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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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| Published in: | Journal of rehabilitation research and development 2001-05, Vol.38 (3), p.341-345 |
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| Main Authors: | , , , , , |
| Format: | Article |
| Language: | English |
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| container_end_page | 345 |
| container_issue | 3 |
| container_start_page | 341 |
| container_title | Journal of rehabilitation research and development |
| container_volume | 38 |
| creator | Mayfield, J A Reiber, G E Maynard, C Czerniecki, J M Caps, M T Sangeorzan, B J |
| description | 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. |
| format | article |
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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.</description><identifier>ISSN: 0748-7711</identifier><identifier>EISSN: 1938-1352</identifier><identifier>PMID: 11440266</identifier><identifier>CODEN: JRRDDB</identifier><language>eng</language><publisher>United States: Superintendent of Documents</publisher><subject>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</subject><ispartof>Journal of rehabilitation research and development, 2001-05, Vol.38 (3), p.341-345</ispartof><rights>Copyright Superintendent of Documents May/Jun 2001</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11440266$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mayfield, J A</creatorcontrib><creatorcontrib>Reiber, G E</creatorcontrib><creatorcontrib>Maynard, C</creatorcontrib><creatorcontrib>Czerniecki, J M</creatorcontrib><creatorcontrib>Caps, M T</creatorcontrib><creatorcontrib>Sangeorzan, B J</creatorcontrib><title>Survival following lower-limb amputation in a veteran population</title><title>Journal of rehabilitation research and development</title><addtitle>J Rehabil Res Dev</addtitle><description>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.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Amputation</subject><subject>Amputation - mortality</subject><subject>Cardiovascular disease</subject><subject>Comorbidity</subject><subject>Diabetes</subject><subject>Epidemiology</subject><subject>Hospitals, Veterans</subject><subject>Humans</subject><subject>Leg - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Prognosis</subject><subject>Race</subject><subject>Survival Analysis</subject><subject>United States - epidemiology</subject><subject>Veterans</subject><issn>0748-7711</issn><issn>1938-1352</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><recordid>eNpdkE1LxDAYhIMobl39CxI8eCu8Sd6k7U1Z_IIFD-q5JN1UsqRNTZuK_96i68XTwPAwzMwRyVglypwJyY9JBgWWeVEwtiJn47gHAC44OyUrxhCBK5WRm5cUZzdrT9vgffh0_TtdxMbcu85Q3Q1p0pMLPXU91XS2k426p0MYkv_xz8lJq_1oLw66Jm_3d6-bx3z7_PC0ud3mAxc45a3ccdHYkgnTGqZAGACJSjRaV4XkgKZBWVmlNRpWIpPCKARsFfCK4TJqTa5_c4cYPpIdp7pzY2O9170NaawLqEpYohbw6h-4Dyn2S7eaM8krkAUu0OUBSqazu3qIrtPxq_47RnwDt55ebA</recordid><startdate>20010501</startdate><enddate>20010501</enddate><creator>Mayfield, J A</creator><creator>Reiber, G E</creator><creator>Maynard, C</creator><creator>Czerniecki, J M</creator><creator>Caps, M T</creator><creator>Sangeorzan, B J</creator><general>Superintendent of Documents</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>4T-</scope><scope>7QO</scope><scope>7RV</scope><scope>7TK</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20010501</creationdate><title>Survival following lower-limb amputation in a veteran population</title><author>Mayfield, J A ; 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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.</abstract><cop>United States</cop><pub>Superintendent of Documents</pub><pmid>11440266</pmid><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 0748-7711 |
| ispartof | Journal of rehabilitation research and development, 2001-05, Vol.38 (3), p.341-345 |
| issn | 0748-7711 1938-1352 |
| language | eng |
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| source | Alma/SFX Local Collection |
| 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 |
| title | Survival following lower-limb amputation in a veteran population |
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