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. 2021 Dec 1;11(12):e049533. doi: 10.1136/bmjopen-2021-049533

Table 3.

Distribution of amputation causes by categories and in detail, by country*

All countries Afghanistan Cambodia
Total N Male N(R%|C%) Female N(R%|C%) Total N(C%) Male N(R%|C%) Female N(R%|C%) Total N(C%) Male N(R%|C%) Female N(R%|C%)
Total 28 446 24 117 (84.8) 4329 (15.2) 12 364 10 605 (85.8) 1759 (14.2) 2312 2003 (86.6) 309 (13.4)
Non-trauma 7556 5481 (72.5|22.7) 2075 (27.5|47.9) 1982 (16.0) 1344 (67.8|12.7) 638 (32.2|36.3) 203 (8.8) 142 (70.0|7.1) 61 (30.0|19.7)
Trauma 20 890 18 636 (89.2|77.3) 2254 (10.8|52.1) 10 382 (84.0) 9261 (89.2|87.3) 1121 (10.8|63.7) 2109 (91.2) 1861 (88.2|92.9) 248 (11.8|80.3)
Causes by subcategories
Non-trauma NCD/T2D 6999 5114 (73.1|21.2) 1885 (26.9|43.5) 1750 (14.2) 1190 (68.0|11.2) 560 (32.0|31.8) 192 (8.3) 134 (69.8|6.7) 58 (30.2|18.8)
Non-trauma other 557 367 (65.9|1.5) 190 (34.1|4.4) 232 (1.9) 154 (66.4|1.5) 78 (33.6|4.4) 11 (0.5) 8 (72.7|0.4) 3 (27.3|1)
Trauma Trauma non-conflict non-accident 1164 930 (79.9|3.9) 234 (20.1|5.4) 332 (2.7) 255 (76.8|2.4) 77 (23.2|4.4) 320 (13.8) 275 (85.9|13.7) 45 (14.1|14.6)
Trauma non-conflict accident 5925 5015 (84.6|20.8) 910 (15.4|21) 2245 (18.2) 1872 (83.4|17.7) 373 (16.6|21.2) 501 (21.7) 423 (84.4|21.1) 78 (15.6|25.2)
Trauma conflict weapon 4482 3872 (86.4|16.1) 610 (13.6|14.1) 2658 (21.5) 2261 (85.1|21.3) 397 (14.9|22.6) 87 (3.8) 62 (71.3|3.1) 25 (28.7|8.1)
Trauma conflict weapon contamination 9319 8819 (94.6|36.6) 500 (5.4|11.6) 5147 (41.6) 4873 (94.7|46.0) 274 (5.3|15.6) 1201 (51.9) 1101 (91.7|55) 100 (8.3|32.4)
Causes in detail
Non-trauma Infectious 3661 2618 (71.5|10.9) 1043 (28.5|24.1) 1205 (9.7) 821 (68.1|7.7) 384 (31.9|21.8) 161(7) 117 (72.7|5.8) 44 (27.3|14.2)
Metabolic 148 115 (77.7|0.5) 33 (22.3|0.8) 137 (1.1) 110 (80.3|1.0) 27 (19.7|1.5)
Vascular 3190 2381 (74.6|9.9) 809 (25.4|18.7) 408 (3.3) 259 (63.5|2.4) 149 (36.5|8.5) 31 (1.3) 17 (54.8|0.8) 14 (45.2|4.5)
Cancerous 511 344 (67.3|1.4) 167 (32.7|3.9) 204 (1.6) 144 (70.6|1.4) 60 (29.4|3.4) 1 (0.0) 1 (100|0)
Other—non-trauma 46 23 (50.0|0.1) 23 (50.0|0.5) 28 (0.2) 10 (35.7|0.1) 18 (64.3|1) 10 (0.4) 7 (70.0|0.3) 3 (30.0|1.0)
Trauma Animal bite 203 156 (76.8|0.6) 47 (23.2|1.1) 15 (0.1) 14 (93.3|0.1) 1 (6.7|0.1) 16 (0.7) 11 (68.8|0.5) 5 (31.3|1.6)
Crime 5 5 (100|0) 3 (0) 3 (100|0)
Frost bite 48 46 (95.8|0.2) 2 (4.2|0) 37 (0.3) 35 (94.6|0.3) 2 (5.4|0.1)
Other—trauma 908 723 (79.6|3.0) 185 (20.4|4.3) 277 (2.2) 203 (73.3|1.9) 74 (26.7|4.2) 304 (13.1) 264 (86.8|13.2) 40 (13.2|12.9)
Domestic accident 1388 1019 (73.4|4.2) 369 (26.6|8.5) 825 (6.7) 557 (67.5|5.3) 268 (32.5|15.2) 52 (2.2) 45 (86.5|2.2) 7 (13.5|2.3)
