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Systematic review of prognosis after mild traumatic brain injury in the military: results of the International Collaboration on Mild Traumatic Brain Injury Prognosis.
Arch Phys Med Rehabil. 2014 Mar; 95(3 Suppl):S230-7.AP

Abstract

OBJECTIVE

The World Health Organization Collaborating Centre Task Force on Mild Traumatic Brain Injury (MTBI) published its findings on the prognosis of MTBI in 2004. This is an update of that review with a focus on deployed military personnel.

DATA SOURCES

Relevant literature published between January 2001 and February 2012 listed in MEDLINE and 4 other databases.

STUDY SELECTION

Controlled trials and cohort and case-control studies were selected according to predefined criteria. After 77,914 titles and abstracts were screened, 13 articles were rated eligible for this review and 3 (23%) with a low risk of bias were accepted. Two independent reviewers critically appraised eligible studies using a modification of the Scottish Intercollegiate Guidelines Network criteria.

DATA EXTRACTION

The reviewers independently extracted data from eligible studies and produced evidence tables.

DATA SYNTHESIS

The evidence was synthesized qualitatively and presented in evidence tables. Our findings are based on 3 studies of U.S. military personnel who were deployed in Iraq or Afghanistan. We found that military personnel with MTBI report posttraumatic stress disorder and postconcussive symptoms. In addition, reporting of postconcussive symptoms differed on the basis of levels of combat stress the individuals experienced. The evidence suggests a slight decline in neurocognitive function after MTBI, but this decline was in the normal range of brain functioning.

CONCLUSIONS

We found limited evidence that combat stress, posttraumatic stress disorder, and postconcussive symptoms affect recovery and prognosis of MTBI in military personnel. Additional high-quality research is needed to fully assess the prognosis of MTBI in military personnel.

Authors+Show Affiliations

Institute of Sports Science and Clinical Biomechanics, Faculty of Health, University of Southern Denmark, Odense, Denmark; Division of Epidemiology, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada. Electronic address: eboyle@health.sdu.dk.Division of Health Care and Outcomes Research, Toronto Western Research Institute, University Health Network, University of Toronto, Toronto, Ontario, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.Institute of Sports Science and Clinical Biomechanics, Faculty of Health, University of Southern Denmark, Odense, Denmark.School of Public Health and Alberta Centre for Injury Control and Research, University of Alberta, Edmonton, Alberta, Canada.Division of Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.Institute of Sports Science and Clinical Biomechanics, Faculty of Health, University of Southern Denmark, Odense, Denmark; Division of Epidemiology, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; Division of Health Care and Outcomes Research, Toronto Western Research Institute, University Health Network, University of Toronto, Toronto, Ontario, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.

Pub Type(s)

Journal Article
Review
Systematic Review

Language

eng

PubMed ID

24581908

Citation

Boyle, Eleanor, et al. "Systematic Review of Prognosis After Mild Traumatic Brain Injury in the Military: Results of the International Collaboration On Mild Traumatic Brain Injury Prognosis." Archives of Physical Medicine and Rehabilitation, vol. 95, no. 3 Suppl, 2014, pp. S230-7.
Boyle E, Cancelliere C, Hartvigsen J, et al. Systematic review of prognosis after mild traumatic brain injury in the military: results of the International Collaboration on Mild Traumatic Brain Injury Prognosis. Arch Phys Med Rehabil. 2014;95(3 Suppl):S230-7.
Boyle, E., Cancelliere, C., Hartvigsen, J., Carroll, L. J., Holm, L. W., & Cassidy, J. D. (2014). Systematic review of prognosis after mild traumatic brain injury in the military: results of the International Collaboration on Mild Traumatic Brain Injury Prognosis. Archives of Physical Medicine and Rehabilitation, 95(3 Suppl), S230-7. https://doi.org/10.1016/j.apmr.2013.08.297
Boyle E, et al. Systematic Review of Prognosis After Mild Traumatic Brain Injury in the Military: Results of the International Collaboration On Mild Traumatic Brain Injury Prognosis. Arch Phys Med Rehabil. 2014;95(3 Suppl):S230-7. PubMed PMID: 24581908.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Systematic review of prognosis after mild traumatic brain injury in the military: results of the International Collaboration on Mild Traumatic Brain Injury Prognosis. AU - Boyle,Eleanor, AU - Cancelliere,Carol, AU - Hartvigsen,Jan, AU - Carroll,Linda J, AU - Holm,Lena W, AU - Cassidy,J David, PY - 2013/02/18/received PY - 2013/08/01/revised PY - 2013/08/07/accepted PY - 2014/3/4/entrez PY - 2014/3/4/pubmed PY - 2014/4/30/medline KW - Blast injuries KW - Brain concussion KW - Military personnel KW - Prognosis KW - Rehabilitation SP - S230 EP - 7 JF - Archives of physical medicine and rehabilitation JO - Arch Phys Med Rehabil VL - 95 IS - 3 Suppl N2 - OBJECTIVE: The World Health Organization Collaborating Centre Task Force on Mild Traumatic Brain Injury (MTBI) published its findings on the prognosis of MTBI in 2004. This is an update of that review with a focus on deployed military personnel. DATA SOURCES: Relevant literature published between January 2001 and February 2012 listed in MEDLINE and 4 other databases. STUDY SELECTION: Controlled trials and cohort and case-control studies were selected according to predefined criteria. After 77,914 titles and abstracts were screened, 13 articles were rated eligible for this review and 3 (23%) with a low risk of bias were accepted. Two independent reviewers critically appraised eligible studies using a modification of the Scottish Intercollegiate Guidelines Network criteria. DATA EXTRACTION: The reviewers independently extracted data from eligible studies and produced evidence tables. DATA SYNTHESIS: The evidence was synthesized qualitatively and presented in evidence tables. Our findings are based on 3 studies of U.S. military personnel who were deployed in Iraq or Afghanistan. We found that military personnel with MTBI report posttraumatic stress disorder and postconcussive symptoms. In addition, reporting of postconcussive symptoms differed on the basis of levels of combat stress the individuals experienced. The evidence suggests a slight decline in neurocognitive function after MTBI, but this decline was in the normal range of brain functioning. CONCLUSIONS: We found limited evidence that combat stress, posttraumatic stress disorder, and postconcussive symptoms affect recovery and prognosis of MTBI in military personnel. Additional high-quality research is needed to fully assess the prognosis of MTBI in military personnel. SN - 1532-821X UR - https://www.unboundmedicine.com/medline/citation/24581908/Systematic_review_of_prognosis_after_mild_traumatic_brain_injury_in_the_military:_results_of_the_International_Collaboration_on_Mild_Traumatic_Brain_Injury_Prognosis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-9993(13)01062-9 DB - PRIME DP - Unbound Medicine ER -