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  • Are people with lower limb amputation changing? A seven-year analysis of patient characteristics at admission to inpatient rehabilitation and at discharge

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    Batten222134-Accepted.pdf (294.7Kb)
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    Accepted Manuscript (AM)
    Author(s)
    Batten, Heather
    Kuys, Suzanne
    McPhail, Steven
    Varghese, Paulose
    Mandrusiak, Allison
    Griffith University Author(s)
    Batten, Heather
    Year published
    2018
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    Abstract
    Purpose: What are the characteristics of people with lower limb amputation at admission to, and discharge from, subacute rehabilitation? Have these characteristics changed over time? Methods: A total of 425 lower limb amputation inpatient rehabilitation admissions (335 individuals) from 2005 to 2011 were examined. Admission characteristics, including aetiology, gender, age, amputation level, cognition (Mini-Mental State Examination (MMSE)), indoor mobility aid, motor function (Functional Independence Measure motor subscale) and number and type of comorbidities, and discharge characteristics, including prosthetic prescription, ...
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    Purpose: What are the characteristics of people with lower limb amputation at admission to, and discharge from, subacute rehabilitation? Have these characteristics changed over time? Methods: A total of 425 lower limb amputation inpatient rehabilitation admissions (335 individuals) from 2005 to 2011 were examined. Admission characteristics, including aetiology, gender, age, amputation level, cognition (Mini-Mental State Examination (MMSE)), indoor mobility aid, motor function (Functional Independence Measure motor subscale) and number and type of comorbidities, and discharge characteristics, including prosthetic prescription, motor function, discharge mobility aid, and destination were compared by admission date and year. Results: Proportion of people with lower limb amputation with nonvascular aetiology increased over time (2004, 15% to 2011, 24%) (ß = −181.836, p < 0.001). Admission cognition increased over time (ß = 9.296, p < 0.001). Motor function worsened over time; median admission (IQR) Functional Independence Measure motor 70 (59–77) in 2005 to 67 (51.5–73.25) in 2011 (ß = −1.937, p < 0.001) and discharge from 81 in 2005 to 79 in 2011 (ß = −1.267, p < 0.001). Prosthetic prescription rates were highest in 2005 (68%) decreasing to 47% in 2010 (ß = −200.473, p < 0.001). Conclusions: Total numbers of people with lower limb amputation did not change over the seven-year study period. Changes were observed in aetiology, cognition and motor function. Prosthetic prescription rates decreased over time.
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    Journal Title
    Disability and Rehabilitation
    DOI
    https://doi.org/10.1080/09638288.2018.1492033
    Copyright Statement
    © 2018 Taylor & Francis. This is an Accepted Manuscript of an article published by Taylor & Francis in Disability and Rehabilitation on 05 Sep 2018, available online: https://doi.org/10.1080/09638288.2018.1492033
    Note
    This publication has been entered into Griffith Research Online as an Advanced Online Version
    Subject
    Medical and Health Sciences
    Publication URI
    http://hdl.handle.net/10072/387395
    Collection
    • Journal articles

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