Effect of Early Rehabilitation on Gait, Wound and Home Discharge in Lower Extremity Chronic Wound Patients: A Japanese Multicenter Retrospective Study

• Published in: International journal of lower extremity wounds Vol. 22; no. 4; p. 713
• Main Authors: Maeshige Ph, Noriaki, Hayashi PhD, Hisae, Terashi PhD Md, Hiroto, Fujii PhD Md, Miki, Iwamoto PhD, Tetsuya, Watanabe MSc, Yu, Imaoka MSc, Shinsuke, Matsumoto MSc, Junichi, Nishikawa BSc, Mayo, Takeda BSc, Naoto, Mikawa BSc, Ryuzo, Tsuji PhD Md, Yoriko, Higashita PhD Md, Ryuji, Ayabe Md, Shinobu, Terabe Md, Yuta, Furukawa Md, Masahide, Tanaka PhD Md, Junko, Ohura PhD Md, Takehiko, Kawabe PhD, Nobuhide
• Format: Journal Article
• Language: English
• Published: United States 01.12.2023
• Subjects: East Asian People; Gait; Humans; Lower Extremity; Patient Discharge; Retrospective Studies; Wounds and Injuries; home discharge; lower extremity chronic wounds; wound healing; gait restoration; early rehabilitation
• ISSN: 1552-6941
• DOI: 10.1177/15347346211039588

This study investigated the effect of early rehabilitation on gait restoration, wound healing, and home discharge in patients with lower extremity (LE) chronic wounds. This multicenter, retrospective cohort study included 233 Japanese inpatients who received treatment for LE chronic wounds from April 2012 to March 2015. A multivariate analysis was conducted using outcomes of gait restoration, wound healing, and home discharge as dependent variables. Other survey items were used as independent variables. Early rehabilitation was extracted as an independent factor with gait restoration (hazard ratio [HR] 1.82, < .01) and home discharge (HR 1.77, < .001) as dependent factors by the stepwise method in Cox proportional-hazards regression analysis, but it was not extracted as an independent factor with wound healing as the dependent factor by the stepwise method as well as the forced entry method ( = .44). A significant relationship between the presence of gait restoration and home discharge was observed in the chi-square test ( <.001), and the duration from admission to gait restoration was significantly correlated to the duration from admission to home discharge (Pearson's product-moment correlation coefficient; =.89, <.0001). Early rehabilitation was a positive factor for gait restoration and home discharge in chronic LE wound patients.