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Aim Describe career performance outcomes after combat blast injury.

Combat blast injuries: Injury severity and posttraumatic stress disorder interaction on career outcomes in male servicemembers.

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Aim Describe career performance outcomes after combat blast injury.

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  1. 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. 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. 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. 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. 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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