Assessing for mild TBI among Iraq and Afghanistan veterans: Outcomes of injury severity and neurological factors

Brain Injury : [BI]
Karen M LauShira Maguen

Abstract

To investigate injury severity markers and neurological symptoms associated with clinician-confirmed mild traumatic brain injury (TBI) among Iraq and Afghanistan veterans. Department of Veterans Affairs (VA) medical centre and five affiliated community-based outpatient clinics. Three hundred and fifty Iraq and Afghanistan veterans with positive initial VA TBI screens between 1 April 2007 and 1 June 2010 and clinician-confirmed TBI status by 1 December 2010. Retrospective-cohort study of medical record data. Main measures included clinician-confirmed TBI status, injury severity markers (e.g. loss of consciousness (LOC), post-traumatic amnesia (PTA) or confusion/disorientation) and neurological symptoms. Among veterans who screened positive on the initial VA TBI and then received a clinician evaluation, 60% were confirmed to have a TBI diagnosis. Veterans reporting at least one LOC, confusion or PTA were almost 18-times more likely to receive a confirmed TBI diagnosis. Odds of clinician-confirmed TBI were 2.5-3-times greater among those who endorsed dizziness, poor coordination, headaches, nausea, vision problems and/or irritability, compared to those not endorsing these symptoms. Nausea had greatest utility for confirming a TBI....Continue Reading

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Citations

Oct 6, 2016·Nutritional Neuroscience·Brandon P Lucke-WoldCharles L Rosen
Apr 30, 2019·The Journal of Head Trauma Rehabilitation·Cassandra L PattinsonJessica M Gill
Jun 23, 2021·PM & R : the Journal of Injury, Function, and Rehabilitation·Richard L DelmonicoMichelle Camicia

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