Advanced

A prospective study of short-term functional outcome after dysvascular major lower limb amputation

Madsen, Ulla Riis LU ; Bååth, Carina; Berthelsen, Connie Bøttcher and Hommel, Ami (2017) In International Journal of Orthopaedic and Trauma Nursing
Abstract

This study investigates functional status on Day 21 after dysvascular major lower limb amputation compared with one month pre-amputation and evaluates factors potentially influencing outcome. Methods: A prospective cohort study design was used. Data were collected via in-person interviews using structured instruments and covered functional level (Barthel index 100) one month pre-amputation and on Day 21. Out of a consecutive sample of patients having major lower limb amputation (tibia, knee or femoral) (n = 105), 51 participated on Day 21 follow-up. Clinical, demographic, body function and environmental data were analysed as factors potentially influencing outcome. Results: From pre-amputation to Day 21, participants' functional level... (More)

This study investigates functional status on Day 21 after dysvascular major lower limb amputation compared with one month pre-amputation and evaluates factors potentially influencing outcome. Methods: A prospective cohort study design was used. Data were collected via in-person interviews using structured instruments and covered functional level (Barthel index 100) one month pre-amputation and on Day 21. Out of a consecutive sample of patients having major lower limb amputation (tibia, knee or femoral) (n = 105), 51 participated on Day 21 follow-up. Clinical, demographic, body function and environmental data were analysed as factors potentially influencing outcome. Results: From pre-amputation to Day 21, participants' functional level decreased significantly in all ten activities of daily living activities as measured by the Barthel Index.Almost 60% of participants were independent in bed-chair transfer on Day 21. Being independent in transfer on Day 21 was positively associated with younger age and attending physiotherapy after discharge. Conclusions: The findings indicate that short-term functional outcome is modifiable by quality of the postoperative care provided and thus highlights the need for increased focus on postoperative care to maintain basic function as well as establish and provide everyday rehabilitation in the general population of patients who have dysvascular lower limb amputations.

(Less)
Please use this url to cite or link to this publication:
author
publishing date
type
Contribution to journal
publication status
in press
subject
in
International Journal of Orthopaedic and Trauma Nursing
publisher
Elsevier
external identifiers
  • scopus:85028505288
ISSN
1878-1241
DOI
10.1016/j.ijotn.2017.08.001
language
English
LU publication?
no
id
63ed0309-388f-4257-b7a7-d02d636ab746
date added to LUP
2017-10-10 14:43:29
date last changed
2018-01-07 12:21:56
@article{63ed0309-388f-4257-b7a7-d02d636ab746,
  abstract     = {<p>This study investigates functional status on Day 21 after dysvascular major lower limb amputation compared with one month pre-amputation and evaluates factors potentially influencing outcome. Methods: A prospective cohort study design was used. Data were collected via in-person interviews using structured instruments and covered functional level (Barthel index 100) one month pre-amputation and on Day 21. Out of a consecutive sample of patients having major lower limb amputation (tibia, knee or femoral) (n = 105), 51 participated on Day 21 follow-up. Clinical, demographic, body function and environmental data were analysed as factors potentially influencing outcome. Results: From pre-amputation to Day 21, participants' functional level decreased significantly in all ten activities of daily living activities as measured by the Barthel Index.Almost 60% of participants were independent in bed-chair transfer on Day 21. Being independent in transfer on Day 21 was positively associated with younger age and attending physiotherapy after discharge. Conclusions: The findings indicate that short-term functional outcome is modifiable by quality of the postoperative care provided and thus highlights the need for increased focus on postoperative care to maintain basic function as well as establish and provide everyday rehabilitation in the general population of patients who have dysvascular lower limb amputations.</p>},
  author       = {Madsen, Ulla Riis and Bååth, Carina and Berthelsen, Connie Bøttcher and Hommel, Ami},
  issn         = {1878-1241},
  language     = {eng},
  publisher    = {Elsevier},
  series       = {International Journal of Orthopaedic and Trauma Nursing},
  title        = {A prospective study of short-term functional outcome after dysvascular major lower limb amputation},
  url          = {http://dx.doi.org/10.1016/j.ijotn.2017.08.001},
  year         = {2017},
}