Rehabilitation Needs of Combat‐Injured Service Members Admitted to the VA Polytrauma Rehabilitation Centers: The Role of PM&amp;R in the Care of Wounded Warriors

Sayer, Nina A.; Cifu, David X.; McNamee, Shane; Chiros, Christine E.; Sigford, Barbara; Scott, Steve; Lew, Henry L.

doi:10.1016/j.pmrj.2008.10.003

Cited by 87 publications

(61 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Throughout this article, persistent and ongoing physical, cognitive, or behavioral difficulties lasting longer than 3 months following a mild TBI are referred to as PPCS [4]. .0 percent report a pain problem, and 52.6 percent received some type of mental health services [13]. In another study of 50 OIF/OEF veterans treated at a Level 1 PRC, 80 percent incurred a combat-related TBI, 96 percent reported at least one pain problem, and 44 percent reported experiencing PTSD [5].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of chronic pain, posttraumatic stress disorder, and persistent postconcussive symptoms in OIF/OEF veterans: Polytrauma clinical triad

Lew

Otis²,

Tun³

et al. 2009

JRRD

Self Cite

594

446

View full text Add to dashboard Cite

Abstract-This study examines the prevalence and coprevalence with which returning Operation Iraqi Freedom (OIF)/ Operation Enduring Freedom (OEF) veterans were reporting symptoms consistent with chronic pain, posttraumatic stress disorder (PTSD), and persistent postconcussive symptoms (PPCS). The medical records of 340 OIF/OEF veterans seen at a Department of Veterans Affairs Polytrauma Network Site were comprehensively reviewed. Analyses indicated a high prevalence of all three conditions in this population, with chronic pain, PTSD, and PPCS present in 81.5%, 68.2%, and 66.8%, respectively. Only 12 of the veterans (3.5%) had no chronic pain, PTSD, or PPCS. The frequency at which these three conditions were present in isolation (10.3%, 2.9%, and 5.3%, respectively) was significantly lower than the frequency at which they were present in combination with one another, with 42.1% of the sample being diagnosed with all three conditions simultaneously. The most common chronic pain locations were the back (58%) and head (55%). These results underscore the complexity of the presenting complaints in OIF/OEF veterans and support the importance of a multidisciplinary team approach to assessment and treatment.

show abstract

Section: Introductionmentioning

confidence: 99%

Prevalence of chronic pain, posttraumatic stress disorder, and persistent postconcussive symptoms in OIF/OEF veterans: Polytrauma clinical triad

Lew

Otis²,

Tun³

et al. 2009

JRRD

Self Cite

594

446

View full text Add to dashboard Cite

show abstract

“…Common treatment needs for Veterans with TBI include cognitive-behavioral interventions, pain management, assistive devices, mental health interventions for both patients and their families, and specialty consultations [23]. Veterans with TBI are also highly represented in case manager caseloads due to the intensity of their TBIrelated treatment needs and treatment needs related to cooccurring conditions, particularly PTSD.…”

Section: Discussionmentioning

confidence: 99%

Healthcare utilization and costs of Veterans screened and assessed for traumatic brain injury

et al. 2013

View full text Add to dashboard Cite

Abstract-Approximately 15% of casualties in the Afghanistan (Operation Enduring Freedom [OEF]) and Iraq (Operation Iraqi Freedom [OIF]) conflicts received mild traumatic brain injury (TBI). To identify Veterans who may benefit from treatment, the Department of Veterans Affairs (VA) implemented a national clinical reminder in 2007 to screen for TBI. Veterans who screen positive are referred for a comprehensive TBI evaluation. We conducted a national retrospective study of OIF/OEF Veterans receiving care at VA facilities between 2007 and 2008. We examined the association of the TBI screen with healthcare costs over a 12 mo period following the initial evaluation. Of the Veterans, 164,438 met inclusion criteria: 31,627 screened positive, 118,545 screened negative, and 14,266 received no TBI screening. Total healthcare costs of Veterans who screened positive, screened negative, or had no TBI screening were $9,610, $5,184, and $3,399, respectively (p < 0.001). Understanding these healthcare utilization and cost patterns will assist policymakers to address the ongoing and future healthcare needs of these returning Veterans.

show abstract

“…The PRCs were established to provide the highest level of specialized acute inpatient rehabilitation for the most severely injured service members and Veterans, utilizing state-of-the-art practices to treat complex physical, cognitive, and mental health sequelae of battle trauma [17]. They also provide medical and surgical support for ongoing and/ or new conditions and provide support to families [18,19].…”

Section: Polytrauma Rehabilitation Center (Prc)mentioning

confidence: 99%

Rehabilitation Care of Combat Related TBI: Veterans Health Administration Polytrauma System of Care

Eapen

Tapia

Johnson

et al. 2013

Curr Phys Med Rehabil Rep

Self Cite

View full text Add to dashboard Cite

The U.S. Veterans Health Administration established the Polytrauma System of Care (PSC) in response to the growing need for Traumatic Brain Injury (TBI) and polytrauma rehabilitation services for our returning war heroes. The unique and complex patterns of injuries sustained during the conflicts in Iraq and Afghanistan have resulted in significant physical, cognitive, and psychological impairments which require an extraordinary level of specialized training and skill provided by the PSC interdisciplinary team. The PSC offers a holistic, coordinated, and comprehensive continuum of polytrauma/brain injury rehabilitation. These services range from intensive inpatient rehabilitation to residential and outpatient programs designed to address all facets of combat injury. These services are available to Veterans and service members across the nation and have been involved in the direct care of tens of thousands of combat injured personnel. This article provides an overview of services and new initiatives created by the PSC to provide the best care for our Veterans and service members.

show abstract

Rehabilitation Needs of Combat‐Injured Service Members Admitted to the VA Polytrauma Rehabilitation Centers: The Role of PM&R in the Care of Wounded Warriors

Cited by 87 publications

References 13 publications

Prevalence of chronic pain, posttraumatic stress disorder, and persistent postconcussive symptoms in OIF/OEF veterans: Polytrauma clinical triad

Prevalence of chronic pain, posttraumatic stress disorder, and persistent postconcussive symptoms in OIF/OEF veterans: Polytrauma clinical triad

Healthcare utilization and costs of Veterans screened and assessed for traumatic brain injury

Rehabilitation Care of Combat Related TBI: Veterans Health Administration Polytrauma System of Care

Contact Info

Product

Resources

About