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Effects of prosthetic limb prescription on 3-year mortality among Veterans with lower-limb amputation.
- Source :
-
Journal of Rehabilitation Research & Development . 2015, Vol. 52 Issue 4, p385-396. 12p. 4 Charts. - Publication Year :
- 2015
-
Abstract
- Our objective was to determine the relationship between receipt of a prescription for a prosthetic limb and 3 yr mortality postsurgery among Veterans with lower-limb amputation (LLA). We conducted a retrospective observational study that included 4,578 Veterans hospitalized for LLA and discharged in fiscal years 2003 and 2004. The outcome was time to all-cause mortality from the amputation surgical date up to the 3 yr anniversary of the surgical date. Of the Veterans with LLA, 1,300 (28.4%) received a prescription for a prosthetic limb within 1 yr after the surgical amputation. About 46% (n = 2,086) died within 3 yr of the surgical anniversary. Among those who received a prescription for a prosthetic limb, only 25.2% died within 3 yr of the surgical anniversary. After adjustment, Veterans who received a prescription for a prosthetic limb were less likely to die after the surgery than Veterans without a prescription, with a hazard ratio of 0.68 (95% confidence interval: 0.60-0.77). Findings demonstrated that Veterans with LLA who received a prescription for a prosthetic limb within 1 yr after the surgical amputation were less likely to die within 3 yr of the surgical amputation after controlling for patient-, treatment-, and facility-level characteristics. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HIP surgery
*AMPUTEES
*ANALYSIS of covariance
*ARTIFICIAL limbs
*CHI-squared test
*COMPARATIVE studies
*CONFIDENCE intervals
*DATABASES
*HEALTH status indicators
*MEDICAL information storage & retrieval systems
*LEG
*LEG amputation
*LONGITUDINAL method
*VETERANS
*EVALUATION of medical care
*MORTALITY
*NOSOLOGY
*PROBABILITY theory
*REGRESSION analysis
*RESEARCH funding
*STATISTICAL hypothesis testing
*SURVIVAL analysis (Biometry)
*T-test (Statistics)
*THERAPEUTICS
*VETERANS' hospitals
*COMORBIDITY
*SOCIOECONOMIC factors
*RETROSPECTIVE studies
*DATA analysis software
*DESCRIPTIVE statistics
*DISARTICULATION
*REHABILITATION
Subjects
Details
- Language :
- English
- ISSN :
- 07487711
- Volume :
- 52
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Journal of Rehabilitation Research & Development
- Publication Type :
- Academic Journal
- Accession number :
- 109229165
- Full Text :
- https://doi.org/10.1682/JRRD.2014.09.0209