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Anciens combattants
Former members of the armed services.
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Cognitive Impairment among Veterans in Outpatient Vision Rehabilitation / Heather E. Whitson in OVS : Optometry & Vision Science, vol. 97, 06 (Juin 2020)
[article]
in OVS : Optometry & Vision Science > vol. 97, 06 (Juin 2020) . - p. 462-469
Titre : Cognitive Impairment among Veterans in Outpatient Vision Rehabilitation Type de document : article de périodique Auteurs : Heather E. Whitson ; Sandra Woolson ; Maren Olsen ; Robert Massof ; Stephanie M Ferguson ; Kelly W. Muir ; John A. Dziadul ; Eleanor McConnell ; Joan Stelmack Année de publication : 2020 Article en page(s) : p. 462-469 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]Anciens combattants
[Thésaurus Mesh]Troubles de la vision
[Thésaurus HELB]:Optique:réadaptation visuelle
[Thésaurus HELB]:Paramédical:Dysfonctionnement cognitifRésumé : SIGNIFICANCE: Outpatient vision rehabilitation improves function in veterans with vision impairment, but the prevalence of cognitive impairment and the degree to which it may affect rehabilitation outcomes in the Veterans Affairs system are unknown. PURPOSE: The purpose of this study was to determine the prevalence of cognitive impairment among veterans receiving outpatient vision rehabilitation in the Veterans Affairs system and compare the benefits of rehabilitation in veterans with and without cognitive impairment. METHODS: We conducted cognitive assessments and a nested longitudinal cohort study in veterans with eye disorders at two outpatient rehabilitation sites. Cognition was assessed with the Modified Telephone Interview for Cognitive Status administered in person. Eligible veterans and their companions in the longitudinal study responded to questions about the veteran's function at baseline and 90 days later. Visual function was measured with the 48- item Low Vision Visual Function Questionnaire (LV-VFQ-48) and items from the Activity Inventory. RESULTS: Of 291 veterans assessed (mean ± standard deviation age, 78.2 ± 12 years), 136 (46.7%) were cognitively intact (Modified Telephone Interview for Cognitive Status scores, ≥33), whereas 58 (19.9%) had borderline scores of 30 to 32, 82 (28.2%) had scores suggesting mild/moderate cognitive impairment (scores of 20 to 29), and 15 (5.2%) had scores suggesting severe cognitive impairment Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Veterans with Traumatic Brain Injury–related Ocular Injury and Vision Dysfunction: Recommendations for Rehabilitation / Sandra Winkler in OVS : Optometry & Vision Science, vol. 99, 01 (Janvier 2022)
[article]
in OVS : Optometry & Vision Science > vol. 99, 01 (Janvier 2022)
Titre : Veterans with Traumatic Brain Injury–related Ocular Injury and Vision Dysfunction: Recommendations for Rehabilitation Type de document : article de périodique Auteurs : Sandra Winkler ; Dezon Finch ; Xinping Wang ; Peter Toyinbo ; Jacob Marszalek ; Chrystyna Rakoczy ; Candice Rice ; Kendra Pollard ; Matthew Rhodes ; Kia Eldred ; Imelda Llanos ; Michael Peterson ; Michael Williams ; Esteban Zuniga ; Helen White ; Jemy Delikat ; Lisa Ballistrea Année de publication : 2022 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]:T:Troubles de la vision:Troubles de la vision / thérapie
[Thésaurus Mesh]Anciens combattants
[Thésaurus Mesh]Lésions traumatiques de l'oeil
[Thésaurus Mesh]Prestations des soins de santé
[Thésaurus Mesh]Prise en charge de la maladie
[Thésaurus Mesh]Signes et symptômes
[Thésaurus Mesh]Traumatismes cranioencéphaliques
[Thésaurus Mesh]Troubles de la vision
[Thésaurus HELB]:Optique:ophtalmologistes
[Thésaurus HELB]:Optique:optométristesRésumé : SIGNIFICANCE
We know the prevalence of traumatic brain injury (TBI)–related vision impairment and ocular injury symptoms. Lacking is an understanding of health care utilization to treat these symptoms. Utilization knowledge is important to structuring access to treatment, identifying clinical training needs, and providing evidence of the effectiveness of treatment.
PURPOSE
This article reports rehabilitation, glasses/contacts, and imaging/photography/video recommendations made by optometrists and ophthalmologists as part of the Department of Veterans Affairs–mandated Performance of Traumatic Brain Injury Specific Ocular Health and Visual Functioning Examination administered to veterans with TBI at Department of Veterans Affairs polytrauma specialty facilities.
