ArticleHCA healthcare journal of medicine2026
Clinical Characteristics of Patients with Lower Extremity Amputation During Inpatient Rehabilitation and its Predictors for Home Discharge.
Article in HCA healthcare journal of medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Lower limb amputations significantly impair the mobility and activities of daily living (ADLs) and frequently require inpatient rehabilitation with opioid analgesics to control pain. Largescale studies of clinical characteristics specific to rehabilitation outcomes after lower limb amputations are limited in the current literature. Identifying the associations between specific clinical characteristics and opioid analgesic use with home versus non-home discharge can help improve care for patients undergoing inpatient rehabilitation after lower-limb amputations. Methods: In this retrospective study, we examined 1611 patients from 58 inpatient rehabilitation units who underwent transfemoral or transtibial amputations between January 2021 and December 2022, identified using International Classification of Diseases (ICD) codes. Multivariable logistic regression was used to identify patient characteristics, including opioid use, associated with home discharge after inpatient rehabilitation for lower-limb amputation. Results: There were 1124 (69.8%) patients with transtibial amputations and 487 (30.2%) patients with transfemoral amputations. When compared with transtibial amputees, opioids were used more frequently (86.5% vs 82.1%, Conclusion: Early identification of patients with clinical characteristics associated with a lower likelihood of returning home may facilitate the development of targeted rehabilitation strategies during inpatient rehabilitation.
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