Health-related quality of life and prosthesis use among patients amputated due to peripheral arterial disease – a one-year follow-up
| Autor: | Jonas Malmstedt, Carin Ottosson, Eva Torbjörnsson, Lennart Boström, Ann-Mari Fagerdahl, Lena Blomgren |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Arterial disease medicine.medical_treatment media_common.quotation_subject Artificial Limbs Walking Amputation Surgical Peripheral Arterial Disease Amputees Quality of life medicine Humans media_common Health related quality of life Rehabilitation Prosthesis use business.industry humanities Independence Peripheral Amputation Quality of Life Physical therapy business Follow-Up Studies |
| Zdroj: | Disability and Rehabilitation. 44:2149-2157 |
| ISSN: | 1464-5165 0963-8288 |
| DOI: | 10.1080/09638288.2020.1824025 |
| Popis: | A major amputation affects the patients' independence, well-being and HRQoL. However, prosthesis use and the impact on the patient's HRQoL are scarcely described. The aim was to compare HRQoL between walker and non-walker amputees. Secondary aim was to evaluate prosthesis use and habits.Ninety-eight patients with a major amputation due to peripheral arterial disease were included during 2014-2018. They were interviewed using EQ-5D-3L (HRQoL), Stanmore Harold Wood mobility grade (prosthesis use) and Houghton scale (prosthesis habits).Seventy-three patients completed the one-year follow-up, out of them 56 got a prosthesis. Twenty-three used it to walk both inside and outside. EQ-5D-3L at follow-up was increased in all patients in comparison to baseline (0.16 versus 0.59,Learning how to use, not exclusively to walk with, a prosthesis after an amputation is important for the patients' HRQoL. At follow-up, patients using their prosthesis to walk or to move to a wheelchair, showed an improved HRQoL compared to baseline.IMPLICATIONS FOR REHABILITATION Walking ability with a prosthesis is important for the patient's perceived HRQoL after an amputation.Rehabilitation of amputees should focus on independence and movability and not only on walking ability.Wider use of prescribing prostheses after an amputation also to those predicted as non-walkers, may increase the number of patients with independence and improved HRQoL.When using their prosthesis for independent movement, patients who were otherwise unable to walk due to their amputation were able to achieve HRQoL comparable to walking amputees. |
| Databáze: | OpenAIRE |
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