Document Detail


Influencing factors of outcome after lower-limb amputation: a five-year review in a plastic surgical department.
MedLine Citation:
PMID:  18724135     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The crude major lower limb amputation procedure rate is 8.8 per 100,000 of the population per year in Taiwan. From January 2002 to October 2006, patients that received major lower limb amputation in our department were enrolled in this study. Retrospective chart reviews concerning different factors that can affect the eventual postoperative functional status were investigated. Factors that affected the length of hospital stay included duration before amputation (P < 0.001) and renal function (P = 0.045). Phantom limb pain was affected by wound healing time (P = 0.006). Factors that affected the daily prosthesis usage time were initial infection status (P = 0.021), renal function (P = 0.01), patient educational level (P = 0.016), and pretraining waiting time (P = 0.003). The duration of prosthetic training was affected by patient educational level (P = 0.004) and marital status (P = 0.024). In addition, subjective satisfaction about the usage of prosthesis was affected by pretraining waiting time (P = 0.001) and daily prosthesis usage time (P < 0.001). The daily prosthesis usage time was closely related to life quality improvement (P < 0.001) and subjective satisfaction of prosthesis usage (P < 0.001). Despite reported unchangeable factors like age, end-stage renal disease, dementia, coronary artery disease, and level of amputation, preprosthesis training waiting time significantly affected the satisfaction and daily usage time of the prosthesis. Surgeons can make some contribution to accelerate amputation wound healing and stump maturation by choosing the correct operating procedure, delicately managing the soft tissue, and ascertaining proper wound care to improve the outcome.
Authors:
Meng-Chum Chen; Su-Shin Lee; Ya-Lun Hsieh; Shu-Jung Wu; Chung-Sheng Lai; Sin-Daw Lin
Related Documents :
21343715 - Resolution of severe suicidality with a single electroconvulsive therapy.
15266195 - School-based prevention of depressive symptoms in adolescents: a 6-month follow-up.
16774095 - Does clinic-measured gait speed differ from gait speed measured in the community in peo...
20949845 - Effect of a storyboarding technique on selected measures of fitness among university em...
23439765 - Psychiatric morbidity in patients with transverse myelitis and stroke: a comparison.
19434385 - Patient-reported most bothersome symptoms in oab: post hoc analysis of data from a larg...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of plastic surgery     Volume:  61     ISSN:  1536-3708     ISO Abbreviation:  Ann Plast Surg     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-08-25     Completed Date:  2008-10-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  314-8     Citation Subset:  IM    
Affiliation:
Department of Nursing, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Amputation / rehabilitation*,  statistics & numerical data*
Amputation Stumps / surgery
Artificial Limbs / utilization*
Debridement
Diabetic Foot / surgery
Family
Female
Humans
Leg / surgery
Length of Stay
Male
Marital Status
Middle Aged
Patient Education as Topic
Patient Satisfaction
Phantom Limb / epidemiology,  rehabilitation
Retrospective Studies
Social Support
Thrombophlebitis / surgery
Treatment Outcome
Wound Healing

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  A study of the effect of sartorius transposition on lymph flow after ilioinguinal node dissection.
Next Document:  Are reverse flow fasciocutaneous flaps an appropriate option for the reconstruction of severe postbu...