دورية أكاديمية
أعرض في EDS

A Comparison of Four-Year Health Outcomes following Combat Amputation and Limb Salvage.

التفاصيل البيبلوغرافية
العنوان: A Comparison of Four-Year Health Outcomes following Combat Amputation and Limb Salvage.
المؤلفون: Melcer T; Department of Medical Modeling, Simulation, and Mission Support, Naval Health Research Center, San Diego, California, United States of America., Walker J; Department of Medical Modeling, Simulation, and Mission Support, Naval Health Research Center, San Diego, California, United States of America., Bhatnagar V; Department of Medical Modeling, Simulation, and Mission Support, Naval Health Research Center, San Diego, California, United States of America.; VA San Diego Healthcare System, San Diego, California, United States of America.; Department for Family Medicine and Public Health, University of California San Diego, San Diego, California, United States of America., Richard E; Department of Medical Modeling, Simulation, and Mission Support, Naval Health Research Center, San Diego, California, United States of America.; VA San Diego Healthcare System, San Diego, California, United States of America.; Department for Family Medicine and Public Health, University of California San Diego, San Diego, California, United States of America., Sechriest VF 2nd; VA Minneapolis Healthcare System, Minneapolis, Minnesota, United States of America., Galarneau M; Department of Medical Modeling, Simulation, and Mission Support, Naval Health Research Center, San Diego, California, United States of America.
المصدر: PloS one [PLoS One] 2017 Jan 25; Vol. 12 (1), pp. e0170569. Date of Electronic Publication: 2017 Jan 25 (Print Publication: 2017).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Recovery of Function*, Amputation, Surgical/*adverse effects , Leg Injuries/*surgery , Postoperative Complications/*epidemiology , Surgical Wound Infection/*epidemiology, Adult ; Amputation, Surgical/psychology ; Humans ; Injury Severity Score ; Leg Injuries/psychology ; Male ; Osteoporosis/etiology ; Osteoporosis/psychology ; Postoperative Complications/etiology ; Postoperative Complications/psychology ; Prevalence ; Prognosis ; Stress Disorders, Post-Traumatic/etiology ; Stress Disorders, Post-Traumatic/psychology ; Surgical Wound Infection/etiology ; Time Factors ; United States ; Young Adult
مستخلص: 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.
Competing Interests: The authors have declared that no competing interests exist.
التعليقات: Erratum in: PLoS One. 2017 Feb 27;12 (2):e0173214. (PMID: 28241079)
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تواريخ الأحداث: Date Created: 20170126 Date Completed: 20170809 Latest Revision: 20231112
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC5266314
DOI: 10.1371/journal.pone.0170569
PMID: 28122002
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0170569