Steven Stellman - Chronic physical health consequences of being injured during the terrorist attacks on World Trade Center on September 11, 2001

Document created by Steven Stellman on Dec 1, 2016
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  Publication Details (including relevant citation   information):

  Brackbill, R. M., Cone, J. E., Farfel, M. R., Stellman, S. D.   179 (9) 1076-85-

  Abstract: Few studies have focused on injuries   from the World Trade Center disaster on September 11, 2001.   Severe injury has health consequences, including an increased   mortality risk 10 years after injury and the risk of mental   health problems, such as posttraumatic stress disorder (PTSD).   The World Trade Center Health Registry identified 14,087 persons   with none of a selected group of preexisting chronic conditions   before 2002 who were present during and soon after the World   Trade Center attacks, 1,980 of whom reported sustaining 1 or more   types of injury (e.g., a broken bone or burn). Survey data   obtained during 2003-2004 and 2006-2007 were used to assess the   odds of reporting a diagnosis of chronic conditions (heart   disease, respiratory disease, diabetes, cancer) up to 5-6 years   after the attacks. Number of injury types and probable PTSD were   significantly associated with having any chronic conditions   diagnosed in 2002-2007. Persons with multiple injuries and PTSD   had a 3-fold higher risk of heart disease than did those with no   injury and no PTSD, and persons with multiple injuries and with   no PTSD had a 2-fold higher risk of respiratory diseases. The   present study shows that injured persons with or without comorbid   PTSD have a higher risk of developing chronic diseases.   Clinicians should be aware of the heightened risk of chronic   heart and respiratory conditions among injured persons.

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