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Aim

Revisiting risks associated with mortality following initial transtibial or transfemoral amputation. Barbara E. Bates, MD, MBA; Dawei Xie, PhD; Jibby E. Kurichi, MPH; Diane Cowper Ripley, PhD; Pui L. Kwong, MPH; Margaret G. Stineman, MD. Aim

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Aim

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  1. Revisiting risks associated with mortality following initial transtibial or transfemoral amputation Barbara E. Bates, MD, MBA; Dawei Xie, PhD; Jibby E. Kurichi, MPH; Diane Cowper Ripley, PhD; Pui L. Kwong, MPH; Margaret G. Stineman, MD

  2. Aim • Determine how treatment-, environmental-, and facility-level characteristics contribute to postdischarge mortality prediction. • Relevance • Lower-limb amputation resulting from chronic disease such as diabetes carries a high mortality rate, particularly for those with concomitant medical conditions and those who undergo a high level of amputation.

  3. Methods • Study followed 4,153 Veterans for 1 year after lower-limb amputation in Department of Veterans Affairs facilities during fiscal years 2003 and 2004. • Cox regression identified characteristics associated with mortality risk after hospital discharge following amputation.

  4. Results

  5. Conclusion • Adding treatment-, environmental-, and facility-level characteristics contributed additional information to a mortality risk model.

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