A Comparison of Four-Year Health Outcomes following Combat Amputation and Limb Salvage
| Autor: | Vibha Bhatnagar, Michael R. Galarneau, Erin Richard, Ted Melcer, V. Franklin Sechriest, Jay Walker |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
myalgia
Male Bacterial Diseases Time Factors Critical Care and Emergency Medicine Traumatic Brain Injury medicine.medical_treatment 0211 other engineering and technologies lcsh:Medicine 02 engineering and technology Stress Disorders Post-Traumatic 0302 clinical medicine Injury Severity Score Postoperative Complications Prevalence Medicine and Health Sciences Young adult lcsh:Science Connective Tissue Diseases Trauma Medicine Multidisciplinary Medical record Post-Traumatic Stress Disorder Osteomyelitis Prognosis Anxiety Disorders Infectious Diseases Musculoskeletal injury medicine.symptom Traumatic Injury Research Article Adult medicine.medical_specialty Traumatic brain injury Neuropsychiatric Disorders Neuroses Amputation Surgical 03 medical and health sciences Young Adult Rheumatology Osteoarthritis Mental Health and Psychiatry medicine Humans Surgical Wound Infection Pain Management Veterans Affairs 021110 strategic defence & security studies business.industry Arthritis lcsh:R Correction 030208 emergency & critical care medicine Recovery of Function Myalgia medicine.disease United States Amputation Musculoskeletal Injury Physical therapy Osteoporosis lcsh:Q business Neurotrauma Leg Injuries |
| Zdroj: | PLoS ONE PLoS ONE, Vol 12, Iss 1, p e0170569 (2017) |
| ISSN: | 1932-6203 |
| Popis: | Little research has described the long-term health outcomes of patients who had combat-related amputations or leg-threatening injuries. We conducted retrospective analysis of Department of Defense and Department of Veterans Affairs health data for lower extremity combat-injured patients with (1) unilateral amputation within 90 days postinjury (early amputation, n = 440), (2) unilateral amputation more than 90 days postinjury (late amputation, n = 78), or (3) leg-threatening injuries without amputation (limb salvage, n = 107). Patient medical records were analyzed for four years postinjury. After adjusting for group differences, early amputation was generally associated with a lower or similar prevalence for adverse physical and psychological diagnoses (e.g., pain, osteoarthritis, posttraumatic stress disorder) versus late amputation and/or limb salvage. By contrast, early amputation was associated with an increased likelihood of osteoporosis during the first year postinjury. The prevalence of posttraumatic stress disorder increased for all patient groups over four years postinjury, particularly in the second year. The different clinical outcomes among combat extremity injured patients treated with early amputation, late amputation, or limb salvage highlight their different healthcare requirements. These findings can inform and optimize the specific treatment pathways that address the physical and psychological healthcare needs of such patients over time. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|