title: Rehabilitation outcome following war-related transtibial amputation in Kosovo.
abstract: BACKGROUND
  Previous literature has suggested that age, level of amputation, residual limb length, comorbidities, mental disorders, and cause of amputation can affect the ability to successfully ambulate with prosthesis.
  
  
  OBJECTIVE
  The objective of this study was to analyze the predictors that affect the rehabilitation outcome of war-related transtibial amputees and the relationship of these factors with ambulation ability after prosthetic fitting.
  
  
  METHODS
  Retrospective observational study.
  
  
  METHODS
  We reviewed the records of 69 war-related transtibial amputees. The rehabilitation outcome was analyzed according to the grade of rehabilitation summarized in three grades. Multiple logistic regression analysis was used to determine the odds of achieving the first rehabilitation grade.
  
  
  RESULTS
  The majority of patients with transtibial amputations achieved the first grade of rehabilitation (59.4%). The factors that significantly influenced the achievement of the first grade of rehabilitation were age and absence of posttraumatic stress disorder. For every 1-year increase in patient age, the odds of achieving first grade of rehabilitation decreased by a factor of 0.9. Patients without posttraumatic stress disorder had 12.9 greater odds of achieving the first rehabilitation grade compared to patients with posttraumatic stress disorder.
  
  
  CONCLUSIONS
  Achievement of the first grade of rehabilitation among war-related transtibial amputees is dependent on patient age and the absence of posttraumatic stress disorder.
  
  
  CONCLUSIONS
  Understanding the factors that may affect the rehabilitation outcome of war-related amputees could lead to a more specific organization of the rehabilitation, especially in a country that has recently been involved in war. This is the first study to focus on determinants of prosthetic rehabilitation in these patients.
authors.affiliation: Clinic of Physical Medicine and Rehabilitation, University Clinical Center of Kosovo, Kosovo tuti_o@yahoo.co.uk.
authors.forename: Teuta
authors.initials: T
authors.lastname: Osmani-Vllasolli
authors.affiliation: Clinic of Physical Medicine and Rehabilitation, University Clinical Center of Kosovo, Kosovo.
authors.forename: Hajrije
authors.initials: H
authors.lastname: Hundozi
authors.affiliation: Department of Epidemiology and Biostatistics, Faculty of Medicine, Skopje, Macedonia.
authors.forename: Nikola
authors.initials: N
authors.lastname: Orovcanec
authors.affiliation: Royal University "Iliria" - Faculty of Medicine Sciencies "Rezonanca", Prishtina, Kosovo, Kosovo.
authors.forename: Blerim
authors.initials: B
authors.lastname: Krasniqi
authors.affiliation: Clinic of Physical Medicine and Rehabilitation, University Clinical Center of Kosovo, Kosovo.
authors.forename: Ardiana
authors.initials: A
authors.lastname: Murtezani
mesh_terms: D000293:Adolescent; D000328:Adult; D000674:Amputees / Q000534:rehabilitation*; D001186:Artificial Limbs; D002648:Child; D005260:Female; D006801:Humans; D063826:Kosovo; D008297:Male; D012189:Retrospective Studies; D016896:Treatment Outcome; D000067398:War-Related Injuries / Q000534:rehabilitation / Q000601:surgery*; D055815:Young Adult
keywords: Traumatic amputation; age; rehabilitation outcome