a high ANSS. A regression analysis showed that 1-year mortality was independently negatively associated with ANSS (t = −2.629; p = 0.010). Conclusion: The Norton scale can be used for predicting 1-year mortality in elderly patients following lower limb amputations. Springer-Verlag Berlin Heidelberg, 2014 Amputation nationallicence Elderly nationallicence Mortality nationallicence Norton scale nationallicence Pressure ulcers nationallicence Ältere Menschen nationallicence Mortalität nationallicence Norton-Skala nationallicence Druckulzera nationallicence Sever R. Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel aut Sherman S. Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel aut Rozen N. Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel aut Chechik O. Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel aut Hilu S. Department of Orthopedics, Sourasky Medical Center, Tel-Aviv, Israel aut Abdelrazek S. Department of Orthopedics, Sourasky Medical Center, Tel-Aviv, Israel aut Salai M. Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel aut Justo D. Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel aut Zeitschrift für Gerontologie und Geriatrie Springer Berlin Heidelberg 48/4(2015-06-01), 365-369 0948-6704 48:4<365 2015 48 391 https://doi.org/10.1007/s00391-014-0812-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00391-014-0812-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sever R. Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel aut NATIONALLICENCE 700 1- Sherman S. Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel aut NATIONALLICENCE 700 1- Rozen N. Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel aut NATIONALLICENCE 700 1- Chechik O. Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel aut NATIONALLICENCE 700 1- Hilu S. Department of Orthopedics, Sourasky Medical Center, Tel-Aviv, Israel aut NATIONALLICENCE 700 1- Abdelrazek S. Department of Orthopedics, Sourasky Medical Center, Tel-Aviv, Israel aut NATIONALLICENCE 700 1- Salai M. Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel aut NATIONALLICENCE 700 1- Justo D. Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel aut NATIONALLICENCE 773 0- Zeitschrift für Gerontologie und Geriatrie Springer Berlin Heidelberg 48/4(2015-06-01), 365-369 0948-6704 48:4<365 2015 48 391