Effect of traumatic brain injury among US servicemembers with amputation

被引:22
作者
Rauh, Mitchell J. [1 ,2 ,3 ]
Aralis, Hilary J. [1 ]
Melcer, Ted [3 ]
Macera, Caroline A. [1 ,4 ]
Sessoms, Pinata [1 ]
Bartlett, Jamie [1 ]
Galarneau, Michael R. [3 ]
机构
[1] USN, Hlth Res Ctr, Warfighter Performance Dept, San Diego, CA 92106 USA
[2] San Diego State Univ, Doctor Phys Therapy Program, San Diego, CA 92182 USA
[3] USN, Hlth Res Ctr, Med Modeling Simulat & Mission Support Dept, San Diego, CA 92106 USA
[4] San Diego State Univ, Grad Sch Publ Hlth, San Diego, CA 92182 USA
关键词
amputation; blasts; combat-related; military; occupational therapy; odds ratio; physical therapy; postinjury complications; prosthetic use; rehabilitative use; service discharge; traumatic brain injury; ARMY MEDICAL-CENTER; OPERATION IRAQI FREEDOM; ORTHOPEDIC TRAUMA; BATTLE CASUALTIES; AMPUTEE SOLDIERS; CARE; REHABILITATION; SEVERITY; PREVALENCE; DEPRESSION;
D O I
10.1682/JRRD.2011.11.0212
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Servicemembers with combat-related limb loss often require substantial rehabilitative care. The prevalence of traumatic brain injury (TBI), which may impair cognitive and functional abilities, among servicemembers has increased. The primary objectives of this study were to determine the frequency of TBI among servicemembers with traumatic amputation and examine whether TBI status was associated with discharge to civilian status and medical and rehabilitative service use postamputation. U.S. servicemembers who had a combat-related amputation while deployed in Iraq or Afghanistan between 2001 and 2006 were followed for 2 yr postamputation. Data collected includes injury mechanism; postinjury complications; Injury Severity Score (ISS); and follow-up data, including military service discharge status and number of medical, physical, occupational therapy, and prosthetic-related visits. Of the 546 servicemembers with combat-related amputations, 127 (23.3%) had a TBI diagnosis. After adjusting for ISS and amputation location, those with TBI had a significantly greater mean number of medical and rehabilitative outpatient and inpatient visits combined (p < 0.01). Those with TBI were also at greater odds of developing certain postinjury complications. We recommend that providers treating servicemembers with limb loss should assess for TBI because those who sustained TBI required increased medical and rehabilitative care.
引用
收藏
页码:161 / 172
页数:12
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