Abstract
Objective: To describe the prevalence of comorbidity and its relationship with demographic and clinical characteristics in persons wearing a prosthesis after lower-limb amputation. Design: Cross-sectional study. Subjects/patients: Persons wearing a prosthesis after lower-limb amputation (n = 171; mean age 65 years (standard deviation 12); 72% men) at the end of outpatient rehabilitation treatment. Methods: Comorbidity was assessed with the Functional Comorbidity Index: a list of 18 items addressing the presence of specific comorbid conditions impacting on functional status. Comorbidities in medical records were assessed independently by 2 assessors. Associations with demographic and clinical characteristics were analysed using linear or logistic regression. Results: The median (interquartile range) number of comorbidities was 3 (2; 4). Three or more comorbidities were present in 103 of 171 (60%) participants. Diabetes was present in 71 (41%), cardiac disease in 60 (35%), and lumbago/degenerative disc disease in 39 (23%) participants. The prevalence of comorbidities was higher in women and those with vascular cause of amputation. Conclusion: There is a high prevalence of comorbidity at the end of outpatient rehabilitation treatment in persons wearing a prosthesis after a lower-limb amputation, especially in women and those with vascular cause of amputation.
Original language | English |
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Pages (from-to) | 629-635 |
Number of pages | 7 |
Journal | Journal of Rehabilitation Medicine |
Volume | 50 |
Issue number | 7 |
DOIs | |
Publication status | Published - 1 Jul 2018 |
Keywords
- amputation
- comorbidity
- prosthesis
- rehabilitation
- MEASURING ACTIVITY LIMITATIONS
- LOWER-EXTREMITY DISORDERS
- TEST-RETEST RELIABILITY
- CONSTRUCT-VALIDITY
- CLIMBING STAIRS
- HIERARCHICAL SCALE
- QUESTIONNAIRE
- HOME
- REHABILITATION
- AMPUTEES