Evidence map›Paper›PMID 40468956›Full record

ArticlePM & R : the journal of injury, function, and rehabilitation2025

Racial disparities in patients with amputation in an acute care setting in the immediate postoperative period.

Antonio Mondríguez-González, Rachel Xie, Rachel Esparza, Manasi Sheth, Mark Huang

Abstract read
In one paragraph

Article in PM & R : the journal of injury, function, and rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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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

5 authors.

Antonio Mondríguez-GonzálezShirley Ryan Ability Lab, Chicago, Illinois, USA.
Rachel XieMidwestern University School of Osteopathic Medicine, Glendale, Arizona, USA.
Rachel EsparzaShirley Ryan Ability Lab, Chicago, Illinois, USA.
Manasi ShethShirley Ryan Ability Lab, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0002-5183-4131
Mark HuangShirley Ryan Ability Lab, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0001-5788-0975

Funding

Shirley Ryan Ability Lab Research FundShirley Ryan Ability Lab Summer Externship Program
6 · The paper itself

Abstract

backgroundRacial disparities are present in the U.S. medical system and lead to detrimental health outcomes and reduced quality of life for many patients. These can be seen in the increased number of amputations among patients from underrepresented minority groups, in addition to differences in access to appropriate rehabilitation care in many debilitating diagnoses.

objectiveTo examine racial differences in access to rehabilitation consultation and discharge to an inpatient rehabilitation facility (IRF) among patients in an acute care setting following an amputation.

methodsRetrospective convenience sample at a tertiary care hospital from a limited database. The study included 640 participants ≥18 years of age who had undergone an amputation at an academic hospital between January 2020 and March 2023. Patients <18, pregnant women, prisoners, those who identified as Native Hawaiian due their low number (n = 1), or those who had undergone solely phalangeal amputations were excluded. The primary outcomes of this study were the discharge destination after acute care hospital and acute care length of stay.

resultsThere was a statistically significant association between age and discharge disposition, with a 2% increase in the likelihood of discharge to IRF for each additional year. The length of stay between different racial and ethnic groups showed statistically significant differences, with Asian patients having the longest (23.3 days) and those identifying as "two or more races" having the shortest (11.9 days) stays. When comparing between White, Black, and Hispanic patients, Black patients had the longest length of stay (19.9 days). Lastly, patients who received physiatry consultation were 20 times more likely to be discharged to IRF.

conclusionPatients from underrepresented minority groups had a longer acute care length of stay. Race and ethnicity did not appear to affect the amputation level or discharge disposition, including discharge to acute inpatient rehabilitation. Age and the presence of physiatric consultation had the greatest impact on determining the discharge disposition of patients with amputations.

Indexed as

Amputation, SurgicalHealthcare DisparitiesRacial GroupsAdultAgedFemaleHumansLength of StayMaleMiddle AgedPatient DischargePostoperative PeriodRehabilitation CentersRetrospective StudiesUnited States

Identifiers

PMID40468956
PMCPMC12713510

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