Document Detail

Preoperative characteristics and functional outcomes of lower limb amputees treated at Southern Alvsborg Hospital, Sweden.
MedLine Citation:
PMID:  23282296     Owner:  NLM     Status:  Publisher    
Background:Within the prosthetics profession, there is a lack of evidence to support many clinical practices. It is therefore important that clinicians systematically document and evaluate their daily practices.Objectives:To record preoperative characteristics and functional outcomes for patients with a lower limb amputation and to investigate variations between prosthetic users and non-prosthetic users.Study Design:Prospective cohort study.Methods:A total of 23 patients (mean age = 80 years, standard deviation = 7.3) who underwent a major lower limb amputation were assessed within 2 weeks of admission and 6 months post-operatively. Locomotor Capabilities Index-5, the Timed-Up-and-Go Test and prosthetic use were used to evaluate functional outcomes.Results:A total of 13 participants (57%) received a prosthesis within 6 months of amputation. Mean time to prosthetic fitting was 48 days (range = 28-97). No statistically significant difference was found between prosthetic users and non-prosthetic users regarding age, time to rehabilitation and Locomotor Capabilities Index-5 (p > 0.05). Locomotor Capabilities Index-5 basic was significantly lower at 6 months than prior to amputation (p = 0.039).Conclusion:The functional outcome at 6 months indicates a sizable restriction in mobility among lower limb amputees. No variation in preoperative characteristics between prosthetic users and non-prosthetic users could be confirmed in this study.Clinical relevanceThis study highlights the need for prosthetists to better incorporate research findings into their daily practice and presents an example of how to implement a procedure for assessment and documentation of patients' functional outcomes in a clinical setting. Results confirm difficulties in identifying amputees who will become prosthetic users based on preoperative characteristics.
Maria Glemne; Nerrolyn Ramstrand; Jessica Crafoord; Linus Nygren
Related Documents :
10463466 - Phospholipase a2 in serum and colonic mucosa in ulcerative colitis.
28166 - Prediction of wound sepsis following gastric operations.
17635376 - A retrospective analysis of the efficacy and safety of infliximab as rescue therapy in ...
19861786 - Predictive factors for failure of endoscopic management therapy in peptic ulcer bleeding.
15679506 - Antiepileptic drug withdrawal after successful surgery for intractable temporal lobe ep...
24687656 - Outcomes of surgery for chronic exertional compartment syndrome in a military population.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-2
Journal Detail:
Title:  Prosthetics and orthotics international     Volume:  -     ISSN:  1746-1553     ISO Abbreviation:  Prosthet Orthot Int     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7707720     Medline TA:  Prosthet Orthot Int     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
1Ortopedteknik, Southern Älvsborg Hospital, Borås, Sweden.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Prolonged Pain Research in Mice: Trends in Reference to the 3Rs.
Next Document:  Smoking habits in patients with ulcerative colitis: evaluation of retrospective questionnaires.