Evidence map›Paper›PMID 23159239›Full record

ArticlePM & R : the journal of injury, function, and rehabilitation2013

Factors associated with home discharge after rehabilitation among male veterans with lower extremity amputation.

Jibby E Kurichi, Diane Cowper Ripley, Dawei Xie, Pui L Kwong, Barbara E Bates, Margaret G Stineman

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PM & R : the journal of injury, function, and rehabilitation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Gülhane lower extremity amputee rehabilitation protocol: A nationwide, 123-year experience.Turkish journal of physical medicine and rehabilitation · 2020
    Review
  5. Article
  6. Observational
  7. Discharge Disposition After Limb Amputation in a Publicly Funded Health Care System.Inquiry : a journal of medical care organization, provision and financing
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Jibby E KurichiCenter for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA, USA.
Diane Cowper Ripley
Dawei Xie
Pui L Kwong
Barbara E Bates
Margaret G Stineman
University of Pennsylvania · USAlbany Medical Center Hospital · USNorth Florida/South Georgia Veterans Health System · US

Funding

DO AMPUTEES BENEFIT FROM REHABILITATION SERVICES?R01HD042588 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI KIMMEL, STEPHEN E. · 2003 to 2012
$2.8M
NICHD NIH HHS R01 HD042588NICHD NIH HHS R01-HD042588-05A2
6 · The paper itself

Abstract

objectiveTo determine the patient-, treatment-, and facility-level factors that are associated with home discharge among male veterans with lower extremity amputation who received inpatient rehabilitation after surgery.

designA retrospective observational study.

settingVeterans Affairs Medical Centers.

participantsThis study included 1480 male veterans.

methodsGeneralized estimating equation models were used to model the likelihood of home discharge to account for within-facility clustering. We reported odds ratios (ORs) and 95% confidence intervals (95% CIs). MAIN OUTCOME MEASUREMENT: Discharged to home.

resultsThere were a total of 1163 (78.6%) veterans who were discharged home after the surgical hospitalization, compared with other locations. Patients who were married were more likely to be discharged home compared with patients who were not married (OR = 1.51, 95% CI = 1.14-1.99, P < .01). Compared with being transferred from another hospital or extended care, patients who were admitted from home were far more likely to be discharged home (OR = 8.43, 95% CI = 5.48-12.96, P < .0001). Patients with evidence of local significant infection were less likely to be discharged home (OR = 0.57, 95% CI = 0.39-0.83, P < .01), as were patients with evidence of congestive heart failure (OR = 0.62, 95% CI = 0.45-0.85, P < .01) or depression (OR = 0.63, 95% CI = 0.40-0.98, P = .04). Veterans with greater discharge motor Functional Independence Measure scores were more likely to be discharged home (OR = 1.23, 95% CI = 1.16-1.31 per 10-point increase in discharge Functional Independence Measure motor score, P < .0001). Conversely, patients undergoing procedures for ongoing active cardiac pathology were less likely to be discharged home (OR = 0.55, 95% CI = 0.37-0.81, P < .01).

conclusionsThis study showed a strong association between the sociological factors of marital status and living location before hospitalization and home discharge. The significance of discharge functional status highlights the importance of addressing the expected care burden once patients are discharged home.

Indexed as

Patient DischargeVeteransAgedAmputeesComorbidityHumansLegMaleRetrospective StudiesUnited States

Identifiers

PMID23159239
PMCPMC3718007
OpenAlexW2002591604

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.