Journal
PAIN MEDICINE
Volume 10, Issue 3, Pages 447-455Publisher
WILEY-BLACKWELL PUBLISHING, INC
DOI: 10.1111/j.1526-4637.2009.00590.x
Keywords
Chronic Pain; Trauma; Posttraumatic Stress Syndrome; Psychosocial Factors
Categories
Funding
- Department of Veterans Affairs Rehabilitation Research and Development [SDR-07-047]
- University of South Florida or the Departments of Defense or Veterans Affairs
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To compare the physical and emotional presentation and pain treatment outcomes of service members who sustained polytrauma secondary to blast with those of soldiers injured by other means. Retrospective medical record review. One of four Veterans Affairs multidisciplinary inpatient Polytrauma Rehabilitation Centers. One hundred twenty-eight Operation Enduring Freedom and Operation Iraqi Freedom military personnel with serious polytrauma injuries and concomitant pain categorized into three groups based on type of injuries: blast injuries, combat injuries other than blast, and noncombat, nonblast injuries. Intensive, interdisciplinary inpatient rehabilitation and pain treatment. Pain intensity ratings; Functional Independence Measure scores; Rancho Los Amigos levels; and opioid analgesic doses. Service members injured via blast demonstrated a broader spectrum of physical injuries, higher levels of admission and discharge opioid analgesic use, reduced improvement in pain intensity following treatment, and much higher rates of posttraumatic stress disorder and other psychiatric diagnoses than those injured via other means. Blast injury may be associated with differential physical, emotional, and pain-related symptoms that pose increased challenges for successful treatment.
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