Five-year outcomes of major lower extremity amputation and two-staged admission pathway for new transtibial amputees in a local hospital
Background: Transtibial amputation and subsequent prosthetic fitting can cause prolonged hospital length of stay (LOS). Recently, a two-staged admission pathway for new transtibial amputees was introduced in a local hospital to shorten hospital LOS. Methods: A retrospective cohort study was performe...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-12-01
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| Series: | Journal of Orthopaedics, Trauma and Rehabilitation |
| Online Access: | https://doi.org/10.1177/2210491720966610 |
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| author | Hung Leong-Pan Chu Chun-Kan Gabriel Chan Chun-Hung |
| author_facet | Hung Leong-Pan Chu Chun-Kan Gabriel Chan Chun-Hung |
| author_sort | Hung Leong-Pan |
| collection | DOAJ |
| description | Background: Transtibial amputation and subsequent prosthetic fitting can cause prolonged hospital length of stay (LOS). Recently, a two-staged admission pathway for new transtibial amputees was introduced in a local hospital to shorten hospital LOS. Methods: A retrospective cohort study was performed to review the 5-year outcomes of major lower extremity amputation in a local hospital and to compare the difference in LOS and functional outcomes between traditional (group 1) and two-staged (group 2) admission pathways for new transtibial amputees. Results: The fitting rate was 55% in transtibial amputees, 14% in transfemoral amputees, and only 3.7% in dementia patients. For new transtibial amputees, the mean postoperative LOS was significantly reduced by 32.8 days in group 2. Besides, more patients in group 2 were able to walk without aid. Conclusion: LOS for new transtibial amputees can be greatly reduced by the two-staged admission pathway to minimize hospital operational cost. |
| format | Article |
| id | doaj-art-03e3963b062a4df49648abb9de5ddc64 |
| institution | OA Journals |
| issn | 2210-4925 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedics, Trauma and Rehabilitation |
| spelling | doaj-art-03e3963b062a4df49648abb9de5ddc642025-08-20T01:57:35ZengSAGE PublishingJournal of Orthopaedics, Trauma and Rehabilitation2210-49252022-12-012910.1177/2210491720966610Five-year outcomes of major lower extremity amputation and two-staged admission pathway for new transtibial amputees in a local hospitalHung Leong-Pan0Chu Chun-Kan Gabriel1Chan Chun-Hung2 Department of Orthopaedics and Traumatology, , Shatin, Hong Kong Prosthetic-Orthotic Department, , Hong Kong Prosthetic-Orthotic Department, , Hong KongBackground: Transtibial amputation and subsequent prosthetic fitting can cause prolonged hospital length of stay (LOS). Recently, a two-staged admission pathway for new transtibial amputees was introduced in a local hospital to shorten hospital LOS. Methods: A retrospective cohort study was performed to review the 5-year outcomes of major lower extremity amputation in a local hospital and to compare the difference in LOS and functional outcomes between traditional (group 1) and two-staged (group 2) admission pathways for new transtibial amputees. Results: The fitting rate was 55% in transtibial amputees, 14% in transfemoral amputees, and only 3.7% in dementia patients. For new transtibial amputees, the mean postoperative LOS was significantly reduced by 32.8 days in group 2. Besides, more patients in group 2 were able to walk without aid. Conclusion: LOS for new transtibial amputees can be greatly reduced by the two-staged admission pathway to minimize hospital operational cost.https://doi.org/10.1177/2210491720966610 |
| spellingShingle | Hung Leong-Pan Chu Chun-Kan Gabriel Chan Chun-Hung Five-year outcomes of major lower extremity amputation and two-staged admission pathway for new transtibial amputees in a local hospital Journal of Orthopaedics, Trauma and Rehabilitation |
| title | Five-year outcomes of major lower extremity amputation and two-staged admission pathway for new transtibial amputees in a local hospital |
| title_full | Five-year outcomes of major lower extremity amputation and two-staged admission pathway for new transtibial amputees in a local hospital |
| title_fullStr | Five-year outcomes of major lower extremity amputation and two-staged admission pathway for new transtibial amputees in a local hospital |
| title_full_unstemmed | Five-year outcomes of major lower extremity amputation and two-staged admission pathway for new transtibial amputees in a local hospital |
| title_short | Five-year outcomes of major lower extremity amputation and two-staged admission pathway for new transtibial amputees in a local hospital |
| title_sort | five year outcomes of major lower extremity amputation and two staged admission pathway for new transtibial amputees in a local hospital |
| url | https://doi.org/10.1177/2210491720966610 |
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