Journal of Rehabilitation Research & Development (JRRD)

Quick Links

  • Health Programs
  • Protect your health
  • Learn more: A-Z Health
Veterans Crisis Line Badge
 

Volume 52 Number 4, 2015
   Pages 385 — 396

Abstract — Effects of prosthetic limb prescription on 3-year mortality among Veterans with lower-limb amputation

Jibby E. Kurichi, MPH;1* Pui Kwong, MPH;1 W. Bruce Vogel, PhD;2–3 Dawei Xie, PhD;1 Diane Cowper Ripley, PhD;3–4 Barbara E. Bates, MD5

1Center for Clinical Epidemiology and Biostatistics, School of Medicine, University of Pennsylvania, Philadelphia, PA; 2North Florida/South Georgia Veterans Health System (NF/SG VHS), Gainesville, FL; 3Department of Health Outcomes and Policy, College of Medicine, University of Florida, Gainesville, FL; 4Department of Veterans Affairs (VA) Health Services Research and Development/Center of Innovation on Disability and Rehabilitation Research, NF/SG VHS, Gainesville, FL; 5Samuel S. Stratton VA Medical Center, Albany, NY; and Department of Physical Medicine and Rehabilitation, Albany Medical College, Albany, NY

Abstract — Our objective was to determine the relationship between receipt of a prescription for a prosthetic limb and 3 yr mortality postsurgery among Veterans with lower-limb amputation (LLA). We conducted a retrospective observational study that included 4,578 Veterans hospitalized for LLA and discharged in fiscal years 2003 and 2004. The outcome was time to all-cause mortality from the amputation surgical date up to the 3 yr anniversary of the surgical date. Of the Veterans with LLA, 1,300 (28.4%) received a prescription for a prosthetic limb within 1 yr after the surgical amputation. About 46% (n = 2,086) died within 3 yr of the surgical anniversary. Among those who received a prescription for a prosthetic limb, only 25.2% died within 3 yr of the surgical anniversary. After adjustment, Veterans who received a prescription for a prosthetic limb were less likely to die after the surgery than Veterans without a prescription, with a hazard ratio of 0.68 (95% confidence interval: 0.60–0.77). Findings demonstrated that Veterans with LLA who received a prescription for a prosthetic limb within 1 yr after the surgical amputation were less likely to die within 3 yr of the surgical amputation after controlling for patient-, treatment-, and facility-level characteristics.

Key words: amputation, lower-limb amputation, methods, mortality, outcomes, prosthesis, prosthetic limb, retrospective studies, time-dependent covariate, Veterans.


View HTML ¦ View PDF ¦ Contents Vol. 52, No.4

Go to TOP

Last Reviewed or Updated  Tuesday, August 18, 2015 9:46 AM

Valid HTML 4.01 Transitional