| Predicting the use of prostheses by vascular amputees. | |
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MedLine Citation:
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PMID: 8896478 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate our accuracy in predicting the use of prostheses by patients undergoing major lower limb amputation. DESIGN: Prospective study, with multiple assessors, "blind" to the predictions made by each other. MATERIALS: Sixty-one patients (35 male: age 51-91, median 79) having their first major lower limb amputation. METHODS: Five members of the rehabilitation team (surgeon, specialist in prosthetics, nurse, physiotherapist and occupational therapist) each recorded predictions of prosthetic use and mobility before amputation and during the first 2 weeks thereafter. Patients were followed up 6-24 months later. RESULTS: At follow-up 17 patients had died. Of the remaining 44 (25 below-knee and 19 above-knee amputees), 23 of 27 (85%) who had been predicted as using prostheses were doing so, while only 11 of 17 (65%) had been correctly predicted as non-users. Nevertheless, only two of the patients not using prostheses contrary to prediction had ever had prostheses made for them, and both had developed problems with the other leg at a later date. Different members of the rehabilitation team were similar in their ability to predict outcome. CONCLUSIONS: Inappropriate fitting of prostheses can be kept to a minimum by a team approach to rehabilitation, but amputees may defy careful prediction by the development of new medical problems. |
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Authors:
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W B Campbell; B M Ridler |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery Volume: 12 ISSN: 1078-5884 ISO Abbreviation: Eur J Vasc Endovasc Surg Publication Date: 1996 Oct |
Date Detail:
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Created Date: 1996-12-04 Completed Date: 1996-12-04 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9512728 Medline TA: Eur J Vasc Endovasc Surg Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 342-5 Citation Subset: IM |
Affiliation:
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Department of Surgery, Royal Devon and Exeter Hospital, U.K. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Amputation / rehabilitation* Amputees Arterial Occlusive Diseases / surgery Artificial Limbs* Female Follow-Up Studies Forecasting Humans Knee / surgery Leg / blood supply, surgery* Locomotion Male Middle Aged Patient Care Team Prospective Studies Prosthesis Design Single-Blind Method Survival Rate Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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