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Understanding sequelae of injury mechanisms and mild traumatic brain injury incurred during the conflicts in Iraq and Afghanistan: persistent postconcussive symptoms and posttraumatic stress disorder.
Am J Epidemiol. 2008 Jun 15; 167(12):1446-52.AJ

Abstract

A cross-sectional study of military personnel following deployment to conflicts in Iraq or Afghanistan ascertained histories of combat theater injury mechanisms and mild traumatic brain injury (TBI) and current prevalence of posttraumatic stress disorder (PTSD) and postconcussive symptoms. Associations among injuries, PTSD, and postconcussive symptoms were explored. In February 2005, a postal survey was sent to Iraq/Afghanistan veterans who had left combat theaters by September 2004 and lived in Maryland; Washington, DC; northern Virginia; and eastern West Virginia. Immediate neurologic symptoms postinjury were used to identify mild TBI. Adjusted prevalence ratios and 95% confidence intervals were computed by using Poisson regression. About 12% of 2,235 respondents reported a history consistent with mild TBI, and 11% screened positive for PTSD. Mild TBI history was common among veterans injured by bullets/shrapnel, blasts, motor vehicle crashes, air/water transport, and falls. Factors associated with PTSD included reporting multiple injury mechanisms (prevalence ratio = 3.71 for three or more mechanisms, 95% confidence interval: 2.23, 6.19) and combat mild TBI (prevalence ratio = 2.37, 95% confidence interval: 1.72, 3.28). The strongest factor associated with postconcussive symptoms was PTSD, even after overlapping symptoms were removed from the PTSD score (prevalence ratio = 3.79, 95% confidence interval: 2.57, 5.59).

Authors+Show Affiliations

War-Related Illness and Injury Study Center, Washington DC VA Medical Center, Washington, DC 20422, USA. aaron.schneiderman@va.govNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

18424429

Citation

Schneiderman, Aaron I., et al. "Understanding Sequelae of Injury Mechanisms and Mild Traumatic Brain Injury Incurred During the Conflicts in Iraq and Afghanistan: Persistent Postconcussive Symptoms and Posttraumatic Stress Disorder." American Journal of Epidemiology, vol. 167, no. 12, 2008, pp. 1446-52.
Schneiderman AI, Braver ER, Kang HK. Understanding sequelae of injury mechanisms and mild traumatic brain injury incurred during the conflicts in Iraq and Afghanistan: persistent postconcussive symptoms and posttraumatic stress disorder. Am J Epidemiol. 2008;167(12):1446-52.
Schneiderman, A. I., Braver, E. R., & Kang, H. K. (2008). Understanding sequelae of injury mechanisms and mild traumatic brain injury incurred during the conflicts in Iraq and Afghanistan: persistent postconcussive symptoms and posttraumatic stress disorder. American Journal of Epidemiology, 167(12), 1446-52. https://doi.org/10.1093/aje/kwn068
Schneiderman AI, Braver ER, Kang HK. Understanding Sequelae of Injury Mechanisms and Mild Traumatic Brain Injury Incurred During the Conflicts in Iraq and Afghanistan: Persistent Postconcussive Symptoms and Posttraumatic Stress Disorder. Am J Epidemiol. 2008 Jun 15;167(12):1446-52. PubMed PMID: 18424429.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Understanding sequelae of injury mechanisms and mild traumatic brain injury incurred during the conflicts in Iraq and Afghanistan: persistent postconcussive symptoms and posttraumatic stress disorder. AU - Schneiderman,Aaron I, AU - Braver,Elisa R, AU - Kang,Han K, Y1 - 2008/04/17/ PY - 2008/4/22/pubmed PY - 2008/7/4/medline PY - 2008/4/22/entrez SP - 1446 EP - 52 JF - American journal of epidemiology JO - Am J Epidemiol VL - 167 IS - 12 N2 - A cross-sectional study of military personnel following deployment to conflicts in Iraq or Afghanistan ascertained histories of combat theater injury mechanisms and mild traumatic brain injury (TBI) and current prevalence of posttraumatic stress disorder (PTSD) and postconcussive symptoms. Associations among injuries, PTSD, and postconcussive symptoms were explored. In February 2005, a postal survey was sent to Iraq/Afghanistan veterans who had left combat theaters by September 2004 and lived in Maryland; Washington, DC; northern Virginia; and eastern West Virginia. Immediate neurologic symptoms postinjury were used to identify mild TBI. Adjusted prevalence ratios and 95% confidence intervals were computed by using Poisson regression. About 12% of 2,235 respondents reported a history consistent with mild TBI, and 11% screened positive for PTSD. Mild TBI history was common among veterans injured by bullets/shrapnel, blasts, motor vehicle crashes, air/water transport, and falls. Factors associated with PTSD included reporting multiple injury mechanisms (prevalence ratio = 3.71 for three or more mechanisms, 95% confidence interval: 2.23, 6.19) and combat mild TBI (prevalence ratio = 2.37, 95% confidence interval: 1.72, 3.28). The strongest factor associated with postconcussive symptoms was PTSD, even after overlapping symptoms were removed from the PTSD score (prevalence ratio = 3.79, 95% confidence interval: 2.57, 5.59). SN - 1476-6256 UR - https://www.unboundmedicine.com/medline/citation/18424429/Understanding_sequelae_of_injury_mechanisms_and_mild_traumatic_brain_injury_incurred_during_the_conflicts_in_Iraq_and_Afghanistan:_persistent_postconcussive_symptoms_and_posttraumatic_stress_disorder_ L2 - https://academic.oup.com/aje/article-lookup/doi/10.1093/aje/kwn068 DB - PRIME DP - Unbound Medicine ER -