Major lower extremity amputation in Veterans Affairs medical centers

被引：45
作者：
Kazmers, A
Perkins, AJ
Jacobs, LA
机构：
[1] Wayne State Univ, Sch Med, Div Vasc Surg, Detroit, MI USA
[2] Ann Arbor HSR & D, Dept Vet Affairs, Ann Arbor, MI USA
[3] Univ Michigan, Sch Med, Ann Arbor, MI USA
来源：
ANNALS OF VASCULAR SURGERY | 2000年 / 14卷 / 03期
关键词：
D O I：
10.1007/s100169910038
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Our objective was to assess outcomes for 8696 patients who underwent 9236 above- (AKA) and/or below-knee (BKA) amputations during a 4-year period for disorders of the circulatory system. Veterans Affairs (VA) Patient Treatment File (PTF) data were acquired for all patients in Diagnosis Related Groups (DRGs) 113 and 114 hospitalized in VA medical centers (VAMCs) during fiscal years 1991-1994. Data were further analyzed by Patient Management Category (PMC) software, which measured illness severity, patient complexity, and relative intensity score (RIS), a measure of resource utilization. The results of this analysis showed that mortality and morbidity rates remain high after AKA and BKA. Differing amputation practice patterns found in this study warrant further investigation. DOI:10.1007/s100169910038.
引用
收藏
页码：216 / 222
页数：7
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