Interruptions to amputee rehabilitation
| Autor: | Ben Meikle, Susan Garfinkel, Michael Devlin |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Psychological intervention Physical Therapy Sports Therapy and Rehabilitation Rehabilitation Centers Prosthesis Amputees Risk Factors Epidemiology medicine Humans Risk factor Retrospective Studies Rehabilitation business.industry Incidence (epidemiology) Retrospective cohort study Continuity of Patient Care Length of Stay Middle Aged Treatment Outcome Amputation Physical therapy Female business |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 83:1222-1228 |
| ISSN: | 0003-9993 |
| Popis: | Meikle B, Devlin M, Garfinkel S. Interruptions to amputee rehabilitation. Arch Phys Med Rehabil 2002;83:1222-8. Objectives: To determine the frequency of interruptions to inpatient amputee rehabilitation, and to identify the causes, risk factors, and consequences of these interruptions. Design: Retrospective cohort study. Setting: Inpatient amputee rehabilitation service. Patients: A total of 254 consecutive patients admitted within 90 days of amputation. Interventions: Not applicable. Main Outcome Measures: Patient age, gender, comorbid medical conditions, amputation type(s), days from amputation to admission, admission Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) score, rehabilitation length of stay (LOS), whether a prosthesis was fabricated, discharge destination, discharge Houghton Scale score, discharge 2-minute walk test, and discharge SF-36 score. Results: Interruptions occurred in 76 patients (30%). Impaired stump healing caused 46 (18%) interruptions and acute medical illness caused 26 (10%); 4 (2%) interruptions were because of other causes. Higher incidence of interruption was associated with female gender, peripheral vascular disease, and decreased days from amputation to rehabilitation. The majority of patients with interruptions (60/76, 79%) returned to complete rehabilitation. Patients with interruptions had significantly longer rehabilitation LOS (48.5 vs 37.0d, P Conclusions: Interruptions to amputee rehabilitation are common and result in longer rehabilitation LOS but do not adversely affect rehabilitation outcomes in those who are able to return to complete rehabilitation. No subgroup of patients with exceptionally high incidence of interruption could be identified. © 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|