Early planning of care and rehabilitation after amputation for vascular disease by means of Katz index of activities of daily living
Engelsk titel: Early planning of care and rehabilitation after amputation for vascular disease by means of Katz index of activities of daily living
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Författare:
Hermodsson Y
;
Ekdahl C
Språk: Eng
Antal referenser: 28
Dokumenttyp:
Artikel
UI-nummer: 00026665
Sammanfattning
The aim of the study was to investigate whether the Swedish version of the Katz Index of ADL (Activities of Daily Living), on days 5-7 after amputation for vascular disease, had predictive value regarding length of hospital stay, discharge to the patient's own home or death within 1 month. Patients who had recently undergone primary unilateral trans-tibial amputation, living in their own homes before the amputation, were included. Fifty-two patients with a median age of 78 years (60-92) were assessed with the Katz Index of ADL. Results revealed that of the 10 (20%) patients discharged to their own homes within 1 month, only 2 belonged to grades A-C, that is, were independent in the majority of functions in personal ADL. Within 6 months 62% were discharged to their own homes. Eighty-four percent of the patients in grades D-G, i.e. most dependent on others, were still at the hospital or dead 1 month post-operatively. All the patients who belonged to grades A-F survived the first month post-operatively. The Katz Index of ADL had predictive value regarding early outcome in terms of length of hospital stay, discharge to the patient's own home or death within 1 month, and positive predictive value regarding survival the first month post-operatively.
Published by arrangement with John Wiley & Sons.