[Medical-surgical complications and their impact on patients' return to work whilst follow-up major lower-limb amputations in Hospital del Trabajador in Santiago (HTS)].
| Autor: | Vallejos González J; Servicio de Medicina Física y Rehabilitación, Hospital Clínico de la Universidad de Chile, Santiago, Chile. Electronic address: jaime.vallejosg@gmail.com., Muñoz Nieto S; Unidad de Medicina Física y Rehabilitación, Hospital del Trabajador de Santiago ACHS-HT, Santiago, Chile., Castro Lara A; Oficina de Apoyo a la Investigación, Hospital Clínico Universidad de Chile, Santiago, Chile. |
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| Jazyk: | Spanish; Castilian |
| Zdroj: | Rehabilitacion [Rehabilitacion (Madr)] 2024 Jul-Sep; Vol. 58 (3), pp. 100850. Date of Electronic Publication: 2024 May 04. |
| DOI: | 10.1016/j.rh.2024.100850 |
| Abstrakt: | Introduction: The presence of different complications whilst follow-up amputee patients reaches 10-80%. The main objective of this research is to assess the impact of these in the return-to-work of lower-limb traumatic amputation cases. Materials and Methods: A retrospective cohort research was carried out. Clinic-demographic variables information was recollected in order to assess its linkage to different medical-surgical complications and functional outcomes. Survival curves were created to evaluate the return-to-work of patients with and without complications. Results: A total of 46 patients, on average aged 45.7 years old (91.3% men, 71.7% without comorbidities), were included on this research. The most frequent level of amputation was transtibial (65.2%). Residual limb pain, phantom pain, dermatological-infectious complications and painful neuroma were registered in 80.4%, 58.7%, 50% y 30.4% of the cases respectively. Half of the patients had returned to their workplace after 2years of post-surgical follow-up. The return-to-work rates were significantly lower in patients suffering from residual limb pain (p=0.0083) and from painful neuroma (p=0.0051). Conclusion: Complications are frequent during traumatic-amputee patients' follow-up and, some of them, may impact on the return-to-work rate. (Copyright © 2024 Sociedad Española de Rehabilitación y Medicina Física. Publicado por Elsevier España, S.L.U. All rights reserved.) |
| Databáze: | MEDLINE |
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