Rehabilitation of the geriatric vascular amputee patient: A population-based study
Fletcher DD, Andrews KL, Butters MA, Jacobsen SJ, Rowland CM, Hallett JW Jr. Rehabilitation of the geriatric vascular amputee patient: a population-based study. Arch Phys Med Rehabil 2001;82:776-9. Objectives: To determine the rate of successful prosthetic fitting in geriatric vascular amputees in t...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2001-06, Vol.82 (6), p.776-779 |
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| creator | Fletcher, Dade D. Andrews, Karen L. Butters, Matthew A. Jacobsen, Steven J. Rowland, Charles M. Hallett, John W. |
| description | Fletcher DD, Andrews KL, Butters MA, Jacobsen SJ, Rowland CM, Hallett JW Jr. Rehabilitation of the geriatric vascular amputee patient: a population-based study. Arch Phys Med Rehabil 2001;82:776-9. Objectives: To determine the rate of successful prosthetic fitting in geriatric vascular amputees in the community and to determine predictors of successful fit. Design: Epidemiologic survey. Setting: General community, Olmsted County, Minnesota. Patients: All Olmsted County residents more than 65 years old who had a major lower extremity amputation (below knee amputation [BKA] or higher) for peripheral vascular disease between 1974-1995, of whom 199 were identified. Median age at amputation was 79.7 years with a median survival of 1.5 years. Intervention: A retrospective chart review. Main Outcome Measure: Successful prosthetic fit. Results: Amputation levels were: 64% BKA, 4.5% knee disarticulation, 31% above knee amputation (AKA), and 0.5% hip disarticulation. Only 36% of the population was successfully fitted, compared with 74% of patients referred to the Amputee Clinic. Major reasons for not being fitted included death, reamputation, cerebrovascular disease, and cognitive deficits. Increased age (p |
| doi_str_mv | 10.1053/apmr.2001.21856 |
| format | Article |
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Arch Phys Med Rehabil 2001;82:776-9. Objectives: To determine the rate of successful prosthetic fitting in geriatric vascular amputees in the community and to determine predictors of successful fit. Design: Epidemiologic survey. Setting: General community, Olmsted County, Minnesota. Patients: All Olmsted County residents more than 65 years old who had a major lower extremity amputation (below knee amputation [BKA] or higher) for peripheral vascular disease between 1974-1995, of whom 199 were identified. Median age at amputation was 79.7 years with a median survival of 1.5 years. Intervention: A retrospective chart review. Main Outcome Measure: Successful prosthetic fit. Results: Amputation levels were: 64% BKA, 4.5% knee disarticulation, 31% above knee amputation (AKA), and 0.5% hip disarticulation. Only 36% of the population was successfully fitted, compared with 74% of patients referred to the Amputee Clinic. Major reasons for not being fitted included death, reamputation, cerebrovascular disease, and cognitive deficits. Increased age (p <.001), cerebrovascular disease (p <.001), dementia (p =.002), and AKA (p <.001) were associated with failure to fit. Conclusion: The high probability of successful prosthetic fitting reported among referral practices cannot be generalized to unselected elderly individuals. However, selected individuals can successfully be fitted with a prosthesis; knowledge of predictors of prosthetic fitting may facilitate setting of realistic goals during presurgical counseling in this age group.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1053/apmr.2001.21856</identifier><identifier>PMID: 11387582</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Age Factors ; Aged ; Aged, 80 and over ; Amputation - rehabilitation ; Amputees ; Artificial Limbs ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Female ; Geriatrics ; Humans ; Leg ; Male ; Medical sciences ; Minnesota ; Multivariate Analysis ; Odds Ratio ; Prostheses and implants ; Rehabilitation ; Retrospective Studies ; Statistics, Nonparametric ; Treatment Outcome ; Vascular Diseases - surgery</subject><ispartof>Archives of physical medicine and rehabilitation, 2001-06, Vol.82 (6), p.776-779</ispartof><rights>2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c403t-f2767ee8dfe49a93477f19769d2e5f57013e4e3400811badf624c309da8a77193</citedby><cites>FETCH-LOGICAL-c403t-f2767ee8dfe49a93477f19769d2e5f57013e4e3400811badf624c309da8a77193</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0003999301920660$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1072591$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11387582$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fletcher, Dade D.