METHODS
Using a retrospective design, natural language processing, and descriptive and regression statistics, data were analyzed for 2458 Operation Enduring Freedom/Operation Iraqi Freedom veterans who were administered the mandated examination between 2008 and 2017.
RESULTS
Of the 2458 veterans, vision rehabilitation was recommended for 24%, glasses/contacts were recommended for 57%, and further imaging/photography/video testing was recommended for 58%. Using key words in the referral, we determined that 37% of veterans were referred to blind rehabilitation, 16% to occupational therapy, and 3% to low-vision clinics. More than 50% of the referrals could have been treated by blind rehabilitation, occupational therapy, or low-vision clinics. Rehabilitation referrals were significantly associated with younger age, floaters, photosensitivity, double vision, visual field and balance deficits, dizziness, and difficulty reading. In comparison, prescriptions for glasses and contacts were associated with older age, photosensitivity, blurred vision, decreased visual field and night vision, difficulty reading, and dry eye. Imaging/photography/video testing was associated with floaters, photosensitivity, and headache.
CONCLUSIONS
Findings delineate service delivery models available to veterans with TBI-related vision impairment. The challenge these data address is the lack of clear paths from diagnosis of TBI to identification of vision dysfunction deficits to specialized vision rehabilitation, and finally to community reintegration and community based-vision rehabilitation.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Veterans with Traumatic Brain Injury–related Ocular Injury and Vision Dysfunction: Vision Rehabilitation Utilization / Sandra Winkler in OVS : Optometry & Vision Science, vol. 99, 01 (Janvier 2022)
[article]
in OVS : Optometry & Vision Science > vol. 99, 01 (Janvier 2022)
Titre : Veterans with Traumatic Brain Injury–related Ocular Injury and Vision Dysfunction: Vision Rehabilitation Utilization Type de document : article de périodique Auteurs : Sandra Winkler ; Jacob Marszalek ; Xinping Wang ; Dezon Finch ; Chrystyna Rakoczy ; Jemy Delikat ; Michael Williams ; Valerie Kelleher ; Esteban Zunig ; Candice Rice ; Kendra Pollard ; Glenn Cockerham Année de publication : 2022 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:Prise en charge du patient
[Thésaurus Mesh]Anciens combattants
[Thésaurus Mesh]Collecte de données
[Thésaurus Mesh]Dépistage visuel
[Thésaurus Mesh]Disparités d'accès aux soins
[Thésaurus Mesh]Lésions encéphaliques
[Thésaurus Mesh]Ophtalmologie
[Thésaurus Mesh]Optométrie
[Thésaurus Mesh]Refus de traitement
[Thésaurus Mesh]Troubles de la visionRésumé : SIGNIFICANCE
Visual dysfunction is frequently associated with traumatic brain injury (TBI). Although evidence regarding the prevalence of symptoms of this population has been published, little is known about health care utilization. A retrospective review of the data derived from the Department of Veterans Affairs (VA)–mandated “Traumatic Brain Injury Specific Ocular Health and Visual Functioning Examination for Polytrauma Rehabilitation Center Patients” provided a unique opportunity to investigate vision rehabilitation utilization.
PURPOSE
The purpose of this study was to understand (a) the frequency of vision rehabilitation follow-up visits at 6, 12, and 24 months; (b) the association between follow-up and demographic, comorbidity, and severity of TBI covariates as well as ocular and visual symptoms, geographic access, and evaluating facility; and (c) why some veterans did not follow up with recommendations.
METHODS
Retrospective and survey designs were used. The sample included 2458 veterans who served in the Operation Enduring Freedom/Operation Iraqi Freedom conflicts and received care at one of the five VA Polytrauma Rehabilitation Centers between January 1, 2008, and December 31, 2017. Quantitative and qualitative descriptive analyses and stepwise logistic regression were performed.
RESULTS
About 60% of veterans followed up with recommended vision rehabilitation with visits equally split between VA Polytrauma Rehabilitation Centers and community VA facilities. For each 10-year increase in age, there was a corresponding reduction of 12% in the odds of follow-up. Veterans with decreased visual field had 50% greater odds of follow-up than those who did not. Veterans with difficulty reading had 59% greater odds of follow-up than those who did not. Those who had a double vision had 45% greater odds of follow-up than those who did not.
CONCLUSIONS
Our findings suggest that the need for vision rehabilitation may extend as long as 2 years after TBI. Access to vision rehabilitation is complicated by the paucity of available neuro-optometric services.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire