Testing the effectiveness of the Amputee Mobility Protocol: a pilot study

Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing
Karen D Marzen-GrollerEric Wilson

Abstract

We studied prolonged length of stay (LOS) in the acute care setting on a medical-surgical vascular unit, related to loss of functional mobility status after lower extremity amputation, and implementation of the Amputee Mobility Protocol (AMP) as a standard of care for all patients pre- and post-lower extremity amputation who were admitted to the medical-surgical vascular unit. A comparative pre-post observational study evaluated the effect of AMP on level of functional mobility and LOS after lower extremity amputation in the patient population on the medical-surgical vascular unit. Data was collected retrospectively from patient chart reviews from November of 2004 to March of 2005 for the pre-AMP group and through concurrent patient chart reviews from November of 2005 to March of 2006 for the post-AMP group. Dependent variables included functional mobility and LOS, which were evaluated by a modified Functional Independence Measure (FIM) score and the hospital LOS. Forty-four eligible patients were enrolled in the AMP pilot study during a 5-month period. The sample population consisted of 30 patients pre-AMP and 14 patients post-AMP. LOS for transmetatarsal amputations decreased by 0.7 days, whereas functional mobility increased...Continue Reading

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Citations

Apr 15, 2014·Annals of Physical and Rehabilitation Medicine·E PanteraE Coudeyre
Jan 4, 2017·Journal of Clinical Nursing·Ulla Riis MadsenCarina Bååth
Apr 7, 2020·Clinical Nurse Specialist CNS·Isabel Font-JimenezLourdes Rubio-Rico

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