Analysis of US Veterans Health Administration comprehensive evaluations for traumatic brain injury in Operation Enduring Freedom and Operation Iraqi Freedom Veterans.
In: Brain Injury, Jg. 26 (2012-09-01), Heft 10, S. 1177-1184
academicJournal
Zugriff:
Objective: To describe neurobehavioural symptoms in Iraq and Afghanistan war veterans evaluated for traumatic brain injury (TBI) through the Veterans Health Administration (VHA) TBI screening and evaluation programme. Design: An observational study based on VHA administrative data for all veterans who underwent TBI Comprehensive Evaluation between October 2007 and June 2010. Results: 55,070 predominantly white, non-Hispanic, male Veterans with a positive TBI screen had comprehensive TBI evaluations completed during the study period. Moderate-to-severe symptoms were common in the entire sample, both in those with and without a clinician-diagnosed TBI. However, the odds of reporting symptoms of this severity were significantly higher in those diagnosed with TBI compared to those without a TBI diagnosis, with odds ratios ranging from 1.35-2.21. TBI-specialty clinicians believed that in the majority of diagnosed TBI cases both behavioural health conditions and TBI contributed to patients' symptom presentation. Conclusions: The VHAs TBI screening and evaluation process is identifying individuals with ongoing neurobehavioural symptoms. Moderate-to-severe symptoms were more prevalent in veterans with TBI-specialty clinician determined TBI. However, the high rate of symptom reporting also present in individuals without a confirmed TBI suggest that symptom aetiology may be multi-factorial in nature. [ABSTRACT FROM AUTHOR]
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Analysis of US Veterans Health Administration comprehensive evaluations for traumatic brain injury in Operation Enduring Freedom and Operation Iraqi Freedom Veterans.
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Autor/in / Beteiligte Person: | Scholten, Joel D. ; Sayer, Nina A. ; Vanderploeg, Rodney D. ; Bidelspach, Douglas E. ; Cifu, David X. |
Zeitschrift: | Brain Injury, Jg. 26 (2012-09-01), Heft 10, S. 1177-1184 |
Veröffentlichung: | 2012 |
Medientyp: | academicJournal |
ISSN: | 0269-9052 (print) |
DOI: | 10.3109/02699052.2012.661914 |
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