Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 10 , Pages 1863-1872 , October 2008

The Effectiveness of Inpatient Rehabilitation in the Acute Postoperative Phase of Care After Transtibial or Transfemoral Amputation: Study of an Integrated Health Care Delivery System

  • Margaret G. Stineman, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, University of Pennsylvania, Philadelphia, PA
    • Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA
    • Corresponding Author InformationCorrespondence to Margaret G. Stineman, MD, 101 Ralston-Penn Center, 3615 Chestnut St, Philadelphia, PA 19104-2676 Reprints are not available from the author.
  • ,
  • Pui L. Kwong, MPH

      Affiliations

    • Department of Physical Medicine and Rehabilitation, University of Pennsylvania, Philadelphia, PA
  • ,
  • Jibby E. Kurichi, MPH

      Affiliations

    • Department of Physical Medicine and Rehabilitation, University of Pennsylvania, Philadelphia, PA
  • ,
  • Janet A. Prvu-Bettger, ScD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, University of Pennsylvania, Philadelphia, PA
  • ,
  • W. Bruce Vogel, PhD

      Affiliations

    • Veterans Affairs Medical Center (VAMC), Gainesville, FL
    • Department of Epidemiology and Health Policy Research, Health Science Center, Gainesville, FL
  • ,
  • Greg Maislin, MS, MA

      Affiliations

    • Division of Sleep Medicine, Department of General Medicine, University of Pennsylvania, Philadelphia, PA
    • Biomedical Statistical Consulting, Wynnwood, PA
  • ,
  • Barbara E. Bates, MD

      Affiliations

    • VAMC, Albany, NY
    • Albany Medical College, Albany, NY
  • ,
  • Dean M. Reker, PhD

      Affiliations

    • VAMC, Kansas City, MO

  • Image Result

    Flow diagram of veterans with lower-extremity amputation included in this study.

    Flow diagram of veterans with lower-extremity amputation included in this study.

  • Image Result

    A nonparametric illustration of the overall distribution of propensity for treatment comparing the no evidence of rehabilitation group to the acute rehabilitation group. The overall distributions are

    A nonparametric illustration of the overall distribution of propensity for treatment comparing the no evidence of rehabilitation group to the acute rehabilitation group. The overall distributions are shown through a boxplot comparing those who received and did not receive inpatient rehabilitation. The upper inner and lower horizontal lines are the 75th, 50th, and 25th percentiles, respectively. The lower and upper tips of the vertical lines represent the minimum and maximum values of propensity, respectively.

  • Image Result
    A nonparametric illustration of the distribution of propensity for treatment comparing the no evidence of rehabilitation group to the acute rehabilitation group stratified by propensity quintile. The

    A nonparametric illustration of the distribution of propensity for treatment comparing the no evidence of rehabilitation group to the acute rehabilitation group stratified by propensity quintile. The distributions are shown through a boxplot comparing those who received and did not receive inpatient rehabilitation by propensity quintile. The upper inner and lower horizontal lines are the 75th, 50th, and 25th percentiles, respectively. The lower and upper tips of the vertical lines represent the minimum and maximum values of propensity, respectively.

 Supported by the National Center for Medical Rehabilitation Research National Institutes of Health (grant no. RO1-HD042588); and resources and the use of facilities at the Samuel S. Stratton Department of Veterans Affairs Medical Center in Albany, NY, and the Kansas City Department of Veterans Affairs Medical Center in Kansas City, MO.

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

PII: S0003-9993(08)00466-8

doi: 10.1016/j.apmr.2008.03.013

Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 10 , Pages 1863-1872 , October 2008