Occupational accident 1191 1096 (92.0|4.5) 95 (8.0|2.2) 379 (3.1) 363 (95.8|3.4) 16 (4.2|0.9) 93(4) 79 (84.9|3.9) 14 (15.1|4.5)
Railway accident 227 183 (80.6|0.8) 44 (19.4|1.0) 10 (0.1) 9 (90.0|0.1) 1 (10.0|0.1) 3 (0.1) 2 (66.7|0.1) 1 (33.3|0.3)
RTA 3044 2648 (87.0|11.0) 396 (13.0|9.1) 1024 (8.3) 936 (91.4|8.8) 88 (8.6|5.0) 349 (15.1) 294 (84.2|14.7) 55 (15.8|17.8)
Sport accident 75 69 (92.0|0.3) 6 (8.0|0.1) 7 (0.1) 7 (100|0.1) 4 (0.2) 3 (75.0|0.1) 1 (25.0|0.3)
Blast injury 2319 1980 (85.4|8.2) 339 (14.6|7.8) 1383 (11.2) 1131 (81.8|10.7) 252 (18.2|14.3) 15 (0.6) 11 (73.3|0.5) 4 (26.7|1.3)
GSW 1834 1628 (88.8|6.8) 206 (11.2|4.8) 1157 (9.4) 1037 (89.6|9.8) 120 (10.4|6.8) 28 (1.2) 23 (82.1|1.1) 5 (17.9|1.6)
Other—conflict 273 218 (79.9|0.9) 55 (20.1|1.3) 88 (0.7) 68 (77.3|0.6) 20 (22.7|1.1) 25 (1.1) 12 (48.0|0.6) 13 (52.0|4.2)
No data* 56 46 (82.1|0.2) 10 (17.9|0.2) 30 (0.2) 25 (83.3|0.2) 5 (16.7|0.3) 19 (0.8) 16 (84.2|0.8) 3 (15.8|1.0)
Cluster munitions 71 69 (97.2|0.3) 2 (2.8|0) 38 (0.3) 37 (97.4|0.3) 1 (2.6|0.1) 11 (0.5) 11 (100|0.5)
ERW 248 233 (94.0|1.0) 15 (6.0|0.3) 208 (1.7) 197 (94.7|1.9) 11 (5.3|0.6) 1 (0) 1 (100|0)
Landmines 9000 8517 (94.6|35.3) 483 (5.4|11.2) 4901 (39.6) 4639 (94.7|43.7) 262 (5.3|14.9) 1189 (51.4) 1089 (91.6|54.4) 100 (8.4|32.4)
Iraq Myanmar Sudan
Total N(C%) Male N(R%|C%) Female N(R%|C%) Total N(C%) Male N(R%|C%) Female N(R%|C%) Total N(C%) Male N(R%|C%) Female N(R%|C%)
Total 3491 2956 (84.7) 535 (15.3) 526 4634 (88.0) 633 (12.0) 5012 3919 (78.2) 1093 (21.8)
Non-trauma 1145 (32.8) 829 (72.4|28) 316 (27.6|59.1) 1219 (23.1) 908 (74.5|19.6) 311 (25.5|49.1) 3007 (60.0) 2258 (75.1|57.6) 749 (24.9|68.5)
Trauma 2346 (67.2) 2127 (90.7|72) 219 (9.3|40.9) 4048 (76.9) 3726 (92.0|80.4) 322 (8.0|50.9) 2005 (40.0) 1661 (82.8|42.4) 344 (17.2|31.5)
Causes by subcategories
Non-trauma NCD/T2D 1084 (31.1) 790 (72.9|26.7) 294 (27.1|55.0) 1138 (21.6) 846 (74.3|18.3) 292 (25.7|46.1) 2835 (56.6) 2154 (76.0|55.0) 681 (24.0|62.3)
Non-trauma other 61 (1.7) 39 (63.9|1.3) 22 (36.1|4.1) 81 (1.5) 62 (76.5|1.3) 19 (23.5|3) 172 (3.4) 104 (60.5|2.7) 68 (39.5|6.2)
Trauma Trauma non-conflict non-accident 32 (0.9) 29 (90.6|1) 3 (9.4|0.6) 76 (1.4) 60 (78.9|1.3) 16 (21.1|2.5) 404 (8.1) 311 (77.0|7.9) 93 (23.0|8.5)
Trauma non-conflict accident 525(15) 446 (85|15.1) 79 (15|14.8) 1689 (32.1) 1469 (87.0|31.7) 220 (13.0|34.8) 965 (19.3) 805 (83.4|20.5) 160 (16.6|14.6)
Trauma conflict weapon 1075 (30.8) 978 (91|33.1) 97 (9.0|18.1) 83 (1.6) 77 (92.8|1.7) 6 (7.2|0.9) 579 (11.6) 494 (85.3|12.6) 85 (14.7|7.8)
Trauma conflict weapon contamination 714 (20.5) 674 (94.4|22.8) 40 (5.6|7.5) 2200 (41.8) 2120 (96.4|45.7) 80 (3.6|12.6) 57 (1.1) 51 (89.5|1.3) 6 (10.5|0.5)
Causes in detail
