Journal of Rehabilitation Research & Development (JRRD)

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Glasgow Coma Scale scores, early opioids, and 4-year psychological outcomes among combat amputees

Ted Melcer, PhD, et al.

Previous research showed that combat amputees were less likely to develop posttraumatic stress disorder (PTSD) than nonamputees. We tested the possibility that loss of consciousness or provision of pain medicine (morphine or fentanyl) soon after injury might prevent PTSD. We followed psychological diagnoses in military and Department of Veterans Affairs hospital records for 258 combat amputees for 4 years. PTSD was less likely for patients treated with morphine than for patients treated with fentanyl, but only for 2 years after injury. Overall, PTSD cases increased over the first 4 years after injury, compared with other psychological diagnoses, such as depression.
http://dx.doi.org/10.1682/JRRD.2013.06.0143

Volume 51 Number 5, 2014
   Pages 697 — 710


View HTML ¦ View PDF ¦ Contents Vol. 51, No.5

This article and any supplementary material should be cited as follows:
Melcer T, Walker J, Bhatnagar V, Richard E, Han P, Sechriest VF 2nd, Lebedda M, Quinn K, Galarneau M. Glasgow Coma Scale scores, early opioids, and 4-year psychological outcomes among combat amputees. J Rehabil Res Dev. 2014;51(5):697–710.
http://dx.doi.org/10.1682/JRRD.2013.06.0143
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