Prevalence of comorbidity and its association with demographic and clinical characteristics in persons wearing a prosthesis after a lower-limb amputation
DOI:
https://doi.org/10.2340/16501977-2336Keywords:
amputation, comorbidity, prosthesis, rehabilitation.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 Func-tional 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.Downloads
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Copyright (c) 2018 Fred A. de Laat, Pieter U. Dijkstra, Gerardus M. Rommers, Jan H.B. Geertzen, Leo D. Roorda
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