Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2010-8-30
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.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
1938-1352
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
47
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
349-60
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
pubmed:year
2010
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.
pubmed:affiliation
Human Engineering Research Laboratories, Department of Veterans Affairs (VA) Rehabilitation Research and Development Service, Pittsburgh, PA 15206-1206, USA.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, Non-P.H.S.