@article{ref1,
title="Functional outcome and community reintegration of survivors following disasters: a community-based survey in Pakistan",
journal="Journal of the International Society of Physical and Rehabilitation Medicine",
year="2021",
author="Lee, Su Yi and Mansoor, Sahibzada Nasir and Amatya, Bhasker and Sayed, Tahir M. and Galea, Mary P. and Khan, Fary",
volume="4",
number="2",
pages="e90-e90",
abstract="OBJECTIVE:     The objective of the study is to evaluate functional outcomes and community reintegration of disaster survivors in Pakistan.     Methods:     This was a cross-sectional descriptive study of community-based participants at the Armed Forces Institute of Rehabilitation Medicine, Pakistan. The medical records were screened for eligibility of adults with disaster-related disability. Participants were interviewed in ambulatory clinics using validated measures: Neurological-Trauma Impairment Scale (NIS-Trauma), International Classification of Functioning, Disability, and Health-Generic Set, Community Integration Measure (CIM), Community Integration Questionnaire (CIQ), and EuroQol 5-Dimension 5-Level.     Results:     Participants were (n = 117, mean age = 35 years) with postdisaster injury up to 17 years; the majority had spinal cord injury (n = 62; 53%) and amputations (n = 44; 38%). At assessment, 80% were independent with mobility (with aids) and 29% with everyday living activities. They reported ongoing fatigue (54.7%), altered sensations (51.28%), and pain (50.43%), but fewer problems with mood and emotions. The impairment severity negatively impacted community activities (NIS-Trauma vs. CIQ: P < 0.001). As impairments improved with time (NIS-Trauma vs. time since injury: P = 0.003), so did community reintegration (time since injury vs. CIQ; P < 0.001) and perceived health status (time since injury vs. EuroQol; P = 0.001).     Conclusion:     Many participants reported various ongoing disability-related issues; however, majority were dependent with everyday living activities and well adapted in the community. Further robust studies are needed for evaluation of longer-term impact of the disability in disaster victims for the comprehensive healthcare in the community.<p /> <p>Language: en</p>",
language="en",
issn="2589-9457",
doi="10.4103/JISPRM-000115",
url="http://dx.doi.org/10.4103/JISPRM-000115"
}