Medical Care Needs of Returning Veterans with PTSD: Their Other Burden
Medical Care Needs of Returning Veterans with PTSD: Their Other Burden
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DOI：
10.1007/s11606-010-1497-4
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发表时间：
2011-01-01
影响因子：
5.7
通讯作者：
Kimerling, Rachel
中科院分区：
文献类型：
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作者：
Frayne, Susan M.;Chiu, Victor Y.;Kimerling, Rachel
背景技术背景：精神疾病的负担一直是人们关注的焦点（包括创伤后应激障碍，创伤后应激障碍）在返回持久自由行动/伊拉克自由行动（OEF/OIF）退伍军人，但很少注意的医疗疾病的负担，在那些与创伤后应激障碍。（1）确定OEF/OIF退伍军人中患有PTSD的男女医疗疾病负担是否高于无精神健康状况的人（MHC）。(2)识别PTSD患者的常见情况。设计：利用现有数据库进行横断面研究研究对象：美国退伍军人健康管理局（VHA）的全国患者，患者：所有90,558名OEF/OIF退伍军人使用VHA门诊治疗，分为以下几个层次：PTSD、应激相关障碍、其他MHC和无MHC。（2）具体的医疗条件（来自ICD 9编码，使用卫生研究和质量机构的临床分类软件框架）。主要结果：女性的医疗条件中位数为7.0，而PTSD患者和无MHC患者的医疗条件中位数为4.5（p
BACKGROUND: There has been considerable focus on the burden of mental illness (including post-traumatic stress disorder, PTSD) in returning Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) veterans, but little attention to the burden of medical illness in those with PTSD.OBJECTIVES: (1) Determine whether the burden of medical illness is higher in women and men OEF/OIF veterans with PTSD than in those with No Mental Health Conditions (MHC). (2) Identify conditions common in those with PTSD.DESIGN: Cross-sectional study using existing databases (Fiscal Year 2006-2007).SETTING: Veterans Health Administration (VHA) patients nationally.PATIENTS: All 90,558 OEF/OIF veterans using VHA outpatient care nationally, categorized into strata: PTSD, Stress-Related Disorders, Other MHCs, and No MHC.MEASUREMENTS: (1) Count of medical conditions; (2) specific medical conditions (from ICD9 codes, using Agency for Health Research and Quality's Clinical Classifications software framework).MAIN RESULTS: The median number of medical conditions for women was 7.0 versus 4.5 for those with PTSD versus No MHC (p