American academy of orthopaedic surgeons. Annual meeting. San Francisco CA USA, 1993/02/19.
To review the prosthetic history, prosthetic charges, and functional status of traumatic, isolated, unilateral below-knee amputees at select intervals following amputation.
This descriptive study was conducted among patients admitted to Harborview Medical Center between 1980 and 1987 who survived initial trauma, and who required an isolated, below-knee amputation.
Hospital and prosthetist records were abstracted to calculate the number of prostheses fabricated and the prosthetic charges since initial amputation.
Functional outcomes were determined by personal interview and self-administration of the SF-36 Health Status Profile.
The average age of patients was 36 with the age range extending from 19 to 59 years.
The prosthetic history and prosthetic charges were determined from the medical record and the billing records of the prosthetist.
Exact charges were determined for 15 of the 20 patients.
During the first 3 years, the mean number of prostheses acquired per patient was 3.4 (range 1-5), with average total prosthetic charges of $10,829 (range $2,558-$15,700).
Over the first 5 years the mean number of prostheses acquired per patient was 4.4 (range 2-8), with average total prosthetic charges of $13,945 (range $6,203-$20,070).
The SF-36 Health Status Profile scores were significantly decreased from published normal aged-matched scores in the categories of physical function and role limitations because of physical health problems and pain.
Mots-clés Pascal : Perte substance, Amputation, Jambe, Homme, Prothèse, Pronostic, Analyse coût, Capacité fonctionnelle, Membre inférieur, Traumatisme, Réhabilitation, Traitement orthopédique, Economie santé
Mots-clés Pascal anglais : Substance loss, Amputation, Leg, Human, Prosthesis, Prognosis, Cost analysis, Functional capacity, Lower limb, Trauma, Rehabilitation, Orthopedic treatment, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0139901
Code Inist : 002B16H. Création : 09/06/1995.