Escalas de Qualidade de Vida Após Amputação Major do Membro Inferior em Cirurgia Vascular: Revisão da Literatura

Authors

  • Joana Cruz Silva Centro Hospitalar e Universitário de Coimbra - Coimbra, Portugal https://orcid.org/0000-0003-4119-9506
  • Vânia C. Oliveira Centro Hospitalar e Universitário de Coimbra - Coimbra, Portugal
  • Pedro Lima Centro Hospitalar e Universitário de Coimbra - Coimbra, Portugal
  • Mafalda Correia Centro Hospitalar e Universitário de Coimbra - Coimbra, Portugal
  • Mário Moreira Centro Hospitalar e Universitário de Coimbra - Coimbra, Portugal
  • Gabriel Anacleto Centro Hospitalar e Universitário de Coimbra - Coimbra, Portugal
  • Manuel Fonseca Centro Hospitalar e Universitário de Coimbra - Coimbra, Portugal

DOI:

https://doi.org/10.48750/acv.359

Keywords:

Qualidade de Vida, Amputação Membro Inferior, Doença Arterial Periférica, Vascular

Abstract

Introdução: Apesar dos esforços das equipas de saúde, a taxa da amputação em doentes com Isquémia Crítica Ameaçadora de Membro (CLTI) é bastante elevada. Cada vez mais se torna relevante um tratamento individualizado do doente por forma a melhorar a sua qualidade de vida. Contudo, não existe uma escala de qualidade de vida validada para doentes amputados por isquémia crítica. Os autores propõem uma revisão sistemática da literatura com vista a sumarizar as escalas de avaliação de qualidade de vida após amputação.

Métodos: Foi feita uma pesquisa por todos os estudos relacionados com avaliação funcional e da qualidade de vida após amputação na base de dados Pubmed.

Resultados: Dos 228 artigos foram incluídos 28. Dos artigos analisados apenas 3 avaliaram exclusivamente doentes vasculares com CLTI. 24 escalas diferentes foram usadas 44 vezes: 11 escalas (44%) de avaliação de saúde e 14 escalas (56%) de qualidade de vida, das quais 2 escalas (18%) de avaliação de saúde e 4 das escalas (29%) de qualidade de vida são específicas para doentes amputados e uma escala para doença arterial periférica.

Conclusões: A heterogeneidade de escalas torna difícil uma comparação de resultados. Na população de doentes amputados vasculares, escalas gerais podem não ser representar corretamente os domínios mais valorizados por esta população. Escalas específicas para protetisados ou de avaliação da progressão de doença arterial periférica também parecem não ser as mais adequadas para este subtipo de doentes mais idosos e com limitações prévias. São essenciais novos estudos para validar uma escala específica para esta população.

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Published

2022-07-01

How to Cite

1.
Cruz Silva J, C. Oliveira V, Lima P, Correia M, Moreira M, Anacleto G, Fonseca M. Escalas de Qualidade de Vida Após Amputação Major do Membro Inferior em Cirurgia Vascular: Revisão da Literatura. Angiol Cir Vasc [Internet]. 2022 Jul. 1 [cited 2022 Aug. 18];18(1):21-9. Available from: https://acvjournal.com/index.php/acv/article/view/359

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Section

Review Article