| 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
:
|
20443135 - Biofeedback of heart rate variability and related physiology: a critical review. 12559445 - Learning curves and impact of previous operative experience on performance on a virtual... 8543715 - Eye movement desensitization and reprocessing (emdr) treatment for psychologically trau... 8942455 - Two-year outcome of social skills training and group psychotherapy for outpatients with... 21567655 - A randomized controlled trial of mindfulness-based cognitive therapy for treating tinni... 21709745 - The prevalence and clinical significance of inhalant withdrawal symptoms among a nation... |
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...