Observational studyPM & R : the journal of injury, function, and rehabilitation2021
The Role of Earlier Receipt of a Lower Limb Prosthesis on Emergency Department Utilization.
Observational study in PM & R : the journal of injury, function, and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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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.
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.
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Who cites it
5 citing papers in PubMed.
- Recovery After Nontraumatic Lower Limb Amputation: A Scoping Review of Longitudinal Research Studies.Archives of rehabilitation research and clinical translation · 2026Review
- Patient reported outcomes improve following lower limb prosthesis and socket and replacement.Journal of patient-reported outcomes · 2026Article
- The effect of depression on prosthesis prescription in men and women who have undergone a lower limb amputation.Disability and rehabilitation · 2024Article
- A Prospective Assessment of an Adjustable, Immediate Fit, Subischial Transfemoral Prosthesis.Archives of rehabilitation research and clinical translation · 2022Article
- The Value of Health Economics and Outcomes Research in Prosthetics and Orthotics.Canadian prosthetics & orthotics journal · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAdverse events after a lower limb amputation (LLA) can negatively affect the rehabilitation process and may lead to emergency department (ED) visits. Earlier receipt of a prosthesis, as compared to delayed or not receiving a prosthesis, may decrease or moderate the risk of increased ED utilization. In addition, adverse events (ie, fall-related injury [FRI]) may be associated with increased health care utilization as measured by ED use. The implication of the timing of prosthesis provision after amputation and reduced ED use is not well established. Obtaining data about ED utilization early post-LLA could assist the rehabilitation team in ensuring timely and appropriate access to improve outcomes.
objectiveTo determine the role that timing of prosthesis receipt has in ED utilization and the association of fall/FRI with health care utilization.
designRetrospective observational cohort using commercial claims data. A logistic regression model was used to assess factors that influence ED utilization post-LLA.
settingWatson/Truven administrative database 2014 to 2016.
participantsThe study sample consisted of 510 adults age 18 to 64 years with continuous enrollment for 3 years.
interventionsIndependent variables included age, sex, diabetes status, amputation level, fall diagnosis, and prosthesis receipt. Fall was defined as presence of a diagnosis code in any outpatient procedure after the amputation date.
main outcome measureED use after amputation was defined as the presence of procedure codes that billed for ED services (99281 to 99285).
resultsIndividuals who receive a prosthesis early, within 0 to 3 months, post-LLA were 48% (odds ratio [OR] 0.52, 95% confidence interval [CI] 0.28 to 0.97) less likely to use the ED compared to those who did not receive a prosthesis. Individuals who experienced a fall/FRI had 2.8 (OR 2.86, 95% CI 1.23 to 6.66) times the odds of ED utilization.
conclusionReceipt of a prosthesis reduces the risk of ED use. The current study underscores the value of prostheses during the rehabilitation process after LLA.
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