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REHABILITATION OUTCOMES IN PATIENTS WITH LOWER LIMB AMPUTATION RECEIVING HAEMODIALYSIS: A RETROSPECTIVE COHORT STUDY
Yoshitaka Wada1, Yohei Otaka1, Yuki Senju1
1Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Japan.
Journal of Rehabilitation Medicine. Clinical Communications
|December 2, 2022
Summary
Patients with lower limb amputations undergoing hemodialysis showed reduced functional independence. This study highlights potential disparities in rehabilitation outcomes for this patient group.
Area of Science:
- Rehabilitation Medicine
- Nephrology
- Orthopedics
Background:
- Lower limb amputation presents significant challenges to functional independence.
- Hemodialysis is a critical treatment for end-stage renal disease but may impact overall patient health and recovery.
- Understanding the interplay between amputation, rehabilitation, and hemodialysis is crucial for optimizing patient care.
Purpose of the Study:
- To compare the functional outcomes of patients with lower limb amputations who are undergoing hemodialysis versus those who are not.
- To identify potential differences in rehabilitation effectiveness and recovery trajectories between these two groups.
Main Methods:
- A retrospective cohort study design was employed.
- Patients admitted to a convalescent rehabilitation ward between January 2018 and December 2021 with lower limb amputations were included.
- Functional Independence Measure (FIM) effectiveness and other rehabilitation outcomes were compared between hemodialysis and non-hemodialysis groups.
Main Results:
- A total of 28 patients were analyzed, with 11 receiving hemodialysis.
- FIM effectiveness was significantly lower in the hemodialysis group compared to the non-hemodialysis group (p=0.038).
- No significant differences were observed in the amount of rehabilitation or other secondary outcomes between the groups.
Conclusions:
- Patients with lower limb amputations receiving hemodialysis demonstrate poorer functional independence during rehabilitation.
- These findings suggest that hemodialysis may be associated with diminished rehabilitation outcomes in amputee patients.
- Further research is warranted to explore interventions to improve functional recovery in this population.
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