Combat-incurred bilateral transfemoral limb loss: A comparison of the Vietnam War to the wars in Afghanistan and Iraq
Combat-incurred bilateral transfemoral limb loss: A comparison of the Vietnam War to the wars in Afghanistan and Iraq
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DOI：
10.1097/ta.0b013e318265fe64
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发表时间：
2012-12-01
影响因子：
3.4
通讯作者：
Reiber, Gayle E.
中科院分区：
文献类型：
--
作者：
Dougherty, Paul J.;McFarland, Lynne V.;Reiber, Gayle E.
背景：本研究比较了在越南战争或最近的阿富汗和伊拉克冲突中因战斗受伤而双侧经股肢体丧失的退伍军人自我报告的健康状况、生活质量、功能和假肢使用情况，以了解手术、假肢和康复方面发生了哪些改进。方法：从退伍军人管理局和军事数据库中确定受试者。对在越南战争或伊拉克自由行动/持久自由行动（OIF/OEF）中因战场受伤而截肢的服役人员进行了一项横断面调查，调查对象为双侧经股截肢的服役人员。该调查在2007年至2008年期间通过邮件、电话或网站进行。结果：越南组501例，OIF/OEF组541例。越南组298例中有23例（7.7%）发生双侧经股骨截肢，OIF/OEF组283例中有10例（3.5%）发生双侧经股骨截肢（chi(2)检验，p = 0.04）。40%的越南组和80%的OIF/OEF组的自我报告健康状况被评为良好至优秀（p = 0.04）。54.6%的越南组和70%的OIF/OEF组的生活质量被评为良好至优秀（无统计学意义）。越南组的23名受试者中有22人使用轮椅，OIF/OEF组的所有受试者都使用轮椅。在越南组中，23人中有8人（34.7%）目前使用假体，而OIF/OEF组中10人中有7人（70%）使用假体（chi(2)检验，p = 0.13）。目前使用的假体平均（SD）数为越南组1.0 (1.9)，OIF/OEF组4.0 (5.2)（p = 0.022）。结论：在OIF/OEF服役的参与者和在越南服役的参与者报告的生活质量相当。假肢的使用仍然是一个问题，特别是随着服役人员年龄的增长。[J]创伤急症护理杂志，2012;73:1590-1595。版权所有：Lippincott Williams & Wilkins)
BACKGROUND: This study is a comparison of the self-reported health status, quality of life, function, and prosthetic use of veterans with bilateral transfemoral limb loss following combat injury in either the Vietnam War or the recent conflicts in Afghanistan and Iraq, to learn what improvements in surgery, prosthetics, and rehabilitation have occurred.METHODS: Subjects were identified from Veteran's Administration and military databases. A cross-sectional survey was conducted of service members with bilateral transfemoral amputation who participated in a larger survey of service members with any type of amputation associated with a battlefield injury from the Vietnam War or Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF). The survey was conducted by mail, telephone, or Web site during 2007 to 2008.RESULTS: There were 501 subjects in the Vietnam group and 541 in the OIF/OEF group with any type of limb loss. Bilateral transfemoral amputation was reported in 23 (7.7%) of 298 of the Vietnam group and 10 (3.5%) of 283 of the OIF/OEF group (chi(2) test, p = 0.04). Self-reported health status was rated as good to excellent in 40% of the Vietnam group and 80% in the OIF/OEF group (p = 0.04). Quality of life was rated as good to excellent in 54.6% of the Vietnam group and 70% of the OIF/OEF group (not significant). Wheelchair use is reported by 22 of 23 subjects in the Vietnam group and all of the subjects of the OIF/OEF group. Of the Vietnam group, 8 (34.7%) of 23 currently use prostheses versus 7 (70%) of 10 of the OIF/OEF group (chi(2) test, p = 0.13). The mean (SD) number of prostheses currently used is 1.0 (1.9) for the Vietnam group and 4.0 (5.2) for the OIF/OEF group (p = 0.022).CONCLUSION: Participants who served in OIF/OEF and those who served in Vietnam report comparable quality of life. Prosthetic use continues to be a problem, especially as the service member ages. (J Trauma Acute Care Surg. 2012;73: 1590-1595. Copyright (c) 2012 by Lippincott Williams & Wilkins)