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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.
PM R. 2009 Jan; 1(1):23-8.PM R

Abstract

OBJECTIVE

To describe the rehabilitation course of combat-injured service members who sustained polytraumatic injuries during the current wars in and around Iraq and Afghanistan.

DESIGN

Retrospective descriptive analysis.

SETTING

Department of Veterans Administration Polytrauma Rehabilitation Centers (PRCs).

PARTICIPANTS

One hundred eighty-eight consecutive, acutely combat-injured service members suffering polytraumatic injuries requiring inpatient rehabilitation and being treated at PRCs between October 2001 and January 2006.

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURES

Medications prescribed, devices used, injuries and impairment information, and consultative services.

RESULTS

Ninety-three percent of the patients had sustained a traumatic brain injury (TBI) and more than half of these were incurred secondary to blast explosions. Over half of the patients had infections or surgeries prior to PRC admission that required continued medical attention during their stay. Pain and mental health issues were present in 100% and 39%, respectively, of all patients admitted and added complexity to the brain injury rehabilitation process. Common treatment needs included cognitive-behavioral interventions, pain care, assistive devices, mental health interventions for both patients and their families, and specialty consultations, in particular to ophthalmology, otolaryngology, and neurology.

CONCLUSIONS

Combat-injured polytrauma patients have complex rehabilitation needs that require a high level of specialized training and skill. Physical medicine and rehabilitation specialists treating war injured service members need a high level of expertise in assessment and treatment of co-occurring pain, TBI, and stress disorders. Physiatrists are playing an important role in providing and coordinating the rehabilitation care for individuals with significant polytraumatic war injuries from the Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) conflicts.

Authors+Show Affiliations

Center for Chronic Disease Outcomes Research, VA Medical Center, Minneapolis, MN, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

19627869

Citation

Sayer, Nina A., et al. "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." PM & R : the Journal of Injury, Function, and Rehabilitation, vol. 1, no. 1, 2009, pp. 23-8.
Sayer NA, Cifu DX, McNamee S, et al. 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. PM R. 2009;1(1):23-8.
Sayer, N. A., Cifu, D. X., McNamee, S., Chiros, C. E., Sigford, B. J., Scott, S., & Lew, H. L. (2009). 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. PM & R : the Journal of Injury, Function, and Rehabilitation, 1(1), 23-8. https://doi.org/10.1016/j.pmrj.2008.10.003
Sayer NA, et al. 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. PM R. 2009;1(1):23-8. PubMed PMID: 19627869.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - 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. AU - Sayer,Nina A, AU - Cifu,David X, AU - McNamee,Shane, AU - Chiros,Christine E, AU - Sigford,Barbara J, AU - Scott,Steve, AU - Lew,Henry L, PY - 2008/09/27/received PY - 2008/10/16/revised PY - 2008/10/16/accepted PY - 2009/7/25/entrez PY - 2009/7/25/pubmed PY - 2009/9/30/medline SP - 23 EP - 8 JF - PM & R : the journal of injury, function, and rehabilitation JO - PM R VL - 1 IS - 1 N2 - OBJECTIVE: To describe the rehabilitation course of combat-injured service members who sustained polytraumatic injuries during the current wars in and around Iraq and Afghanistan. DESIGN: Retrospective descriptive analysis. SETTING: Department of Veterans Administration Polytrauma Rehabilitation Centers (PRCs). PARTICIPANTS: One hundred eighty-eight consecutive, acutely combat-injured service members suffering polytraumatic injuries requiring inpatient rehabilitation and being treated at PRCs between October 2001 and January 2006. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Medications prescribed, devices used, injuries and impairment information, and consultative services. RESULTS: Ninety-three percent of the patients had sustained a traumatic brain injury (TBI) and more than half of these were incurred secondary to blast explosions. Over half of the patients had infections or surgeries prior to PRC admission that required continued medical attention during their stay. Pain and mental health issues were present in 100% and 39%, respectively, of all patients admitted and added complexity to the brain injury rehabilitation process. Common treatment needs included cognitive-behavioral interventions, pain care, assistive devices, mental health interventions for both patients and their families, and specialty consultations, in particular to ophthalmology, otolaryngology, and neurology. CONCLUSIONS: Combat-injured polytrauma patients have complex rehabilitation needs that require a high level of specialized training and skill. Physical medicine and rehabilitation specialists treating war injured service members need a high level of expertise in assessment and treatment of co-occurring pain, TBI, and stress disorders. Physiatrists are playing an important role in providing and coordinating the rehabilitation care for individuals with significant polytraumatic war injuries from the Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) conflicts. SN - 1934-1482 UR - https://www.unboundmedicine.com/medline/citation/19627869/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_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1934-1482(08)00016-6 DB - PRIME DP - Unbound Medicine ER -