Factors Associated With Utilization of Preoperative and Postoperative Rehabilitation Services by Patients With Amputation in the VA System: An Observational Study

Linda J. Resnik; Matthew L. Borgia

doi:10.2522/ptj.20120415

Figures

Figure.

Flow of participants into logistic regression models examining impact of guidelines on receipt of rehabilitative services in the acute care setting. PT=physical therapy, OT=occupational therapy.

Tables

Table 1.

Characteristics of Patients With Incident Amputations, 2005–2010 (N=12,599)^{^a}

↵^a CHF=congestive heart failure, PVD=peripheral vascular disease, PT=physical therapy, OT=occupational therapy.

Table 2.

Logistic Regression Models Predicting Preoperative Rehabilitation Receipt (n=12,587)^{^a}

↵^a OR=odds ratio, 95% CI=95% confidence interval, CHF=congestive heart failure, PVD=peripheral vascular disease, PT=physical therapy, OT=occupational therapy, ref=reference. *P<.05, ^†P<.01, ^‡P<.001.

Table 3.

Logistic Regression Models Predicting Postoperative Rehabilitation Receipt (n=12,587)^{^a}

↵^a OR=odds ratio, 95% CI=95% confidence interval, CHF=congestive heart failure, PVD=peripheral vascular disease, PT=physical therapy, OT=occupational therapy, ref=reference. *P<.05, ^†P<.01, ^‡P<.001.

Table 4.

Logistic Regression Models Predicting Likelihood of Receipt of Preoperative and Postoperative Rehabilitation After 2008, After VA/DoD Clinical Practice Guideline Publication (n=6,376), Compared With Before 2008, Before Guideline Publication (n=4,180)^{^a}

↵^a OR=odds ratio, 95% CI=95% confidence interval, PT=physical therapy, OT=occupational therapy. * Results of separate models controlling for length of stay, Elixhausen Index, income, age, amputation level, admission source before hospitalization, marital status, sex, race, congestive heart failure, peripheral vascular disease, paralysis, other neurological disorders, diabetes, renal failure, hospital region, and hospital bed size. Admitting bed section was included in models predicting preoperative service receipt, and discharge bed section was included in the models predicting postoperative service receipt. ^‡ P<.001.

Table 5.

Logistic Regression Models Predicting Rehabilitation Receipt: Results of Separate Models^{^a}

↵^a OR=odds ratio, 95% CI=95% confidence interval, PT=physical therapy, OT=occupational therapy. *P<.05, ^†P<.01, ^‡P<.001.

Vol 93 Issue 9 Table of Contents

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Factors Associated With Utilization of Preoperative and Postoperative Rehabilitation Services by Patients With Amputation in the VA System: An Observational Study

Linda J. Resnik, Matthew L. Borgia

Physical Therapy Sep 2013, 93 (9) 1197-1210; DOI: 10.2522/ptj.20120415

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Factors Associated With Utilization of Preoperative and Postoperative Rehabilitation Services by Patients With Amputation in the VA System: An Observational Study

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