Impact of amputation level and comorbidities on functional status of nursing home residents after lower extremity amputation Todd R. Vogel, MD, MPH,

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Impact of amputation level and comorbidities on functional status of nursing home residents after lower extremity amputation Todd R. Vogel, MD, MPH, Gregory F. Petroski, PhD, Robin L. Kruse, PhD Journal of Vascular Surgery Volume 59, Issue 5, Pages 1323-1330.e1 (May 2014) DOI: 10.1016/j.jvs.2013.11.076 Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 1 Derivation of study cohort from population of long-stay nursing home residents who were Medicare-eligible, 2006-2007. AK, Above knee; BK, below knee; MDS, Minimum Data Set; TM, transmetatarsal. Journal of Vascular Surgery 2014 59, 1323-1330.e1DOI: (10.1016/j.jvs.2013.11.076) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 2 Postamputation Activities of Daily Living (ADL) trajectories for hypothetical groups of nursing home residents with the following characteristics: 81 years old, male, prehospital ADL score = 9, Cognitive Performance Score (CPS) = 2, hospital length of stay = 8 days, and no comorbidities. The three lines show the effect of varying procedure type while holding other characteristics constant. AK, above knee; BK, below knee; TM, transmetatarsal. Journal of Vascular Surgery 2014 59, 1323-1330.e1DOI: (10.1016/j.jvs.2013.11.076) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 3 Postamputation Activities of Daily Living (ADL) trajectories for hypothetical nursing home residents with the following characteristics: 81 years old, male, prehospital ADL score = 9, Cognitive Performance Score (CPS) = 2, hospital length of stay = 8 days, and a below-knee (BK) procedure. The three lines show the effect of varying comorbid diagnoses while holding other characteristics constant. CHD, Coronary heart disease; ESRD, end-stage renal disease. Journal of Vascular Surgery 2014 59, 1323-1330.e1DOI: (10.1016/j.jvs.2013.11.076) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 4 Postamputation Activities of Daily Living (ADL) trajectories for nursing home residents with the following characteristics: 81 years old, male, prehospital ADL score = 14, Cognitive Performance Score (CPS) = 2, and hospital length of stay = 8 days. The four lines show the effect of varying amputation level and comorbid diagnoses while holding other characteristics constant. AKA, Above-knee amputation; BKA, below-knee amputation; ESRD, end-stage renal disease. Journal of Vascular Surgery 2014 59, 1323-1330.e1DOI: (10.1016/j.jvs.2013.11.076) Copyright © 2014 Society for Vascular Surgery Terms and Conditions