Factors associated with home discharge after rehabilitation among male veterans with lower extremity amputation
After lower limb amputation, discharge home is an important goal, influenced by many factors. Amongst the veteran amputees included in this study, discharge is more clearly governed by sociological factors than physical factors. Veterans who were married were more likely to be discharged home and were generally younger.
However, it was also evident that many of the amputees who suffered local significant infection, peripheral vascular disease or those with comorbidities (pulmonary disease, heart failure or metastatic cancer,) were less likely to be released home.
Interestingly, patients treated in smaller hospitals, as well as those receiving specialised rehabilitation were more likely to be allowed back to their own residence. Veterans who were not allowed home were primarily transferred into extended care.
It is evidently important to look at the patient as a whole; their functional scores may not be high but the support available at home may have positive influence on recovery. > From: Kurichi, et al., PM R 5 (2013) 408-417. All rights reserved to American Academy of Physical Medicine and Rehabilitation.
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Moreover, you can read instructions for amputees at discharge here and an interesting article on the role of partner-caregiver here!