A Comparison of Four-Year Health Outcomes following Combat Amputation and Limb Salvage.
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) uni...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2017-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC5266314?pdf=render |
| _version_ | 1819158817190969344 |
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| author | Ted Melcer Jay Walker Vibha Bhatnagar Erin Richard V Franklin Sechriest Michael Galarneau |
| author_facet | Ted Melcer Jay Walker Vibha Bhatnagar Erin Richard V Franklin Sechriest Michael Galarneau |
| author_sort | Ted Melcer |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-22T16:30:41Z |
| format | Article |
| id | doaj.art-9e8270e947554902853b839072476753 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-22T16:30:41Z |
| publishDate | 2017-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-9e8270e947554902853b8390724767532022-12-21T18:20:04ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01121e017056910.1371/journal.pone.0170569A Comparison of Four-Year Health Outcomes following Combat Amputation and Limb Salvage.Ted MelcerJay WalkerVibha BhatnagarErin RichardV Franklin SechriestMichael GalarneauLittle 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.http://europepmc.org/articles/PMC5266314?pdf=render |
| spellingShingle | Ted Melcer Jay Walker Vibha Bhatnagar Erin Richard V Franklin Sechriest Michael Galarneau A Comparison of Four-Year Health Outcomes following Combat Amputation and Limb Salvage. PLoS ONE |
| title | A Comparison of Four-Year Health Outcomes following Combat Amputation and Limb Salvage. |
| title_full | A Comparison of Four-Year Health Outcomes following Combat Amputation and Limb Salvage. |
| title_fullStr | A Comparison of Four-Year Health Outcomes following Combat Amputation and Limb Salvage. |
| title_full_unstemmed | A Comparison of Four-Year Health Outcomes following Combat Amputation and Limb Salvage. |
| title_short | A Comparison of Four-Year Health Outcomes following Combat Amputation and Limb Salvage. |
| title_sort | comparison of four year health outcomes following combat amputation and limb salvage |
| url | http://europepmc.org/articles/PMC5266314?pdf=render |
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