Resource Utilization and Disability Outcome Assessment of Combat Casualties From Operation Iraqi Freedom and Operation Enduring Freedom

Masini, Brendan D.; Waterman, Scott M.; Wenke, Joseph C.; Owens, Brett D.; Hsu, Joseph R.; Ficke, James R.

doi:10.1097/bot.0b013e31819dfa04

Cited by 126 publications

(96 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Extremity injuries account for the majority of injuries sustained in combat [14] and are responsible for the majority of in-hospital costs and associated long-term disabilities [3,13]. Previous studies of the Return to Run clinical pathway have demonstrated an improvement in physical performance and higher return to duty and deployment rates than described before initiation of this There were several limitations to this study.…”

Section: Discussionmentioning

confidence: 75%

See 1 more Smart Citation

Can an Integrated Orthotic and Rehabilitation Program Decrease Pain and Improve Function After Lower Extremity Trauma?

Bedigrew

Patzkowski

Wilken³

et al. 2014

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 75%

“…Extremity injuries account for the majority of injuries sustained in combat [14] and are responsible for the majority of in-hospital costs and associated long-term disabilities [3,13]. Patients who sustain high-energy limbthreatening trauma are often faced with the decision between amputation and limb salvage.…”

Section: Introductionmentioning

confidence: 99%

Can an Integrated Orthotic and Rehabilitation Program Decrease Pain and Improve Function After Lower Extremity Trauma?

Bedigrew

Patzkowski

Wilken³

et al. 2014

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…Improvements in individual protective gear have increased survival in US forces, although the extremities remain exposed leading to severe extremity injuries in survivors [3][4][5][6][7][8][9][10]. These high-energy injuries consume a disproportionate amount of medical resources and are responsible for most long-term disabilities [7,8,11]. In addition to severe extremity injuries, spinal fractures represent another source of significant longterm disability, in fact behind upper extremity amputation, spinal injury leads to the second greatest level of disability for combat-injured servicemembers [11].…”

Section: Introductionmentioning

confidence: 99%

The effect of vehicle protection on spine injuries in military conflict

et al. 2012

View full text Add to dashboard Cite

RESULTS:In total, 1,819 spine fractures occurred over the entire study period. Four hundred seventy-two fractures (26%) were sustained in 145 servicemembers who were mounted at the time of injury, and 1,347 (74%) were sustained by 404 servicemembers who were dismounted (p!.0005). The incidence of fractures in the dismounted cohort (D1þD2) was significantly higher than in the mounted cohort (M1þM2) The disclosure key can be found on the The spinal cord injury (SCI) incidence did not change in the mounted groups in Time Period 1 (7 of 71, 9.9%) versus Time Period 2 (7 of 74, 9.5%) (p5.935). In the dismounted groups, SCI actually decreased from D1 (55 of 228, 24%) to D2 (28 of 176, 16%) (p5.0428). CONCLUSIONS: The incidence of spine fractures and SCI is significantly higher in dismounted operations. The data suggest that current uparmored vehicles convey greater protection against spinal fracture compared with dismounted operations in which servicemembers are engaged on foot, outside their vehicles. The TL junction is at greatest risk for spine fractures sustained in mounted and dismounted combat operations. Recently, the incidence of TL fractures, especially severe fractures, has significantly increased in mounted operations. Although there has been an increased incidence of TL spine fractures, in context of the number of servicemembers deployed in support of Operation Enduring Freedom/Operation Iraqi Freedom, these severe fractures still represent a relatively rare event. Published by Elsevier Inc.

show abstract

“…PTSD is of particular interest because it is known to complicate rehabilitation following combat injury [2,[11][12][15][16]. Moreover, these Veterans have high disability rates, with 64 percent of personnel with limb injuries found unfit for Active Duty [17]. Similarly, Iranian Veterans with lower-limb amputation(s) from the Iran-Iraq war (1980)(1981)(1982)(1983)(1984)(1985)(1986)(1987)(1988) had high rates of physical impairment and chronic pain more than 25 yr after injury [18].…”

Section: Introductionmentioning

confidence: 99%

Lower-limb amputation and effect of posttraumatic stress disorder on Department of Veterans Affairs outpatient cost trends

et al. 2015

View full text Add to dashboard Cite

Abstract-Department of Veterans Affairs (VA) outpatient costs were analyzed for combat Veterans injured in Iraq and Afghanistan from 2001 to 2008. Patients had serious lowerlimb injuries (n = 170) or unilateral (n = 460) or bilateral (n = 153) lower-limb amputation(s). Total costs over the follow-up period (2003 to 2012) and annual costs were analyzed. Unadjusted mean costs per year in 2012 U.S. dollars were $7,200, $14,700, and $18,700 for limb injuries and unilateral and bilateral lower-limb amputation(s), respectively (p < 0.001). Multivariate modeling indicated that annual cost declined after the first year in the VA for Veterans with limb injuries (p < 0.001, repeated measures). In contrast, annual costs doubled after 3-5 years with unilateral (p < 0.001) and bilateral amputation(s) (p < 0.001). Among amputees, prosthetics comprised more than 50% of outpatient cost; unadjusted mean cost per year for prosthetics was 7-9 times higher in comparison with Veterans with limb injuries. Amputation status was associated with an adjusted 3.12-fold increase in mean prosthetic cost per year (p < 0.001, general linear model). In addition, posttraumatic stress disorder (PTSD) was associated with increased prosthetic cost by amputation status (p < 0.001) and increased psychiatric and pharmacy costs (both p < 0.001). Results indicate relatively high and sustained outpatient costs driven by prosthetics following amputation. Finally, PTSD affected cost for multiple domains of health, highlighting the importance of accurate diagnosis, treatment, and support for PTSD.

show abstract

Resource Utilization and Disability Outcome Assessment of Combat Casualties From Operation Iraqi Freedom and Operation Enduring Freedom

Cited by 126 publications

References 22 publications

Can an Integrated Orthotic and Rehabilitation Program Decrease Pain and Improve Function After Lower Extremity Trauma?

Can an Integrated Orthotic and Rehabilitation Program Decrease Pain and Improve Function After Lower Extremity Trauma?

The effect of vehicle protection on spine injuries in military conflict

Lower-limb amputation and effect of posttraumatic stress disorder on Department of Veterans Affairs outpatient cost trends

Contact Info

Product

Resources

About