Prognostic factors in rehabilitation of above knee amputees for vascular diseases

Marco Traballesi, Stefano Brunelli, Luca Pratesi, Marco Pulcini, Claudio Angioni, Stefano Paolucci

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Purpose: This study was undertaken to predict rehabilitation potential and prognostic factors of patients undergoing above knee amputation for vascular diseases. Method: In a prospective study on 144 patients consecutively admitted to our rehabilitation unit for above knee amputation, multiple regression analyses were used to assess the relationship between nine independent variables and a battery of outcome measures: the Rivermead Mobility Index (RMI) and Barthel Index (BI) effectiveness on discharge, length of hospital stay. Two multiple logistic regressions were performed, using as dependent variable the occurrence of good or partial autonomy in mobility, quantified as RMI scores. Results: Advanced age was the most powerful prognostic factor influencing effectiveness expressed as both mobility (RMI) and BI. Patients aged <65 years had a greater probability (odds ratio 2.92) of good autonomy in mobility than older patients. The absence of vascular impairment of the residual limb and timely admission to the rehabilitation hospital correlated positively with effectiveness of mobility. Conclusions: These findings indicate that relevant prognostic factors can be identified at the beginning of rehabilitation treatment.

Original languageEnglish
Pages (from-to)380-384
Number of pages5
JournalDisability and Rehabilitation
Volume20
Issue number10
Publication statusPublished - Oct 1998

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Amputees
Vascular Diseases
Knee
Rehabilitation
Amputation
Length of Stay
Blood Vessels
Extremities
Logistic Models
Odds Ratio
Regression Analysis
Outcome Assessment (Health Care)
Prospective Studies
Therapeutics

Keywords

  • Amputation
  • Vascular disease

ASJC Scopus subject areas

  • Rehabilitation
  • Health Professions(all)

Cite this

Prognostic factors in rehabilitation of above knee amputees for vascular diseases. / Traballesi, Marco; Brunelli, Stefano; Pratesi, Luca; Pulcini, Marco; Angioni, Claudio; Paolucci, Stefano.

In: Disability and Rehabilitation, Vol. 20, No. 10, 10.1998, p. 380-384.

Research output: Contribution to journalArticle

Traballesi, Marco ; Brunelli, Stefano ; Pratesi, Luca ; Pulcini, Marco ; Angioni, Claudio ; Paolucci, Stefano. / Prognostic factors in rehabilitation of above knee amputees for vascular diseases. In: Disability and Rehabilitation. 1998 ; Vol. 20, No. 10. pp. 380-384.
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