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Lower-limb amputee rehabilitation in Australia: analysis of a national data set 2004-10

Journal Article


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Abstract


  • Objective. Examine demographics, clinical characteristics and rehabilitation outcomes of lower-limb amputees, using

    the Australasian Rehabilitation Outcomes Centre (AROC) database.

    Methods. Lower-limb amputee rehabilitation separations between 2004 and 2010 were identified using AROC

    impairment codes 5.3–5.7.1 Analysis was conducted by year, impairment code, Australian National Sub-acute and

    Non-Acute Patient (AN-SNAP) classification (S2–224, Functional Independence Measure (FIM) motor(Mot) score

    72–91; S2–225, FIM (Mot) score 14–71) and states of Australia.

    Results. Mean length of stay (LOS) for all lower-limb amputee episodes was 36.1 days (95% confidence interval (CI):

    35.4–36.9). Majority of episodes were unilateral below knee (63.6%), males (71.8%) with a mean age of 67.9 years (95% CI:

    67.6–68.3). Year-on-year analysis revealed a trend for increasing LOS and decreasing age. Analysis by impairment code

    demonstrated no significant difference in rehabilitation outcomes. Analysis by AN-SNAP found that LOS was 16.2 days

    longer for S2–225 than for S2–224 (95% CI: 14.7–17.8,P < 0.001), andFIM(Mot) change was 12.0 points higher for S2–225

    than for S2–224 (95% CI: 11.5–12.6, P < 0.001). Analysis by states revealed significant variation in LOS, FIM (Mot) change

    and FIM (Mot) efficiency which may be associated with variations in organisation of rehabilitation services across states.

    Conclusion. Although amputees represented a comparatively small proportion of all rehabilitation episodes in

    Australia, their LOS was significant. Unlike many other rehabilitation conditions, there was no evidence of decreasing

    LOS over time. AN-SNAP classes were effective in distinguishing rehabilitation outcomes, and could potentially be used

    more effectively in planning rehabilitation programs.

Publication Date


  • 2013

Citation


  • B. G. Hordacre, T. Stevermuer, F. Simmonds, M. Crotty & K. Eagar, "Lower-limb amputee rehabilitation in Australia: analysis of a national data set 2004-10", Australian Health Review 37 1 (2013) 41-47.

Scopus Eid


  • 2-s2.0-84874255225

Ro Full-text Url


  • http://ro.uow.edu.au/cgi/viewcontent.cgi?article=1196&context=ahsri

Ro Metadata Url


  • http://ro.uow.edu.au/ahsri/190

Has Global Citation Frequency


Number Of Pages


  • 6

Start Page


  • 41

End Page


  • 47

Volume


  • 37

Issue


  • 1

Place Of Publication


  • Australia

Abstract


  • Objective. Examine demographics, clinical characteristics and rehabilitation outcomes of lower-limb amputees, using

    the Australasian Rehabilitation Outcomes Centre (AROC) database.

    Methods. Lower-limb amputee rehabilitation separations between 2004 and 2010 were identified using AROC

    impairment codes 5.3–5.7.1 Analysis was conducted by year, impairment code, Australian National Sub-acute and

    Non-Acute Patient (AN-SNAP) classification (S2–224, Functional Independence Measure (FIM) motor(Mot) score

    72–91; S2–225, FIM (Mot) score 14–71) and states of Australia.

    Results. Mean length of stay (LOS) for all lower-limb amputee episodes was 36.1 days (95% confidence interval (CI):

    35.4–36.9). Majority of episodes were unilateral below knee (63.6%), males (71.8%) with a mean age of 67.9 years (95% CI:

    67.6–68.3). Year-on-year analysis revealed a trend for increasing LOS and decreasing age. Analysis by impairment code

    demonstrated no significant difference in rehabilitation outcomes. Analysis by AN-SNAP found that LOS was 16.2 days

    longer for S2–225 than for S2–224 (95% CI: 14.7–17.8,P < 0.001), andFIM(Mot) change was 12.0 points higher for S2–225

    than for S2–224 (95% CI: 11.5–12.6, P < 0.001). Analysis by states revealed significant variation in LOS, FIM (Mot) change

    and FIM (Mot) efficiency which may be associated with variations in organisation of rehabilitation services across states.

    Conclusion. Although amputees represented a comparatively small proportion of all rehabilitation episodes in

    Australia, their LOS was significant. Unlike many other rehabilitation conditions, there was no evidence of decreasing

    LOS over time. AN-SNAP classes were effective in distinguishing rehabilitation outcomes, and could potentially be used

    more effectively in planning rehabilitation programs.

Publication Date


  • 2013

Citation


  • B. G. Hordacre, T. Stevermuer, F. Simmonds, M. Crotty & K. Eagar, "Lower-limb amputee rehabilitation in Australia: analysis of a national data set 2004-10", Australian Health Review 37 1 (2013) 41-47.

Scopus Eid


  • 2-s2.0-84874255225

Ro Full-text Url


  • http://ro.uow.edu.au/cgi/viewcontent.cgi?article=1196&context=ahsri

Ro Metadata Url


  • http://ro.uow.edu.au/ahsri/190

Has Global Citation Frequency


Number Of Pages


  • 6

Start Page


  • 41

End Page


  • 47

Volume


  • 37

Issue


  • 1

Place Of Publication


  • Australia