Demographics and discharge outcomes of dysvascular and non-vascular lower limb amputees at a subacute rehabilitation unit: A 7-year series

Batten, Heather R., Kuys, Suzanne S., McPhail, Steven M., Varghese, Paulose N., & Nitz, Jennifer C. (2015) Demographics and discharge outcomes of dysvascular and non-vascular lower limb amputees at a subacute rehabilitation unit: A 7-year series. Australian Health Review, 39(1), pp. 76-84.

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Abstract

Objective

To examine personal and social demographics, and rehabilitation discharge outcomes of dysvascular and non-vascular lower limb amputees.

Methods

In total, 425 lower limb amputation inpatient rehabilitation admissions (335 individuals) from 2005 to 2011 were examined. Admission and discharge descriptive statistics (frequency, percentages) were calculated and compared by aetiology.

Results

Participants were male (74%), aged 65 years (s.d. 14), born in Australia (72%), had predominantly dysvascular aetiology (80%) and a median length of stay 48 days (interquartile range (IQR): 25–76). Following amputation, 56% received prostheses for mobility, 21% (n = 89) changed residence and 28% (n = 116) required community services. Dysvascular amputees were older (mean 67 years, s.d. 12 vs 54 years, s.d. 16; P < 0.001) and recorded lower functional independence measure – motor scores at admission (z = 3.61, P < 0.001) and discharge (z = 4.52, P < 0.001). More nonvascular amputees worked before amputation (43% vs 11%; P < 0.001), were prescribed a prosthesis by discharge (73% vs 52%; P < 0.001) and had a shorter length of stay (7 days, 95% confidence interval: –3 to 17), although this was not statistically significant.

Conclusions

Differences exist in social and demographic outcomes between dysvascular and non-vascular lower limb amputees.

Impact and interest:

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ID Code: 80285
Item Type: Journal Article
Refereed: Yes
Keywords: amputation, prosthesis, rehabilitation
DOI: 10.1071/AH14042
ISSN: 1449-8944
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Deposited On: 30 Jan 2015 01:11
Last Modified: 28 Jul 2015 23:55

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