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Treatment effectiveness of complex casualty amputee patients

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Author
Farrar, Elizabeth D.
Date
2013-09
Advisor
Dimitrov, Nedialko
Silvestrini, Rachel
Second Reader
Mislick, Gregory K.
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Abstract
This study analyzes data from 182 Comprehensive Combat and Complex Casualty Care (C5) amputee patients with the goal to better understand the factors that influence their care. The data was provided from the Navy Bureau of Medicine and Surgery while visiting the Naval Medical Center at San Diego. The analysis examines two response variables, opiate drug usage and duration in the C5 program, as a function of a number of exploratory variables, including patient demographics, injury type, and appointment statistics. Logistic and linear regression models are used for data analysis. The study concludes that an increase in attendance to physical therapy, occupational therapy, and pain management and rehabilitation appointments correlates with an increased likelihood in reduced opiate usage. The study also concludes that the percentage of cancelled appointments is positively associated with the amputee’s duration in the program for non-Caucasian patients, patients with an improvised explosive device injury, and amputees with an upper-extremity amputation or both a lower- and upper-extremity amputation.
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This publication is a work of the U.S. Government as defined in Title 17, United States Code, Section 101. Copyright protection is not available for this work in the United States.
URI
http://hdl.handle.net/10945/48122
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  • 1. Thesis and Dissertation Collection, all items
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