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Discharge Disposition After Limb Amputation in a Publicly Funded Health Care System.

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Title: Discharge Disposition After Limb Amputation in a Publicly Funded Health Care System.
Authors: Essien, Samuel Kwaku1 sam.essien@usask.ca, Zucker-Levin, Audrey1
Source: Inquiry (00469580). 5/29/2023, p1-10. 10p.
Subject Terms: *Retrospective studies, *Data analysis, Statistics, Extremities (Anatomy), Sex distribution, Continuum of care, Income, Public hospitals, Descriptive statistics, Research funding, Health equity, Amputation, Data analysis software, Discharge planning, Comorbidity
Geographic Terms: Canada
Abstract: Understanding discharge disposition (DD) after limb amputation (LA) surgery allows health care providers and policy makers to adapt resources based on need. Studying independent prognostic factors for DD after LA in Canada eliminates the significant influence of payor source, as reported by researchers in the United States. We hypothesize disparities exist among DDs after LA in a publicly funded health care system. Retrospective review of Saskatchewan's linked administrative health data from 2006 to 2019 was used to identify independent socio-demographic factors, amputation levels, amputation predisposing factors (APF), and surgical specialty on 5 DD's: inpatient, continuing care, home with support services (H/W), home with no support services (H/WO), and those who died at the hospital after LA. We found age, amputation level, and APF play a significant role in determining discharge to all dispositions; gender was significantly associated with discharge to continuing care and H/WO; place of residence was associated with discharge to inpatient facilities, continuing care, and H/W; income was not associated with any DD other than H/W; surgical specialty was associated with discharge to all dispositions except death. The findings suggest that disparities in DD following LA exist even after eliminating the influence of payor source. Health care providers and policy makers should consider these findings in preparation for future needs. [ABSTRACT FROM AUTHOR]
Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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Header DbId: ehh
DbLabel: Education Research Complete
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PubType: Academic Journal
PubTypeId: academicJournal
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  Data: Discharge Disposition After Limb Amputation in a Publicly Funded Health Care System.
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  Data: <searchLink fieldCode="DE" term="%22Canada%22">Canada</searchLink>
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  Label: Abstract
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  Data: Understanding discharge disposition (DD) after limb amputation (LA) surgery allows health care providers and policy makers to adapt resources based on need. Studying independent prognostic factors for DD after LA in Canada eliminates the significant influence of payor source, as reported by researchers in the United States. We hypothesize disparities exist among DDs after LA in a publicly funded health care system. Retrospective review of Saskatchewan's linked administrative health data from 2006 to 2019 was used to identify independent socio-demographic factors, amputation levels, amputation predisposing factors (APF), and surgical specialty on 5 DD's: inpatient, continuing care, home with support services (H/W), home with no support services (H/WO), and those who died at the hospital after LA. We found age, amputation level, and APF play a significant role in determining discharge to all dispositions; gender was significantly associated with discharge to continuing care and H/WO; place of residence was associated with discharge to inpatient facilities, continuing care, and H/W; income was not associated with any DD other than H/W; surgical specialty was associated with discharge to all dispositions except death. The findings suggest that disparities in DD following LA exist even after eliminating the influence of payor source. Health care providers and policy makers should consider these findings in preparation for future needs. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=163991638
RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1177/00469580231176354
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 1
    Subjects:
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Extremities (Anatomy)
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Continuum of care
        Type: general
      – SubjectFull: Income
        Type: general
      – SubjectFull: Public hospitals
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Health equity
        Type: general
      – SubjectFull: Amputation
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Discharge planning
        Type: general
      – SubjectFull: Comorbidity
        Type: general
      – SubjectFull: Canada
        Type: general
    Titles:
      – TitleFull: Discharge Disposition After Limb Amputation in a Publicly Funded Health Care System.
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            NameFull: Essien, Samuel Kwaku
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            NameFull: Zucker-Levin, Audrey
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          Dates:
            – D: 29
              M: 05
              Text: 5/29/2023
              Type: published
              Y: 2023
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