Journal of Rehabilitation Research & Development (JRRD)

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Revisiting risks associated with mortality following initial transtibial or transfemoral amputation

Barbara E. Bates, MD, MBA, et al.

This study’s objective was to determine how treatment-, environmental-, and facility-level characteristics contribute to mortality prediction following a lowerlimb amputation. It included 4,153 Veterans who underwent an amputation in Department of Veterans Affairs facilities during fiscal years 2003 and 2004. Older age, higher amputation level, and more comorbidities increased the risk of mortality. Patients hospitalized in the Midwest were less likely to die early after discharge than those in the Mountain Pacific region, but the difference became insignificant by 90 days. Improving a mortality risk model will be helpful to clinicians caring for Veterans. Adding treatment-, environmental-, and facility-level characteristics contributed additional information to a mortality risk model.

Volume 49 Number 9, 2012
   Pages 1479 — 1492


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