</creatorcontrib><creatorcontrib>Andrews, Karen L.</creatorcontrib><creatorcontrib>Butters, Matthew A.</creatorcontrib><creatorcontrib>Jacobsen, Steven J.</creatorcontrib><creatorcontrib>Rowland, Charles M.</creatorcontrib><creatorcontrib>Hallett, John W.</creatorcontrib><title>Rehabilitation of the geriatric vascular amputee patient: A population-based study</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Fletcher DD, Andrews KL, Butters MA, Jacobsen SJ, Rowland CM, Hallett JW Jr. Rehabilitation of the geriatric vascular amputee patient: a population-based study. Arch Phys Med Rehabil 2001;82:776-9. Objectives: To determine the rate of successful prosthetic fitting in geriatric vascular amputees in the community and to determine predictors of successful fit. Design: Epidemiologic survey. Setting: General community, Olmsted County, Minnesota. Patients: All Olmsted County residents more than 65 years old who had a major lower extremity amputation (below knee amputation [BKA] or higher) for peripheral vascular disease between 1974-1995, of whom 199 were identified. Median age at amputation was 79.7 years with a median survival of 1.5 years. Intervention: A retrospective chart review. Main Outcome Measure: Successful prosthetic fit. Results: Amputation levels were: 64% BKA, 4.5% knee disarticulation, 31% above knee amputation (AKA), and 0.5% hip disarticulation. Only 36% of the population was successfully fitted, compared with 74% of patients referred to the Amputee Clinic. Major reasons for not being fitted included death, reamputation, cerebrovascular disease, and cognitive deficits. Increased age (p <.001), cerebrovascular disease (p <.001), dementia (p =.002), and AKA (p <.001) were associated with failure to fit. Conclusion: The high probability of successful prosthetic fitting reported among referral practices cannot be generalized to unselected elderly individuals. However, selected individuals can successfully be fitted with a prosthesis; knowledge of predictors of prosthetic fitting may facilitate setting of realistic goals during presurgical counseling in this age group.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Amputation - rehabilitation</subject><subject>Amputees</subject><subject>Artificial Limbs</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Female</subject><subject>Geriatrics</subject><subject>Humans</subject><subject>Leg</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Minnesota</subject><subject>Multivariate Analysis</subject><subject>Odds Ratio</subject><subject>Prostheses and implants</subject><subject>Rehabilitation</subject><subject>Retrospective Studies</subject><subject>Statistics, Nonparametric</subject><subject>Treatment Outcome</subject><subject>Vascular Diseases - surgery</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMFrFTEQh4Mo9vn07E1yEG_7mkl2N4m3UqwKhUJR8BbykomN7L5dk2yh_32zfQ_0Ip6GYb75zfAR8hbYDlgnzu08ph1nDHYcVNc_IxvoBG8Uhx_PyYYxJhqttTgjr3L-Vdu-E_CSnAEIJTvFN-T2Fu_sPg6x2BKnA50CLXdIf2KKtqTo6L3Nbhlsonacl4JI5wrioXykF3Se5jpa95q9zehpLot_eE1eBDtkfHOqW_L96tO3yy_N9c3nr5cX141rmShN4LKXiMoHbLXVopUygJa99hy70EkGAlsULWMKYG996HnrBNPeKislaLElH465c5p-L5iLGWN2OAz2gNOSjWRKagXqvyCoeoRXJ1tyfgRdmnJOGMyc4mjTgwFmVt9m9W1W3-bJd914d4pe9iP6P_xJcAXen4Dq0Q4h2YOL-a9cyTu9XtZHDKuw-4jJZFctO_QxoSvGT_GfPzwCqe2b1g</recordid><startdate>20010601</startdate><enddate>20010601</enddate><creator>Fletcher, Dade D.</creator><creator>Andrews, Karen L.</creator><creator>Butters, Matthew A.</creator><creator>Jacobsen, Steven J.</creator><creator>Rowland, Charles M.</creator><creator>Hallett, John W.