Evidence map›Paper›PMID 25400948›Full record

ArticleRehabilitation research and practice2014

Association between Functional Severity and Amputation Type with Rehabilitation Outcomes in Patients with Lower Limb Amputation.

Amol M Karmarkar, James E Graham, Timothy A Reistetter, Amit Kumar, Jacqueline M Mix, Paulette Niewczyk, Carl V Granger, Kenneth J Ottenbacher

Abstract read
In one paragraph

Article in Rehabilitation research and practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
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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

8 authors.

Amol M KarmarkarDivision of Rehabilitation Sciences, University of Texas Medical Branch, 301 University Boulevard, Mail Route No. 1137, Galveston, TX 77555, USA.ORCID 0000-0001-8355-1585
James E GrahamDivision of Rehabilitation Sciences, University of Texas Medical Branch, 301 University Boulevard, Mail Route No. 1137, Galveston, TX 77555, USA.
Timothy A ReistetterOccupational Therapy Department, University of Texas Medical Branch, Galveston, TX, USA.
Amit KumarDivision of Rehabilitation Sciences, University of Texas Medical Branch, 301 University Boulevard, Mail Route No. 1137, Galveston, TX 77555, USA.
Jacqueline M MixUniform Data System for Medical Rehabilitation, A Division of UB Foundation Activities Inc. and Department of Rehabilitation Medicine, University at Buffalo, Buffalo, NY, USA.ORCID 0000-0002-5033-9630
Paulette NiewczykUniform Data System for Medical Rehabilitation, A Division of UB Foundation Activities Inc. and Department of Rehabilitation Medicine, University at Buffalo, Buffalo, NY, USA.
Carl V GrangerUniform Data System for Medical Rehabilitation, A Division of UB Foundation Activities Inc. and Department of Rehabilitation Medicine, University at Buffalo, Buffalo, NY, USA.
Kenneth J OttenbacherDivision of Rehabilitation Sciences, University of Texas Medical Branch, 301 University Boulevard, Mail Route No. 1137, Galveston, TX 77555, USA.

Funding

UTMB CLINICAL AND TRANSLATIONAL SCIENCE AWARD: NASA BED REST STUDIESUL1RR029876 · NCRR · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BRASIER, ALLAN R. · 2009 to 2011
$17.7M
UTMB Clinical and Translational Science AwardUL1TR000071 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BRASIER, ALLAN R. · 2012 to 2014
$14.4M
Rehabilitation Research Career Development ProgramK12HD055929 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BROWN, DAVID A · 2007 to 2021
$11.7M
Center for Rehabilitation Research Using Large DatasetsR24HD065702 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI OTTENBACHER, KENNETH J. · 2010 to 2014
$4.0M
Regional Variability in Inpatient Rehabilitation among Medicare BeneficiariesK01HD068513 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI REISTETTER, TIMOTHY · 2011 to 2014
$438k
NCATS NIH HHS UL1 TR000071NCRR NIH HHS UL1 RR029876NICHD NIH HHS K01 HD068513NICHD NIH HHS K12 HD055929NICHD NIH HHS R24 HD065702
6 · The paper itself

Abstract

The purpose of this study was to determine independent influences of functional level and lower limb amputation type on inpatient rehabilitation outcomes. We conducted a secondary data analysis for patients with lower limb amputation who received inpatient medical rehabilitation (N = 26,501). The study outcomes included length of stay, discharge functional status, and community discharge. Predictors included the 3-level case mix group variable and a 4-category amputation variable. Age of the sample was 64.5 years (13.4) and 64% were male. More than 75% of patients had a dysvascular-related amputation. Patients with bilateral transfemoral amputations and higher functional severity experienced longest lengths of stay (average 13.7 days) and lowest functional rating at discharge (average 79.4). Likelihood of community discharge was significantly lower for those in more functionally severe patients but did not differ between amputation categories. Functional levels and amputation type are associated with rehabilitation outcomes in inpatient rehabilitation settings. Patients with transfemoral amputations and those in case mix group 1003 (admission motor score less than 36.25) generally experience poorer outcomes than those in other case mix groups. These relationships may be associated with other demographic and/or health factors, which should be explored in future research.

Identifiers

PMID25400948
PMCPMC4221898

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Registered trials

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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.