• Isr Med Assoc J · Sep 2019

    Comparative Study

    Comparison of the Functional Outcomes of Lower Limb Amputees with or without End-Stage Renal Disease.

    • Atzmon Tsur, Nael Shakeer, and Ronit Geron.
    • Department of Rehabilitation, Galilee Medical Center, Nahariya, Israel.
    • Isr Med Assoc J. 2019 Sep 1; 21 (9): 585588585-588.

    BackgroundThe potential for full rehabilitation following amputation among end-stage renal disease patients is poor.ObjectivesTo evaluate the functional outcomes and survival among amputees treated with hemodialysis at the end of the rehabilitation procedure.MethodsWe recruited 46 patients after lower limb amputation. Of these individuals, 19 (41.3%) were treated with dialysis and 27 (58.7%) were non-dialysis-dependent patients (NDDP). Both groups were divided into three sub-groups according to their independence with regard to activities of daily living (ADL) and their ability to walk with prostheses.ResultsThe survival of lower limb amputees treated with dialysis was shorter compared to NDDP. Survival after amputation among the NDDP who were fully or partially independent in ADL and with regard to mobility, was longer compared to the non-mobile amputees as with the patients treated with dialysis.ConclusionsSurvival was significantly longer in lower limb amputees NDDP and shorter in patients who did not achieve a certain level of functioning.

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