Source:http://linkedlifedata.com/resource/pubmed/id/20803403
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
2010-8-30
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pubmed:abstractText |
Returning wounded veterans and servicemembers to their highest level of function following traumatic injury is a priority of the Departments of Defense and Veterans Affairs. We surveyed 245 veterans from the Vietnam war and 226 servicemembers and veterans from Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) conflicts with at least one major traumatic lower-limb loss to determine their use of mobility assistive technology (AT) and patterns of limb abandonment. Prosthetic device use without wheelchair use is found in 50.5% of Vietnam and 42.8% of OIF/OEF groups. Prostheses and supplementary wheelchairs are used by Vietnam (32%) and OIF/OEF (53%) groups (p < 0.01). Exclusive wheelchair use is more frequent in the Vietnam group (18%) than in the OIF/OEF group (4.0%, p < 0.01). In Vietnam participants, multivariate analysis found that multiple-limb loss (adjusted odds ratio [AOR] = 14.5; 95% confidence interval [CI] 5.5-38.5), bilateral lower-limb loss (AOR = 12.7; 95% CI 6.2-26.1), and number of comorbidities (AOR = 1.3; 95% CI 1.2-1.5) are associated with increased likelihood of wheelchair use. In OIF/OEF participants, bilateral lower-limb loss (AOR = 29.8; 95% CI 11.0-80.7), multiple-limb loss (AOR = 16.3; 95% CI 3.1-85.3), cumulative trauma disorder (AOR = 2.4; 95% CI 1.2-4.9), and number of combat injuries (AOR = 1.4; 95% CI 1.2-1.7) are associated with wheelchair use. Combined use of different types of mobility ATs promotes improved rehabilitation and ability to function.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
1938-1352
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
47
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
349-60
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pubmed:meshHeading |
pubmed-meshheading:20803403-Activities of Daily Living,
pubmed-meshheading:20803403-Afghan Campaign 2001-,
pubmed-meshheading:20803403-Amputation, Traumatic,
pubmed-meshheading:20803403-Comorbidity,
pubmed-meshheading:20803403-Cumulative Trauma Disorders,
pubmed-meshheading:20803403-Female,
pubmed-meshheading:20803403-Health Surveys,
pubmed-meshheading:20803403-Humans,
pubmed-meshheading:20803403-Iraq War, 2003 -,
pubmed-meshheading:20803403-Male,
pubmed-meshheading:20803403-Middle Aged,
pubmed-meshheading:20803403-Military Personnel,
pubmed-meshheading:20803403-Multiple Trauma,
pubmed-meshheading:20803403-Patient Satisfaction,
pubmed-meshheading:20803403-Prostheses and Implants,
pubmed-meshheading:20803403-Veterans,
pubmed-meshheading:20803403-Vietnam Conflict,
pubmed-meshheading:20803403-Wheelchairs,
pubmed-meshheading:20803403-Young Adult
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pubmed:year |
2010
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pubmed:articleTitle |
Wheeled mobility: factors influencing mobility and assistive technology in veterans and servicemembers with major traumatic limb loss from Vietnam war and OIF/OEF conflicts.
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pubmed:affiliation |
Human Engineering Research Laboratories, Department of Veterans Affairs (VA) Rehabilitation Research and Development Service, Pittsburgh, PA 15206-1206, USA.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, Non-P.H.S.
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