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DoD-VA Trauma Infection Research Collaboration.

Jay McDonald1,2, Stephen Y Liang2, Ping Li3,4

  • 1Infectious Diseases Section, Veterans Affairs St. Louis Health Care System, St. Louis, MO 63106, USA.

Military Medicine
|May 5, 2022
PubMed
Summary

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Deployment-related wound infection surveillance for military casualties: a transatlantic collaboration.

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Comparing SARS-CoV-2 infections in the US Military Health System and national data: opportunities for future pandemic surveillance.

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A Department of Defense (DoD) and Department of Veterans Affairs (VA) collaboration effectively tracked infections in wounded service members. This partnership improved understanding of long-term trauma outcomes and infection burdens for veterans.

Area of Science:

  • Infectious Diseases
  • Military Medicine
  • Public Health

Background:

  • Wounded service members transitioning from active duty are eligible for Department of Veterans Affairs (VA) healthcare.
  • Collaborations between the Department of Defense (DoD) and VA are vital for comprehensive data collection on the long-term effects of battlefield trauma.
  • The Trauma Infectious Disease Outcomes Study (TIDOS) is a multicenter, observational study examining short- and long-term outcomes of deployment-related trauma.

Purpose of the Study:

  • To summarize the development, methodology, and status of an effective DoD-VA collaboration.
  • To examine the short- and long-term outcomes of deployment-related trauma.
  • To capture infection-related data after hospital discharge and through VA medical records.

Main Methods:

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  • Prospective follow-up cohort study of wounded service members transitioning to US military hospitals (2009-2014).
  • Enrollment in TIDOS with optional consent for VA medical record abstraction for those receiving VA healthcare.
  • Examination of infections considered complications of initial trauma.

Main Results:

  • The TIDOS-VA cohort included 633 (47%) of 1,336 TIDOS enrollees who received VA care and consented to follow-up.
  • Among the first 337 TIDOS-VA enrollees, 38% developed new trauma-related infections post-discharge.
  • Infections were identified through DoD (71%) and VA (29%) sources, highlighting collaboration utility. Genitourinary trauma patients experienced sexual dysfunction (36%) and infections (21%).

Conclusions:

  • DoD-VA collaboration enhances the capture of infection-related outcome data, providing a clearer understanding of the long-term infection burden from deployment trauma.
  • Future analyses will assess osteomyelitis, mental health, social factors, and healthcare utilization related to infectious disease burdens.
  • This collaborative approach is crucial for understanding and managing the health consequences of combat injuries.