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Hawari RJ, McCabe CT, Dougherty AL, et al. Transport time after combat-related injury and patient-reported outcomes among US service members. BMJ Mil Health. 2021;doi: 10.1136/bmjmilitary-2020-001542.
Hawari, R. J., McCabe, C. T., Dougherty, A. L., Eskridge, S. L., Watrous, J. R., Sazon, J., & Galarneau, M. R. (2021). Transport time after combat-related injury and patient-reported outcomes among US service members. BMJ military health, . https://doi.org/10.1136/bmjmilitary-2020-001542
Hawari, Raneem J, et al. "Transport time after combat-related injury and patient-reported outcomes among US service members." BMJ military health vol. (2021). doi: https://doi.org/10.1136/bmjmilitary-2020-001542
Hawari RJ, McCabe CT, Dougherty AL, Eskridge SL, Watrous JR, Sazon J, Galarneau MR. Transport time after combat-related injury and patient-reported outcomes among US service members. BMJ Mil Health. 2021 Jan 22; doi: 10.1136/bmjmilitary-2020-001542. Epub 2021 Jan 22. PMID: 33483453.
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BMJ Mil Health. 2021 Jan 22; doi: 10.1136/bmjmilitary-2020-001542. Epub 2021 Jan 22.

Transport time after combat-related injury and patient-reported outcomes among US service members.

BMJ military health

Raneem J Hawari, C T McCabe, A L Dougherty, S L Eskridge, J R Watrous, J Sazon, M R Galarneau

Affiliations

  1. Medical Modeling, Simulation, and Mission Support, Naval Health Research Center, San Diego, California, USA.
  2. Leidos Inc, San Diego, California, USA.
  3. Medical Modeling, Simulation, and Mission Support, Naval Health Research Center, San Diego, California, USA [email protected].
  4. Axiom, San Diego, California, USA.

PMID: 33483453 DOI: 10.1136/bmjmilitary-2020-001542

Abstract

INTRODUCTION: The '

METHODS: Participants were injured between March 2003 and March 2016 and completed standardised assessments of PTSD, depression and QOL for theWounded Warrior Recovery Project (WWRP) between January 2013 and November 2017. Multivariable regressions were used to assess the relationship between transport time (≤1 hour or >1 hour from injury to MTF) and positive screens for PTSD and depression, and QOL, respectively.Overall, 45.6% of participants (n=879) arrived at an MTF within 1 hour postinjury. About 8 years passed between when participants were injured on deployment and when they completed their first WWRP assessment. Approximately 48% of participants screened positive for PTSD and 51.3% for depression, with a mean QOL score of 0.513 (SD=0.150). After adjusting for covariates, transport time was not significantly associated with PTSD (OR 1.04, 95% CI 0.79 to 1.38; p=0.77), depression (OR 0.92, 95% CI 0.69 to 1.21; p=0.55) or QOL (β=0.009; p=0.38).

CONCLUSION: Transport time was not associated with patient-reported outcomes among US service members with combat-related injury. These findings are important as we seek to understand how combat casualties may be affected by extended medical evacuation or transport times anticipated in future expeditionary operations.

© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.

Keywords: accident & emergency medicine; epidemiology; mental health

Conflict of interest statement

Competing interests: None declared.

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