PREVALENCE OF COMORBIDITY AND ITS ASSOCIATION WITH DEMOGRAPHIC AND CLINICAL CHARACTERISTICS IN PERSONS WEARING A PROSTHESIS AFTER A LOWER-LIMB AMPUTATION

Fred A. De Laat*, Pieter U. Dijkstra, Gerardus M. Rommers, Jan H. B. Geertzen, Leo D. Roorda

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

7 Citations (Web of Science)

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 languageEnglish
Pages (from-to)629-635
Number of pages7
JournalJournal of Rehabilitation Medicine
Volume50
Issue number7
DOIs
Publication statusPublished - 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

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