A review of smoking habits of 77 vascular related amputees demonstrated a high incidence of smoking significantly greater for men than in the general population. Male smoking amputees with atherosclerosis related peripheral vascular disease were found to have a high risk of having an above-knee amputation. Those with diabetes mellitus whether male or female, smokers or not, had a significantly greater chance of having a below-knee amputation.
Overall, non-smokers were found more likely to have a below-knee amputation than an above-knee (p<0.05).
References
1.
BalarajanR.YuenP.BewleyB. R. Smoking and state of health. B. Med. J.1985; 291: 1682
HellerR. F.HaywoodD.HobbsM. S.T. Decline in rate of death for ischaemic heart disease in the U.K. B. Med. J.1983; 286: 260–262
4.
HoldenJ.FernieG.DormanA. West Park Research, West Park Hospital, Toronto Canada1982, The cost and effectiveness of rehabilitation. A study using an amputee model. Health and Welfare, Canada. Final Report 6606–1592Y
5.
Statistics of smoking in the U.K. 7th Edition, LeeP. N.. Tobacco Research Council, London1976, Research Paper
6.
MaloneJ.MooreW.GoldstoneJ.MaloneS. Therapeutic and economic input in a modern amputation programme. Bull. Pros. Res.1979; 12(2)1–27
7.
PedersonH. E. The problem of the geriatric amputee. Art. Limbs1968; 12(2)i–iii
8.
Royal College Of Physicians. Churchill Livingstone. 1983, Health or smoking?: follow up report of the Royal College of Physicians-Edinburgh
9.
StephenR. Report on Amputee studies. Paper presented at Rehabilitation Studies Group Seminar, Edinburgh, 1983
10.
SpenceV. A.McCollumP. T.WalkerW. T.MurdochG. Assessment of tissue viability in relation to selection of amputation level. Pros. Orth. Int.1984; 8: 67–75