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Prospective Associations Between Traumatic Brain Injury and Postdeployment Tinnitus in Active-Duty Marines.
J Head Trauma Rehabil. 2016 Jan-Feb; 31(1):30-9.JH

Abstract

OBJECTIVE

To examine whether cause, severity, and frequency of traumatic brain injury (TBI) increase risk of postdeployment tinnitus when accounting for comorbid posttraumatic stress disorder.

DESIGN

Self-report and clinical assessments were done before and after an "index" deployment to Iraq or Afghanistan.

SETTING, PARTICIPANTS, AND MEASURES

Assessments took place on Marine Corps bases in southern California and the VA San Diego Medical Center. Participants were 1647 active-duty enlisted Marine and Navy servicemen who completed pre- and postdeployment assessments of the Marine Resiliency Study. The main outcome was the presence of tinnitus at 3 months postdeployment.

RESULTS

Predeployment TBI increased the likelihood of new-onset postdeployment tinnitus (odds ratio [OR] = 1.86; 95% confidence interval [CI], 1.28-2.70). Deployment-related TBIs increased the likelihood of postdeployment tinnitus (OR = 2.65; 95% CI, 1.19-5.89). Likelihood of new-onset postdeployment tinnitus was highest for those who were blast-exposed (OR = 2.93; 95% CI, 1.82-6.17), who reported moderate-severe TBI symptoms (OR = 2.22; 95% CI, 1.22-3.40), and who sustained multiple TBIs across study visits (OR = 2.27; 95% CI, 1.44-4.24). Posttraumatic stress disorder had no effect on tinnitus outcome.

CONCLUSIONS

Participants who were blast-exposed, sustained multiple TBIs, and reported moderate-severe TBI symptoms were most at risk for new-onset tinnitus.

Authors+Show Affiliations

VA San Diego Healthcare System, San Diego, California (Drs Yurgil, Risbrough, Geyer, and Baker); VA Center of Excellence for Stress and Mental Health, San Diego, California (Drs Yurgil, Risbrough, and Baker); Department of Psychological Sciences, Loyola University New Orleans, New Orleans, Louisiana (Dr Yurgil); Naval Medical Center San Diego, San Diego, California (Dr Clifford); Harvard School of Public Health, Boston, Massachusetts (Dr Clifford); Departments of Psychiatry (Drs Risbrough, Geyer, and Baker) and Radiology (Dr Huang), University of California San Diego; Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles (Dr Barkauskas); VA Boston Healthcare System, Boston, Massachusetts (Dr Vasterling); VA National Center for PTSD, Boston, Massachusetts (Dr Vasterling); and Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts (Dr Vasterling).No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo 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

25699623

Citation

Yurgil, Kate A., et al. "Prospective Associations Between Traumatic Brain Injury and Postdeployment Tinnitus in Active-Duty Marines." The Journal of Head Trauma Rehabilitation, vol. 31, no. 1, 2016, pp. 30-9.
Yurgil KA, Clifford RE, Risbrough VB, et al. Prospective Associations Between Traumatic Brain Injury and Postdeployment Tinnitus in Active-Duty Marines. J Head Trauma Rehabil. 2016;31(1):30-9.
Yurgil, K. A., Clifford, R. E., Risbrough, V. B., Geyer, M. A., Huang, M., Barkauskas, D. A., Vasterling, J. J., & Baker, D. G. (2016). Prospective Associations Between Traumatic Brain Injury and Postdeployment Tinnitus in Active-Duty Marines. The Journal of Head Trauma Rehabilitation, 31(1), 30-9. https://doi.org/10.1097/HTR.0000000000000117
Yurgil KA, et al. Prospective Associations Between Traumatic Brain Injury and Postdeployment Tinnitus in Active-Duty Marines. J Head Trauma Rehabil. 2016 Jan-Feb;31(1):30-9. PubMed PMID: 25699623.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prospective Associations Between Traumatic Brain Injury and Postdeployment Tinnitus in Active-Duty Marines. AU - Yurgil,Kate A, AU - Clifford,Royce E, AU - Risbrough,Victoria B, AU - Geyer,Mark A, AU - Huang,Mingxiong, AU - Barkauskas,Donald A, AU - Vasterling,Jennifer J, AU - ,, AU - Baker,Dewleen G, PY - 2015/2/21/entrez PY - 2015/2/24/pubmed PY - 2016/10/13/medline SP - 30 EP - 9 JF - The Journal of head trauma rehabilitation JO - J Head Trauma Rehabil VL - 31 IS - 1 N2 - OBJECTIVE: To examine whether cause, severity, and frequency of traumatic brain injury (TBI) increase risk of postdeployment tinnitus when accounting for comorbid posttraumatic stress disorder. DESIGN: Self-report and clinical assessments were done before and after an "index" deployment to Iraq or Afghanistan. SETTING, PARTICIPANTS, AND MEASURES: Assessments took place on Marine Corps bases in southern California and the VA San Diego Medical Center. Participants were 1647 active-duty enlisted Marine and Navy servicemen who completed pre- and postdeployment assessments of the Marine Resiliency Study. The main outcome was the presence of tinnitus at 3 months postdeployment. RESULTS: Predeployment TBI increased the likelihood of new-onset postdeployment tinnitus (odds ratio [OR] = 1.86; 95% confidence interval [CI], 1.28-2.70). Deployment-related TBIs increased the likelihood of postdeployment tinnitus (OR = 2.65; 95% CI, 1.19-5.89). Likelihood of new-onset postdeployment tinnitus was highest for those who were blast-exposed (OR = 2.93; 95% CI, 1.82-6.17), who reported moderate-severe TBI symptoms (OR = 2.22; 95% CI, 1.22-3.40), and who sustained multiple TBIs across study visits (OR = 2.27; 95% CI, 1.44-4.24). Posttraumatic stress disorder had no effect on tinnitus outcome. CONCLUSIONS: Participants who were blast-exposed, sustained multiple TBIs, and reported moderate-severe TBI symptoms were most at risk for new-onset tinnitus. SN - 1550-509X UR - https://www.unboundmedicine.com/medline/citation/25699623/Prospective_Associations_Between_Traumatic_Brain_Injury_and_Postdeployment_Tinnitus_in_Active_Duty_Marines_ L2 - https://doi.org/10.1097/HTR.0000000000000117 DB - PRIME DP - Unbound Medicine ER -