Clinical StudiesInstitutionalization Following Diabetes-Related Lower Extremity Amputation
Section snippets
Materials and Methods
We abstracted the medical records for each hospitalization for a lower extremity amputation from January 1 to December 31, 1993, in six metropolitan statistical areas (MSAs) in South Texas: San Antonio, Corpus Christi, Brownsville, McAllen, Laredo, and Victoria. Each hospital in the study areas, including military and Veterans Administration Hospital facilities, provided a list of patients that had amputations in 1993. We also abstracted medical records at the nearest state hospital facility,
Results
A total of 1,043 diabetic persons, 616 male and 427 female, with a mean age of 64.8 ± 12.5 years, underwent a lower extremity amputation in 1993. Of these amputations, 45.7% were performed at the level of the foot, 32.3% at the level of the leg, and 22.0% at thigh level. Of foot level amputations, 84.5% were digital or ray amputations, 15.1% were at the transmetatarsal level, and 0.4% were performed proximal to the transmetatarsal level but distal to the ankle.
Of all amputees, 1,019 (97.3%)
Discussion
The results of this study suggest that the vast majority of patients that were institutionalized following lower extremity amputation were living at home prior to amputation. Patients discharged to nursing homes were more likely to be single, elderly females with high level amputations and advanced cerebrovascular disease and locomotor impairment. Patients who were discharged to a rehabilitation facility were more likely to be male high-level amputees with advanced peripheral vascular disease
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Diabetic Foot Disease
2022, Foot and Ankle BiomechanicsThe impact of gender on diabetes-related lower extremity amputations: An Italian regional analysis on trends and predictors
2021, Foot and Ankle SurgeryCitation Excerpt :Hence, more data are needed. Moreover, several studies [22–24] have demonstrated that women report higher mortality rates associated with foot ulcerations and diabetes-related LEAs, although the underlying reasons are limited and not entirely conclusive. As a result, it is likely that gender-specific factors influence the development of diabetes complications, leading to gender-specific characteristics of diabetes.
The Importance of Foot Care in Older People With Diabetes
2013, Journal of the American Medical Directors AssociationDeterminants of postacute care discharge destination after dysvascular lower limb amputation
2011, PM and RCitation Excerpt :IRFs provide the greatest intensity of rehabilitation services, with a mandated 3 hours of therapy per day, and reflect the most coordinated rehabilitation care for a patient. Level of amputation (which is directly correlated with energy expenditure required for ambulation), level of function, and medical instability or deconditioning all can affect the level of therapy that can be tolerated [32]. Despite the effects of these factors, discharge to IRFs should still be considered because it may provide a greater recovery of mobility and self-care functioning after amputation.
Discharge Disposition After Limb Amputation in a Publicly Funded Health Care System
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