ArticleAmerican journal of physical medicine & rehabilitation2013
Functional outcomes of persons who underwent dysvascular lower extremity amputations: effect of postacute rehabilitation setting.
Article in American journal of physical medicine & rehabilitation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Implementation of an evidence-based multidisciplinary post-operative lower extremity amputation protocol (LEAP): barriers, facilitators, and strategies.Implementation science communications · 2025Article
- Article
- Resting state neurophysiology of agonist-antagonist myoneural interface in persons with transtibial amputation.Scientific reports · 2024Article
- Lower extremity amputation protocol: a pilot enhanced recovery pathway for vascular amputees.Journal of vascular surgery cases and innovative techniques · 2022Article
- Clinical Outcome of Transfemoral Direct Socket Interface (Part 2).Canadian prosthetics & orthotics journal · 2021Article
- Factors Associated With Prolonged Length of Stay and Failed Lower Limb Prosthetic Fitting During Inpatient Rehabilitation.Archives of rehabilitation research and clinical translation · 2020Article
- Financial difficulty in community-dwelling persons with lower limb loss is associated with reduced self-perceived health and wellbeing.Prosthetics and orthotics international · 2020Article
- Application of High-Intensity Functional Resistance Training in a Skilled Nursing Facility: An Implementation Study.Physical therapy · 2020Article
- Transfemoral Socket Fabrication Method Using Direct Casting: Outcomes Regarding Patient Satisfaction with Device and Services.Canadian prosthetics & orthotics journal · 2020Article
- Advancing Innovation in Skilled Nursing Facilities through Academic Collaborations.Physical therapy journal of policy, administration, and leadership · 2018Article
- Gait Training Interventions for Lower Extremity Amputees:Technology and innovation · 2016Article
- The effect of social integration on outcomes after major lower extremity amputation.Journal of vascular surgery · 2016Observational
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectiveThe aim of this study was to examine the effect of postacute rehabilitation setting on functional outcomes among patients who underwent major dysvascular lower extremity amputations.
designThis is a population-based prospective cohort study conducted in Maryland and Wisconsin. Data collected from medical records and patient interviews conducted during acute hospitalization after amputation and at 6 mos after the acute care discharge were analyzed using multivariate models and instrumental variable techniques.
resultsA total of 297 patients were analyzed on the basis of postacute care rehabilitation setting: acute inpatient rehabilitation facility (IRF), skilled nursing facility (SNF), or home. The majority (43.4%) received care in an IRF; 32%, in an SNF; and 24.6%, at home. On the Short Form-36 subscales, significantly improved outcomes were observed for the patients receiving postacute care at an IRF relative to those cared for at an SNF in physical function, role physical, and physical component summary score. Patients receiving postacute care in IRFs also experienced better role physical and physical component summary score outcomes compared with those discharged directly home. In addition, patients receiving postacute care in an IRF were significantly more likely to score in the top quartile for general health in IRF compared with SNF or home and less likely to score in the lowest quartile for physical function, role physical, and physical component summary score in IRF compared with SNF. Lower activity of daily living impairment was observed in IRF compared with SNF.
conclusionsAmong this large and diverse cohort of patients who underwent major dysvascular lower limb amputations, receipt of interdisciplinary rehabilitation services in an IRF yielded improved functional outcomes 6 mos after amputation relative to care received in SNFs or at home.
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