| Determinants of skin problems of the stump in lower-limb amputees. | |
| | |
MedLine Citation:
|
PMID: 19154832 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To identify determinants of skin problems in lower-limb amputees. DESIGN: Survey, using a questionnaire. SETTING: Not applicable. PARTICIPANTS: Lower-limb amputees (N=2039) who either obtained their prosthesis through the Orthopedische Instrument Makerij (a group of orthopedic workshops in the Netherlands) or were a member of the (Dutch) National Society of Amputees (Landelijke Vereniging van Geamputeerden) were invited to participate. In total, 872 lower-limb amputees agreed to participate. INTERVENTION: Amputees filled in the questionnaire to assess characteristics of the amputation and prosthesis, level of activity, stump and prosthesis hygiene, and skin problems. Stepwise backward logistic regression was performed to analyze determinants of skin problems. MAIN OUTCOME MEASURE: Skin problems in the month prior to completing the questionnaire. RESULTS: A total of 816 questionnaires were received. Eventually 805 questionnaires were suitable for statistical analysis. Protective determinants were (in order of magnitude of association) older age, male sex, and amputation because of peripheral arterial disease and/or diabetes. Provocative determinants were (in order of magnitude of association) use of antibacterial soap, smoking, and washing the stump 4 times a week or more often. In total, 63% of the participants (95% confidence interval, 60%-67%) reported 1 or more skin problems. CONCLUSIONS: The provocative determinants identified in this study--use of antibacterial soap, smoking, and stump washing frequency--have to be studied for their clinical relevance. |
| | |
Authors:
|
Henk E Meulenbelt; Jan H Geertzen; Marcel F Jonkman; Pieter U Dijkstra |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Archives of physical medicine and rehabilitation Volume: 90 ISSN: 1532-821X ISO Abbreviation: Arch Phys Med Rehabil Publication Date: 2009 Jan |
Date Detail:
|
Created Date: 2009-01-21 Completed Date: 2009-02-05 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 2985158R Medline TA: Arch Phys Med Rehabil Country: United States |
Other Details:
|
Languages: eng Pagination: 74-81 Citation Subset: AIM; IM |
Affiliation:
|
Center for Rehabilitation, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. H.E.J.Meulenbelt@rev.umcg.nl |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Amputation Stumps / physiopathology* Amputees / rehabilitation* Artificial Limbs / adverse effects* Female Humans Logistic Models Lower Extremity Male Middle Aged Netherlands / epidemiology Questionnaires Skin Diseases / etiology*, prevention & control |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Functional overloading of dystrophic mice enhances muscle-derived stem cell contribution to muscle c...
Next Document: Diagnostic value of history taking and physical examination to assess effusion of the knee in trauma...