Non-trauma Infectious 367 (10.5) 260 (70.8|8.8) 107 (29.2|20.0) 542 (10.3) 387 (71.4|8.4) 155 (28.6|24.5) 1386 (27.7) 1033 (74.5|26.4) 353 (25.5|32.3)
Metabolic 11 (0.2) 5 (45.5|0.1) 6 (54.5|0.9)
Vascular 717 (20.5) 530 (73.9|17.9) 187 (26.1|35.0) 585 (11.1) 454 (77.6|9.8) 131 (22.4|20.7) 1449 (28.9) 1121 (77.4|28.6) 328 (22.6|30)
Cancerous 60 (1.7) 38 (63.3|1.3) 22 (36.7|4.1) 74 (1.4) 57 (77.0|1.2) 17 (23.0|2.7) 172 (3.4) 104 (60.5|2.7) 68 (39.5|6.2)
Other—non-trauma 1 (0) 1 (100|0) 7 (0.1) 5 (71.4|0.1) 2 (28.6|0.3)
Trauma Infectious 4 (0.1) 3 (75|0.1) 1 (25.0|0.2) 20 (0.4) 13 (65.0|0.3) 7 (35.0|1.1) 148 (3.0) 115 (77.7|2.9) 33 (22.3|3.0)
Crime 2 (0.1) 2 (100|0.1)
Frost bite 6 (0.2) 6 (100|0.2) 3 (0.1) 3 (100|0.1) 2 (0) 2 (100|0.1)
Other—trauma 20 (0.6) 18 (90.0|0.6) 2 (10.0|0.4) 53(1) 44 (83.0|0.9) 9 (17.0|1.4) 254 (5.1) 194 (76.4|5) 60 (23.6|5.5)
Domestic accident 83 (2.4) 66 (79.5|2.2) 17 (20.5|3.2) 297 (5.6) 259 (87.2|5.6) 38 (12.8|6) 131 (2.6) 92 (70.2|2.3) 39 (29.8|3.6)
Occupational accident 102 (2.9) 95 (93.1|3.2) 7 (6.9|1.3) 553 (10.5) 499 (90.2|10.8) 54 (9.8|8.5) 63 (1.3) 60 (95.2|1.5) 3 (4.8|0.3)
Railway accident 8 (0.2) 6 (75|0.2) 2 (25.0|0.4) 164 (3.1) 129 (78.7|2.8) 35 (21.3|5.5) 42 (0.8) 37 (88.1|0.9) 5 (11.9|0.5)
RTA 325 (9.3) 272 (83.7|9.2) 53 (16.3|9.9) 637 (12.1) 546 (85.7|11.8) 91 (14.3|14.4) 709 (14.1) 600 (84.6|15.3) 109 (15.4|10)
Sport accident 7 (0.2) 7 (100|0.2) 38 (0.7) 36 (94.7|0.8) 2 (5.3|0.3) 19 (0.4) 16 (84.2|0.4) 3 (15.8|0.3)
Blast injury 844 (24.2) 770 (91.2|26) 74 (8.8|13.8) 17 (0.3) 15 (88.2|0.3) 2 (11.8|0.3) 60 (1.2) 53 (88.3|1.4) 7 (11.7|0.6)
GSW 144 (4.1) 130 (90.3|4.4) 14 (9.7|2.6) 60 (1.1) 56 (93.3|1.2) 4 (6.7|0.6) 445 (8.9) 382 (85.8|9.7) 63 (14.2|5.8)
Other—conflict 85 (2.4) 76 (89.4|2.6) 9 (10.6|1.7) 4 (0.1) 4 (100|0.1) 71 (1.4) 58 (81.7|1.5) 13 (18.3|1.2)
No data* 2 (0.1) 2 (100|0.1) 2 (0) 2 (100|0) 3 (0.1) 1 (33.3|0) 2 (66.7|0.2)
Cluster munitions 2 (0.1) 2 (100|0.1) 6 (0.1) 6 (100|0.1) 14 (0.3) 13 (92.9|0.3) 1 (7.1|0.1)
ERW 38 (1.1) 34 (89.5|1.2) 4 (10.5|0.7) 1 (0) 1 (100|0)
Landmine 674 (19.3) 638 (94.7|21.6) 36 (5.3|6.7) 2193 (41.6) 2113 (96.4|45.6) 80 (3.6|12.6) 43 (0.9) 38 (88.4|1.0) 5 (11.6|0.5)

Categories of amputation causes as illustrated in figure 1 and detailed causes in totals, by sex and by country. Values are number of participants (row % | column%). Row% relates to sex distribution. Column% relates to amputation cause distribution

*The reader is directed to figure 1 when interpreting this table.

ERW, explosive remnants of war; GSW, Gunshot wound; NCD, non-communicable disease; no data, missing variable (mandatory entry in database) due to software error in the category ‘Trauma Conflict Weapon’; RTA, road traffic accident; T2D, type 2 diabetes.