Patient education level affects functionality and long term mortality after major lower extremity amputation.
BACKGROUND
The aim of this study was to examine the relationship between patient education level and 5-year mortality after major lower extremity amputation.


METHODS
The records of all patients who underwent above-knee or below-knee amputation at the Nashville Veterans Affairs Medical Center by the vascular surgery service between January 2000 and August 2006 were retrospectively reviewed. Formal levels of education of the study patients were recorded. Outcomes were compared between those patients who had completed high school and those who had not. Bivariate analysis using χ(2) and Student's t tests and multivariate logistic regression were performed.


RESULTS
Five-year mortality for patients who had completed high school was lower than for those who had not completed high school (62.6% vs 84.3%, P = .001), even after adjusting for important clinical factors (odds ratio for death, .377; 95% confidence interval, .164-.868; P = .022).


CONCLUSIONS
Patients with less education have increased long-term mortality after lower extremity amputation.
Department of Vascular Surgery, Nashville Veterans Affairs Medical Center and Vanderbilt University Medical Center, Nashville, TN, USA. michael.r.corey@vanderbilt.edu
Michael R
MR
Corey
Jamii
J
St Julien
Carly
C
Miller
Bryan
B
Fisher
Sara L
SL
Cederstrand
William A
WA
Nylander
Raul J
RJ
Guzman
Jeffery B
JB
Dattilo
D000368:Aged; D000671:Amputation, Surgical / Q000401:mortality* / Q000534:rehabilitation; D001186:Artificial Limbs; D016009:Chi-Square Distribution; D004522:Educational Status; D006801:Humans; D053208:Kaplan-Meier Estimate; D007866:Leg / Q000601:surgery*; D016015:Logistic Models; D008875:Middle Aged; D015999:Multivariate Analysis; D058729:Peripheral Arterial Disease / Q000401:mortality / Q000601:surgery*; D020127:Recovery of Function; D012189:Retrospective Studies; D012923:Social Class; D016138:Walking