Exploring the Effect of Preamputation Employment and Income on Ambulation in Dysvascular Lower Extremity Amputees After Amputee Rehabilitation: A Retrospective Cohort Study

IF 1.9 Q2 REHABILITATION

Archives of rehabilitation research and clinical translation Pub Date : 2024-09-01 DOI:10.1016/j.arrct.2024.100359

Jessica Murphy PhD , Emiliyan Staykov BSc , Amber Monteiro BEng , Sandra Monteiro PhD , Celina Lin MD

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引用次数: 0

Abstract

Objective

To assess the relationship between 2-minute walk test (2MWT) distance, employment status, and median household income in adult dysvascular amputee patients after a 6-week rehabilitation program.

Design

Retrospective cohort study.

Setting

Amputation rehabilitation program.

Participants

In total, 505 patients were included in the analysis. Most (71.1%) were men and had below-knee amputations (78.3%); the average age was 65.3±11.6 years.

Interventions

Not applicable.

Main Outcome Measures

2MWT distance at discharge.

Results

Men (68.3±32.6m) and below-knee amputation amputees (70.9±32.0m) walked significantly further than women (58.8±30.0m; P=.003) and above-knee amputees (47.2±25.7m; P<.001), respectively. A significant negative correlation was found between 2MWT distance and age (r=−.32; P<.001) as well as time from consultation to admission (r=−.23; P<.001). An unadjusted general linear model (GLM) revealed that employment status (F_2,446=17.47; P<.001) but not income (F_4,446=.714; P=.58) was statistically significantly associated with 2MWT distance. An adjusted (age, sex, time from consult to admission, and amputation level) GLM revealed employment status remained significant (F_2,434=5.59; P=.004) and income remained insignificant (F_4,434=.43; P=.784). Differences in 2MWT distance between employment and income groups did not meet clinical significance.

Conclusions

Preamputation employment appears to be associated with postrehabilitation outcomes.

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探讨截肢前的就业和收入对截肢康复后血管障碍下肢截肢者行走的影响：回顾性队列研究

目的评估成年血管性截肢患者在接受为期 6 周的康复计划后，其 2 分钟步行测试（2MWT）距离、就业状况和家庭收入中位数之间的关系。大多数（71.1%）为男性，膝下截肢（78.3%）；平均年龄为（65.3±11.6）岁.干预措施不适用.主要结果测量出院时的2MWT距离.结果男性（68.结果男性（68.3±32.6m）和膝下截肢者（70.9±32.0m）的步行距离分别显著高于女性（58.8±30.0m；P=.003）和膝上截肢者（47.2±25.7m；P<.001）。2MWT距离与年龄（r=-.32；P<；.001）以及从就诊到入院的时间（r=-.23；P<；.001）之间存在明显的负相关。未经调整的一般线性模型（GLM）显示，就业状况（F2,446=17.47；P<.001）而非收入（F4,446=.714；P=.58）与 2MWT 距离有显著的统计学相关性。调整后（年龄、性别、从就诊到入院的时间和截肢程度）的 GLM 显示，就业状况仍具有显著性（F2,434=5.59；P=.004），而收入仍无显著性（F4,434=.43；P=.784）。就业组和收入组之间的 2MWT 距离差异未达到临床意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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