Article

The purpose of this study was to describe career performance outcomes after
combat blast injury and to examine the relationship between the injury severity
and type of military discharge.
A retrospective cohort study of 4,255 male
servicemembers injured in a combat blast as a part of Operation Iraqi Freedom was
completed. In the total sample, 37.8% experienced a normal discharge and 8.3% had
an early discharge. Of the 2,229 members who had a discharge code, 29.8%
experienced a disability discharge. Both early attrition and disability discharge
proportions were higher in those with posttraumatic stress disorder (PTSD) than
in those without PTSD. There was a significant interaction between PTSD and
injury severity in the discharge disability outcome. In those without PTSD, there
was a dose-response relationship between injury severity and disability
discharge. In those with PTSD, injury severity predicted disability discharge.
The relationship between injury severity and disability discharge was less
striking in servicemembers with PTSD than without PTSD.
The effect of PTSD and
injury severity on career performance outcomes after blast injuries should be
factored into outcome planning.
- Accident du souffle

Langue : ANGLAIS