To ask the Scottish Executive how many (a) partial and (b) full hand amputations have taken place in each of the last eight years; what the age ranges were of the patients, and what the primary reason was for each operation.
The number of a) partial and b) full hand amputations that have taken place in each of the last eight years by age band are provided in Tables 1 and 2.
Table 1: Number of inpatient and day case full hand amputations1 performed in NHS Scotland, financial years ending 31 March 2003 to 2010 by age band.
Age Band
|
2002-03
|
2003-04
|
2004-05
|
2005-06
|
2006-07
|
2007-08
|
2008-09
|
2009-10
|
0 to 24
|
1
|
-
|
1
|
-
|
-
|
-
|
-
|
-
|
25 to 44
|
1
|
-
|
1
|
-
|
-
|
-
|
-
|
-
|
45 to 64
|
-
|
1
|
1
|
1
|
-
|
-
|
-
|
-
|
65+
|
-
|
-
|
1
|
-
|
-
|
1
|
-
|
1
|
All Ages
|
2
|
1
|
4
|
1
|
-
|
1
|
-
|
1
|
Table 2: Number of inpatient and day case partial hand amputations1 performed in NHS Scotland, financial years ending 31 March 2003 to 2010 by age band.
Age Band
|
2002-03
|
2003-04
|
2004-05
|
2005-06
|
2006-07
|
2007-08
|
2008-09
|
2009-10
|
0 to 24
|
129
|
113
|
120
|
121
|
133
|
125
|
128
|
117
|
25 to 44
|
125
|
123
|
144
|
128
|
119
|
102
|
124
|
116
|
45 to 64
|
151
|
150
|
151
|
148
|
151
|
158
|
140
|
166
|
65+
|
103
|
94
|
92
|
86
|
84
|
92
|
76
|
96
|
All Ages
|
508
|
480
|
507
|
483
|
487
|
477
|
468
|
495
|
Notes:
1. Up to four procedures (one main and three other) are recorded on SMR01 returns. All four procedure positions have been used to identify full and partial hand amputations. The following OPCS4 codes have been used to identify the required procedures:
Partial Amputation
- X08.1 Amputation of hand at wrist with a supplementary procedure code of Y05.2 (no cases)
- X08.2 Amputation of thumb
- X08.3 Amputation of phalanx of finger
- X08.4 Amputation of finger NEC
- X08.8 Other specified amputation of hand
- X08.9 Unspecified amputation of hand
- X21.5 Amputation of duplicate thumb
- X21.6 Amputation of supernumerary finger
Full Amputation
- X08.1 Amputation of hand at wrist
Table 3 lists the main diagnosis for each SMR01 return which contains a full hand amputation procedure.
Table 3: Main Diagnosis for Inpatient and Day case episodes with a full hand amputation recorded in any procedure position. Financial Years 2002-03 to 2009-10 combined.
ICD10 Code
|
ICD10 Description
|
A41
|
Other septicaemia
|
C44
|
Other malignant neoplasms of skin
|
M79
|
Other soft tissue disorders, not elsewhere classified
|
Q81
|
Epidermolysis bullosa
|
R02
|
Gangrene, not elsewhere classified
|
S62
|
Fracture at wrist and hand level
|
S69
|
Other and unspecified injuries of wrist and hand
|
T87
|
Complications peculiar to reattachment and amputation
|
Table 4 lists the top 10 main diagnoses for each SMR01 return which contains a partial hand amputation procedure for financial year 2009-10. The order of the top 10 main diagnoses across financial years 2002-03 to 2009-10 is similar each year. In 2009-10, the 10 listed diagnoses represent 78% of all main diagnosis recorded.
Table 4: Top 10 Main Diagnoses for Inpatient and Day case episodes with a partial hand amputation recorded in any procedure position. Financial Year 2009-10.
No. of Inpatient and Day Case Partial Hand Amputations
ICD10 Code
|
ICD10 Description
|
|
S68
|
Traumatic amputation of wrist and hand
|
157
|
Q69
|
Polydactyly
|
67
|
S61
|
Open wound of wrist and hand
|
49
|
M72
|
Fibroblastic disorders
|
30
|
S67
|
Crushing injury of wrist and hand
|
25
|
S62
|
Fracture at wrist and hand level
|
21
|
R02
|
Gangrene, not elsewhere classified
|
11
|
S69
|
Other and unspecified injuries of wrist and hand
|
11
|
M20
|
Acquired deformities of fingers and toes
|
9
|
Z42
|
Follow-up care involving plastic surgery
|
9
|
Source ISD SMR01.