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Effect of traumatic brain injury among U.S. servicemembers with amputation

Effect of traumatic brain injury among U.S. servicemembers with amputation. Mitchell J. Rauh, PhD, PT, MPH; Hilary J. Aralis, MS; Ted Melcer, PhD; Caroline A. Macera, PhD; Pinata Sessoms, PhD; Jamie Bartlett, PhD; Michael R. Galarneau, MS. Aim

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Effect of traumatic brain injury among U.S. servicemembers with amputation

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  1. Effect of traumatic brain injury among U.S. servicemembers with amputation Mitchell J. Rauh, PhD, PT, MPH; Hilary J. Aralis, MS; Ted Melcer, PhD; Caroline A. Macera, PhD; Pinata Sessoms, PhD; Jamie Bartlett, PhD; Michael R. Galarneau, MS

  2. Aim • Determine frequency of traumatic brain injury (TBI) among servicemembers with traumatic amputation. • Examine whether TBI status was associated with discharge to civilian status and medical and rehabilitative service use postamputation. • Relevance • Servicemembers with combat-related limb loss often require substantial rehabilitative care. • Prevalence of TBI has increased among servicemembers.

  3. Method • Collected 2001–2006 data on servicemembers with combat-related amputation from Operation Iraqi Freedom/Operation Enduring Freedom: • Injury mechanism. • Postinjury complications. • Injury Severity Score (ISS). • Follow-up data (military service discharge status; number of medical, physical, occupational therapy, and prosthetic-related visits).

  4. Results • Of 546 servicemembers with combat-related amputations, 127 (23.3%) had TBI diagnosis. • After adjusting for ISS and amputation location, those with TBI had significantly greater mean number of medical and rehabilitative outpatient and inpatient visits combined. • Those with TBI were at greater odds of developing certain postinjury complications.

  5. Conclusion • We recommend that providers treating servicemembers with limb loss assess for TBI because those who sustain a TBI will require increased medical and rehabilitative care use.

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