Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Rehabilitation Outcomes After Inpatient Rehabilitation for Lower Extremity Amputations in Patients With Diabetes (2016) |
Auteurs : | Kavita Venkataraman ; Ngan Phoon Fong ; Kin Ming Chan |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2016/9, 2016) |
Article en page(s) : | pp. 14731480 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Amputation ; Diabète ; Évaluation de résultat (soins) ; Rééducation et réadaptation |
Mots-clés: | Amputation chirurgicale ; Diabetes mellitus ; Outcome assessment (health care) |
Résumé : |
Objective To identify factors associated with functional gain, discharge destination, and long-term survival after inpatient rehabilitation in patients with lower extremity amputation and diabetes. Design Retrospective medical records review. Setting All community hospitals. Participants Patients with diabetes (N=256) admitted for inpatient rehabilitation after lower extremity amputation. Interventions Not applicable. Main Outcomes Measures Absolute functional gain (AFG) using the Shah-modified Barthel Index, discharge destination, and long-term survival for each patient. Results Length of stay (B=.15; 95% confidence interval [CI], .08.21; P<.001 and admission functional status ci to p=".032)" were significantly associated with afg. availability of caregiver domestic worker: odds ratio child: or spouse: vs none charlson comorbidity index younger age .96 .93 being discharged home. .98 .97 afg .99 hr .42 .24 ischemic heart disease discharge destination home: ethnicity chinese: .37 .16 predicted survival postamputation.> Conclusions Admission functional status predicted both functional gain during rehabilitation and survival in these patients. We also found ethnic differences in outcomes, with Malays having better survival after amputation. Lastly, there appears to be greater reliance on foreign domestic workers as caregivers, with patients with foreign domestic workers as their primary caregiver having the highest odds of being discharged home. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999316301459 |