Veterans with Traumatic Brain Injury-related Ocular Injury and Vision Dysfunction: Vision Rehabilitation Utilization.
Veterans with Traumatic Brain Injury-related Ocular Injury and Vision Dysfunction: Vision Rehabilitation Utilization.
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患有创伤性脑损伤相关眼损伤和视力障碍的退伍军人：视力康复利用。
DOI：
10.1097/opx.0000000000001824
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Cockerham,Glenn
中科院分区：
文献类型：
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作者：
Winkler,SandraL;Marszalek,Jacob;Wang,Xinping;Finch,Dezon;Rakoczy,Chrystyna;Delikat,Jemy;Kelleher,Valerie;Williams,Michael;Zuniga,Esteban;Rice,Candice;Pollard,Kendra;Cockerham,Glenn
本研究的目的是了解(A)在6个月、12个月和24个月时视力康复随访的频率；(B)随访与人口学、共病和颅脑损伤协变量以及眼部和视觉症状、地理通道和评估设施之间的关系；以及(C)为什么一些退伍军人没有跟进建议。样本包括2458名退伍军人，他们在2008年1月1日至2017年12月31日期间在持久自由行动/伊拉克自由冲突行动中服役，并在五个退伍军人多重创伤康复中心之一接受治疗。结果约60%的退伍军人接受了推荐的视力康复治疗，他们平均在退伍军人多发伤康复中心和社区退伍军人康复中心就诊。年龄每增加10年，随访率相应降低12%。视野缩小的退伍军人比视野不缩小的退伍军人获得随访的几率高50%。有阅读困难的退伍军人比那些阅读困难的退伍军人获得随访的几率高59%。复视患者的随访率比非复视患者高45%。结论本研究结果提示，颅脑损伤后视力康复的需要可能延长至2年。由于缺乏可用的神经验光服务，获得视力康复的机会变得复杂。
PURPOSEThe purpose of this study was to understand (a) the frequency of vision rehabilitation follow-up visits at 6, 12, and 24 months;(b) the association between follow-up and demographic, comorbidity, and severity of TBI covariates as well as ocular and visual symptoms, geographic access, and evaluating facility; and (c) why some veterans did not follow up with recommendations.METHODSRetrospective and survey designs were used. The sample included 2458 veterans who served in the Operation Enduring Freedom/Operation Iraqi Freedom conflicts and received care at one of the five VA Polytrauma Rehabilitation Centers between January 1, 2008, and December 31, 2017. Quantitative and qualitative descriptive analyses and stepwise logistic regression were performed.RESULTSAbout 60% of veterans followed up with recommended vision rehabilitation with visits equally split between VA Polytrauma Rehabilitation Centers and community VA facilities. For each 10-year increase in age, there was a corresponding reduction of 12% in the odds of follow-up. Veterans with decreased visual field had 50% greater odds of follow-up than those who did not. Veterans with difficulty reading had 59% greater odds of follow-up than those who did not. Those who had a double vision had 45% greater odds of follow-up than those who did not.CONCLUSIONSOur findings suggest that the need for vision rehabilitation may extend as long as 2 years after TBI. Access to vision rehabilitation is complicated by the paucity of available neuro-optometric services.