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Postconcussive symptom reporting among US combat veterans with mild traumatic brain injury from Operation Iraqi Freedom.
J Head Trauma Rehabil. 2013 Jan-Feb; 28(1):59-67.JH

Abstract

OBJECTIVE

To examine the association between postconcussive symptoms and mild traumatic brain injury (MTBI) among combat veterans while adjusting for posttraumatic stress disorder (PTSD) and depression.

PATIENTS

Military personnel with provider-diagnosed MTBI (n = 334) or nonhead injury (n = 658) were identified from the Expeditionary Medical Encounter Database.

MAIN OUTCOME MEASURES

Post-Deployment Health Assessments and Re-Assessments were used to examine postconcussive symptoms and self-rated health.

RESULTS

Personnel with MTBI were more likely to report headache (odds ratio [OR] = 3.37; 95% confidence interval [CI] = 2.19-5.17), back pain (OR = 1.79; 95% CI = 1.23-2.60), memory problems (OR = 1.86; 95% CI = 1.20-2.88), tinnitus (OR = 1.63; 95% CI = 1.10-2.41), and dizziness (OR = 2.13; 95% CI = 1.06-4.29) compared with those with non-head injuries. Among those with MTBI, self-reported decline in health was associated with memory problems (OR = 5.07; 95% CI = 2.56-10.02) and dizziness (OR = 10.60; 95% CI = 3.48-32.27).

CONCLUSIONS

Mild traumatic brain injury is associated with reports of negative health consequences among combat veterans even when accounting for co-occurring psychological morbidity. The identification of postconcussive symptoms related to declines in a service member's self-rated health may be important in targeting and prioritizing clinical interventions.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

MacGregor AJ
Department of Medical Modeling, Simulation and Mission Support, Naval Health Research Center, San Diego, CA 92106, USA.
Dougherty AL
No affiliation info available
Tang JJ
No affiliation info available
Galarneau MR
No affiliation info available

MeSH

AdolescentAdultBack PainBrain ConcussionBrain InjuriesDepressionDizzinessFemaleHeadacheHealth StatusHumansIraq War, 2003-2011Logistic ModelsMaleMemory DisordersMiddle AgedMilitary PersonnelStress Disorders, Post-TraumaticTinnitusUnited StatesYoung Adult

Pub Type(s)

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

Language

eng

PubMed ID

22688214

Citation

MacGregor, Andrew J., et al. "Postconcussive Symptom Reporting Among US Combat Veterans With Mild Traumatic Brain Injury From Operation Iraqi Freedom." The Journal of Head Trauma Rehabilitation, vol. 28, no. 1, 2013, pp. 59-67.
MacGregor AJ, Dougherty AL, Tang JJ, et al. Postconcussive symptom reporting among US combat veterans with mild traumatic brain injury from Operation Iraqi Freedom. J Head Trauma Rehabil. 2013;28(1):59-67.
MacGregor, A. J., Dougherty, A. L., Tang, J. J., & Galarneau, M. R. (2013). Postconcussive symptom reporting among US combat veterans with mild traumatic brain injury from Operation Iraqi Freedom. The Journal of Head Trauma Rehabilitation, 28(1), 59-67. https://doi.org/10.1097/HTR.0b013e3182596382
MacGregor AJ, et al. Postconcussive Symptom Reporting Among US Combat Veterans With Mild Traumatic Brain Injury From Operation Iraqi Freedom. J Head Trauma Rehabil. 2013 Jan-Feb;28(1):59-67. PubMed PMID: 22688214.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Postconcussive symptom reporting among US combat veterans with mild traumatic brain injury from Operation Iraqi Freedom. AU - MacGregor,Andrew J, AU - Dougherty,Amber L, AU - Tang,Janet J, AU - Galarneau,Michael R, PY - 2012/6/13/entrez PY - 2012/6/13/pubmed PY - 2013/6/15/medline SP - 59 EP - 67 JF - The Journal of head trauma rehabilitation JO - J Head Trauma Rehabil VL - 28 IS - 1 N2 - OBJECTIVE: To examine the association between postconcussive symptoms and mild traumatic brain injury (MTBI) among combat veterans while adjusting for posttraumatic stress disorder (PTSD) and depression. PATIENTS: Military personnel with provider-diagnosed MTBI (n = 334) or nonhead injury (n = 658) were identified from the Expeditionary Medical Encounter Database. MAIN OUTCOME MEASURES: Post-Deployment Health Assessments and Re-Assessments were used to examine postconcussive symptoms and self-rated health. RESULTS: Personnel with MTBI were more likely to report headache (odds ratio [OR] = 3.37; 95% confidence interval [CI] = 2.19-5.17), back pain (OR = 1.79; 95% CI = 1.23-2.60), memory problems (OR = 1.86; 95% CI = 1.20-2.88), tinnitus (OR = 1.63; 95% CI = 1.10-2.41), and dizziness (OR = 2.13; 95% CI = 1.06-4.29) compared with those with non-head injuries. Among those with MTBI, self-reported decline in health was associated with memory problems (OR = 5.07; 95% CI = 2.56-10.02) and dizziness (OR = 10.60; 95% CI = 3.48-32.27). CONCLUSIONS: Mild traumatic brain injury is associated with reports of negative health consequences among combat veterans even when accounting for co-occurring psychological morbidity. The identification of postconcussive symptoms related to declines in a service member's self-rated health may be important in targeting and prioritizing clinical interventions. SN - 1550-509X UR - https://www.unboundmedicine.com/medline/citation/22688214/Postconcussive_symptom_reporting_among_US_combat_veterans_with_mild_traumatic_brain_injury_from_Operation_Iraqi_Freedom_ DB - PRIME DP - Unbound Medicine ER -
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