Prosthesis use and the change in activities of daily living following below-knee amputation in patients undergoing hemodialysis

IF 1.2 4区医学 Q3 UROLOGY & NEPHROLOGY

Hemodialysis International Pub Date : 2023-10-04 DOI:10.1111/hdi.13116

Hayato Yamazaki, Shota Matsufuji, Aina Nishikawa, Masahiro Ashida, Masao Yamaguchi, Motohiko Sato, Nobuhiro Tanimura, Yoshihiro Tsujimoto, Takanobu Ubai, Tetsuo Shoji

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引用次数: 0

Abstract

Introduction

Patients undergoing hemodialysis are at an increased risk of peripheral arterial disease, amputation of lower extremities, and decline of activities of daily living. Although a prosthesis is used to support activities of daily living, no previous study reported the association of prosthesis use with the change in activities of daily living following leg amputation in hemodialysis patients. The purpose of this study was to compare the changes in activities of daily living following amputation between those who created a prosthesis and those who did not.

Methods

This study was a single-center, retrospective observational study. We screened medical records for hemodialysis patients who underwent below-knee amputation (BKA) and activities of daily living were examined two times with the functional independence measure (FIM) before BKA and at discharge. They were divided into two groups according to the creation of a prosthesis.

Findings

We identified 28 eligible patients, among whom 12 patients used a prosthesis (prosthesis group), whereas 16 patients did not (non-prosthesis group). The FIM score was significantly decreased following BKA in the non-prosthesis group, whereas it was not significantly changed in the prosthesis group. The change in FIM score was significantly different between the two groups, and the difference remained significant after considering potential confounders.

Discussion

The results of this study showed that use versus nonuse of a prosthesis was an independent factor associated with changes in activities of daily living in hemodialysis patients following BKA, supporting the important role of a prosthesis in maintaining activities of daily living in hemodialysis patients who need BKA.

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血液透析患者膝下截肢后假体的使用和日常生活活动的变化。

简介：接受血液透析的患者患外周动脉疾病、下肢截肢和日常生活能力下降的风险增加。尽管假肢用于支持日常生活活动，但之前没有研究报告血液透析患者截肢后假肢的使用与日常生活活动的变化之间的关系。本研究的目的是比较截肢后制造假肢和未制造假肢的人日常生活活动的变化。方法：本研究为单中心回顾性观察研究。我们筛选了接受膝下截肢（BKA）的血液透析患者的医疗记录，并在BKA前和出院时用功能独立性测量（FIM）检查了两次日常生活活动。根据假体的制作，他们被分为两组。研究结果：我们确定了28名符合条件的患者，其中12名患者使用了假体（假体组），而16名患者没有使用（非假体组）。BKA后，非假体组的FIM评分显著降低，而假体组则没有显著变化。FIM评分的变化在两组之间有显著差异，在考虑潜在的混杂因素后，差异仍然显著。讨论：本研究结果表明，使用与不使用假体是BKA后血液透析患者日常生活活动变化的独立因素，支持了假体在维持需要BKA的血液透析患者的日常生活活动中的重要作用。

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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来源期刊

Hemodialysis International UROLOGY & NEPHROLOGY-

CiteScore

2.50

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Hemodialysis International was originally an annual publication containing the Proceedings of the International Symposium on Hemodialysis held in conjunction with the Annual Dialysis Conference. Since 2003, Hemodialysis International is published quarterly and contains original papers on clinical and experimental topics related to dialysis in addition to the Annual Dialysis Conference supplement. This journal is a must-have for nephrologists, nurses, and technicians worldwide. Quarterly issues of Hemodialysis International are included with your membership to the International Society for Hemodialysis. The journal contains original articles, review articles, and commentary to keep readers completely updated in the field of hemodialysis. Edited by international and multidisciplinary experts, Hemodialysis International disseminates critical information in the field.