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A prospective study of short-term functional outcome after dysvascular major lower limb amputation
Danmark.
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).ORCID iD: 0000-0002-9608-336X
Danmark.
Lunds universitet.
2018 (English)In: International Journal of Orthopaedic and Trauma Nursing, ISSN 1878-1241, E-ISSN 1878-1292, Vol. 28, p. 22-29Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2018. Vol. 28, p. 22-29
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:kau:diva-66780DOI: 10.1016/j.ijotn.2017.08.001ISI: 000426345600005PubMedID: 28866377OAI: oai:DiVA.org:kau-66780DiVA, id: diva2:1192509
Available from: 2018-03-22 Created: 2018-03-22 Last updated: 2018-04-26Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
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  • modern-language-association-8th-edition
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  • Other style
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  • de-DE
  • en-GB
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  • fi-FI
  • nn-NO
  • nn-NB
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  • Other locale
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Output format
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