Economic Impact of Combat-Related Injuries from the Wars in Iraq and Afghanistan

Abstract

Background: In the wars in Iraq and Afghanistan more than 59,000 US military have been wounded, with 6,800+ dying. The economic impact of these injuries is not well quantified. Hypothesis: Innovations in combat casualty care during these wars increased survival. We hypothesize that they also reduced care costs and improved outcomes for survivors. Aims: The proposed study aims to (1) quantify economic impacts of combat-related injuries to US service members incurred in these conflicts, (2) evaluate outcomes of and return on investment in selected combat casualty care innovations from military, Federal government, and societal perspectives, and (3) study the effects of alterative field and transport treatment protocols on the course and outcomes of moderate to severe traumatic brain injury. Study Design: We will build incidence, cost, and Disability-Adjusted Life Year (DALY) estimates from DoD, Department of Veterans Affairs, and Social Security Administration earnings databases, plus diagnosis-specific civilian data on missing cost factors. We will use case-control studies to better understand impacts of trauma and of combat casualty care innovations on mortality, medical costs, and earnings losses. We will compute cost/DALY and cost-benefit estimates for a variety of trauma prevention and treatment innovations. Relevance: This study will provide information military leaders can use to inform policymakers and the public about the savings resulting from advanced trauma care techniques and the research that developed them and to support the need for an ongoing program of innovative research after the wars end and provide information that hastens diffusion of those innovations into the civilian sector.

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Document Details

Document Type
Technical Report
Publication Date
Apr 01, 2017
Accession Number
AD1050453

Entities

People

  • Ted R. Miller

Organizations

  • Pacific Institute For Research and Evaluation

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Afghanistan
  • Brain Injuries
  • Casualties
  • Combat Casualty Care
  • Combat Injuries
  • Data Sets
  • Department Of Defense
  • Department Of Veterans Affairs
  • Economic Impact
  • Governments
  • Injury Prevention
  • Institutional Review Board
  • Investments
  • Medical Personnel
  • Patient Care
  • Professional Development
  • Social Security

Readers

  • Defense Technology Research and Development.
  • Rehabilitation and Prosthetic Care for Military Service Members and Veterans with Limb Loss or Disability.
  • Trauma or Military Medicine