Critical illness and amputation in meningococcal septicemia: is life worth saving?

Tom Allport, Lynley Read, Simon Nadel, Michael Levin

Research output: Contribution to journalArticle (Academic Journal)peer-review

Abstract

Amputation is an infrequent but devastating outcome of meningococcal septicemia. We assessed daily living functions and quality of life in a cohort of children and young people, 3 to 5 years after limb amputations following severe meningococcal disease. All participants lived with their families in the community, with minimal assistance. Participants used effective strategies to compensate for motor impairment and generally had good quality of life, despite ongoing health problems (predominantly musculoskeletal). The degree of amputation did not predict the functional outcome. The surprisingly good outcomes we report should discourage clinicians from withdrawing intensive care support because of presumed poor outcomes after multiple amputations in severe meningococcal disease.

Original languageEnglish
Pages (from-to)629-32
Number of pages4
JournalPediatrics
Volume122
Issue number3
DOIs
Publication statusPublished - 1 Mar 2008

Keywords

  • Amputation/methods
  • Artificial Limbs
  • Bacteremia/complications
  • Child
  • Critical Illness/rehabilitation
  • Female
  • Humans
  • Ischemia/etiology
  • Leg/blood supply
  • Meningococcal Infections/complications
  • Quality of Life

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