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This article and any supplementary material should be cited as follows: Eskridge SL, Macera CA, Galarneau MR, Holbrook TL, Woodruff SI, MacGregor AJ, Morton.

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Presentation on theme: "This article and any supplementary material should be cited as follows: Eskridge SL, Macera CA, Galarneau MR, Holbrook TL, Woodruff SI, MacGregor AJ, Morton."— Presentation transcript:

1 This article and any supplementary material should be cited as follows: Eskridge SL, Macera CA, Galarneau MR, Holbrook TL, Woodruff SI, MacGregor AJ, Morton DJ, Shaffer RA. Combat blast injuries: Injury severity and posttraumatic stress disorder interaction on career outcomes in male servicemembers. J Rehabil Res Dev. 2013;50(1):7–16. http://dx.doi.org/10.1682/JRRD.2012.01.0004 Slideshow Project DOI:10.1682/JRRD.2012.01.0004JSP Combat blast injuries: Injury severity and posttraumatic stress disorder interaction on career outcomes in male servicemembers Susan L. Eskridge, PT, PhD; Caroline A. Macera, PhD; Michael R. Galarneau, MS; Troy L. Holbrook, PhD; Susan I. Woodruff, PhD; Andrew J. MacGregor, PhD; Deborah J. Morton, PhD; Richard A. Shaffer, PhD

2 This article and any supplementary material should be cited as follows: Eskridge SL, Macera CA, Galarneau MR, Holbrook TL, Woodruff SI, MacGregor AJ, Morton DJ, Shaffer RA. Combat blast injuries: Injury severity and posttraumatic stress disorder interaction on career outcomes in male servicemembers. J Rehabil Res Dev. 2013;50(1):7–16. http://dx.doi.org/10.1682/JRRD.2012.01.0004 Slideshow Project DOI:10.1682/JRRD.2012.01.0004JSP Aim – Describe career performance outcomes after combat blast injury. – Examine relationship between injury severity and type of military discharge. Relevance – Understanding outcomes and risk factors for adverse outcomes is important in providing support postinjury. – Long-term impairments can continue to affect servicemembers’ function, leading to career performance reduction.

3 This article and any supplementary material should be cited as follows: Eskridge SL, Macera CA, Galarneau MR, Holbrook TL, Woodruff SI, MacGregor AJ, Morton DJ, Shaffer RA. Combat blast injuries: Injury severity and posttraumatic stress disorder interaction on career outcomes in male servicemembers. J Rehabil Res Dev. 2013;50(1):7–16. http://dx.doi.org/10.1682/JRRD.2012.01.0004 Slideshow Project DOI:10.1682/JRRD.2012.01.0004JSP Method Retrospective cohort study of 4,255 male servicemembers injured in combat blast in Operation Iraqi Freedom. – Of total sample: 37.8% normal discharge. 8.3% early discharge. – Of 2,229 with discharge code: 29.8% disability discharge.

4 This article and any supplementary material should be cited as follows: Eskridge SL, Macera CA, Galarneau MR, Holbrook TL, Woodruff SI, MacGregor AJ, Morton DJ, Shaffer RA. Combat blast injuries: Injury severity and posttraumatic stress disorder interaction on career outcomes in male servicemembers. J Rehabil Res Dev. 2013;50(1):7–16. http://dx.doi.org/10.1682/JRRD.2012.01.0004 Slideshow Project DOI:10.1682/JRRD.2012.01.0004JSP Results Early attrition and disability discharge proportions higher in those with posttraumatic stress disorder (PTSD) vs no PTSD. Significant interaction between PTSD and injury severity in discharge disability outcome. Dose-response relationship between injury severity and disability discharge in those without PTSD. Injury severity predicted disability discharge in those with PTSD.

5 This article and any supplementary material should be cited as follows: Eskridge SL, Macera CA, Galarneau MR, Holbrook TL, Woodruff SI, MacGregor AJ, Morton DJ, Shaffer RA. Combat blast injuries: Injury severity and posttraumatic stress disorder interaction on career outcomes in male servicemembers. J Rehabil Res Dev. 2013;50(1):7–16. http://dx.doi.org/10.1682/JRRD.2012.01.0004 Slideshow Project DOI:10.1682/JRRD.2012.01.0004JSP Conclusion Relationship between injury severity and disability discharge was less striking in servicemembers with PTSD than without PTSD. Effect of PTSD and injury severity on career performance outcomes after blast injuries should be factored into outcome planning.

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