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7X8</scope></search><sort><creationdate>20010601</creationdate><title>Rehabilitation of the geriatric vascular amputee patient: A population-based study</title><author>Fletcher, Dade D. ; Andrews, Karen L. ; Butters, Matthew A. ; Jacobsen, Steven J. ; Rowland, Charles M. ; Hallett, John W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c403t-f2767ee8dfe49a93477f19769d2e5f57013e4e3400811badf624c309da8a77193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Amputation - rehabilitation</topic><topic>Amputees</topic><topic>Artificial Limbs</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Female</topic><topic>Geriatrics</topic><topic>Humans</topic><topic>Leg</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Minnesota</topic><topic>Multivariate Analysis</topic><topic>Odds Ratio</topic><topic>Prostheses and implants</topic><topic>Rehabilitation</topic><topic>Retrospective Studies</topic><topic>Statistics, Nonparametric</topic><topic>Treatment Outcome</topic><topic>Vascular Diseases - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fletcher, Dade D.</creatorcontrib><creatorcontrib>Andrews, Karen L.</creatorcontrib><creatorcontrib>Butters, Matthew A.</creatorcontrib><creatorcontrib>Jacobsen, Steven J.</creatorcontrib><creatorcontrib>Rowland, Charles M.</creatorcontrib><creatorcontrib>Hallett, John W.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fletcher, Dade D.</au><au>Andrews, Karen L.</au><au>Butters, Matthew A.</au><au>Jacobsen, Steven J.</au><au>Rowland, Charles M.</au><au>Hallett, John W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rehabilitation of the geriatric vascular amputee patient: A population-based study</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2001-06-01</date><risdate>2001</risdate><volume>82</volume><issue>6</issue><spage>776</spage><epage>779</epage><pages>776-779</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Fletcher DD, Andrews KL, Butters MA, Jacobsen SJ, Rowland CM, Hallett JW Jr. Rehabilitation of the geriatric vascular amputee patient: a population-based study. Arch Phys Med Rehabil 2001;82:776-9. Objectives: To determine the rate of successful prosthetic fitting in geriatric vascular amputees in the community and to determine predictors of successful fit. Design: Epidemiologic survey. Setting: General community, Olmsted County, Minnesota. Patients: All Olmsted County residents more than 65 years old who had a major lower extremity amputation (below knee amputation [BKA] or higher) for peripheral vascular disease between 1974-1995, of whom 199 were identified. Median age at amputation was 79.7 years with a median survival of 1.5 years. Intervention: A retrospective chart review. Main Outcome Measure: Successful prosthetic fit. Results: Amputation levels were: 64% BKA, 4.5% knee disarticulation, 31% above knee amputation (AKA), and 0.5% hip disarticulation. Only 36% of the population was successfully fitted, compared with 74% of patients referred to the Amputee Clinic. Major reasons for not being fitted included death, reamputation, cerebrovascular disease, and cognitive deficits. Increased age (p <.001), cerebrovascular disease (p <.001), dementia (p =.002), and AKA (p <.001) were associated with failure to fit. Conclusion: The high probability of successful prosthetic fitting reported among referral practices cannot be generalized to unselected elderly individuals. However, selected individuals can successfully be fitted with a prosthesis; knowledge of predictors of prosthetic fitting may facilitate setting of realistic goals during presurgical counseling in this age group.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>11387582</pmid><doi>10.1053/apmr.2001.21856</doi><tpages>4</tpages></addata></record> |
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| subjects | Age Factors Aged Aged, 80 and over Amputation - rehabilitation Amputees Artificial Limbs Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Female Geriatrics Humans Leg Male Medical sciences Minnesota Multivariate Analysis Odds Ratio Prostheses and implants Rehabilitation Retrospective Studies Statistics, Nonparametric Treatment Outcome Vascular Diseases - surgery |
| title | Rehabilitation of the geriatric vascular amputee patient: A population-based study |
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