Survival following lower-limb amputation in a veteran population

We sought to describe the common demographic and comorbid conditions that affect survival following nontraumatic amputation. Veterans Administration hospital discharge records for 1992 were linked with death records. The most proximal level during the first hospitalization in 1992 was used for analy...

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Bibliographic Details
Published in:Journal of rehabilitation research and development 2001-05, Vol.38 (3), p.341-345
Main Authors: Mayfield, J A, Reiber, G E, Maynard, C, Czerniecki, J M, Caps, M T, Sangeorzan, B J
Format: Article
Language:English
Subjects:
Adult
Age Factors
Aged
Aged, 80 and over
Amputation
Amputation - mortality
Cardiovascular disease
Comorbidity
Diabetes
Epidemiology
Hospitals, Veterans
Humans
Leg - surgery
Male
Middle Aged
Mortality
Prognosis
Race
Survival Analysis
United States - epidemiology
Veterans
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Summary:We sought to describe the common demographic and comorbid conditions that affect survival following nontraumatic amputation. Veterans Administration hospital discharge records for 1992 were linked with death records. The most proximal level during the first hospitalization in 1992 was used for analysis. Demographic information (age, race) and comorbid diagnosis (cardiovascular, cerebrovascular, and renal disease) were used for Kaplan-Meier curves to describe survival following amputation. Death. Mortality risk increased with advanced age, more proximal amputation level, and renal and cardiovascular disease, and decreased for African Americans. No increased risk for persons with diabetes was noted in the first year following amputation but the risk increased thereafter. A higher risk of mortality in the first year was noted for renal disease, cardiovascular disease, and proximal amputation level. Survival following lower-limb amputation is impaired by advancing age, cardiovascular and renal disease, and proximal amputation level. Also, a small survival advantage is seen for African Americans and those with diabetes.
ISSN:0748-7711
1938-1352