Traumatic brain injury (TBI) was common among US service members deployed to Iraq and Afghanistan. Although there is some evidence suggest that TBI increases the risk of cardiovascular disease (CVD), prior reports were predominantly limited cerebrovascular outcomes. The potential association with CVD has not been comprehensively examined in post-9/11-era veterans.To determine between subsequent veterans.This a retrospective cohort study conducted from October 1, 1999, September 30, 2016....

Objective: To understand how traumatic brain injury (TBI) clinical severity and military factors were associated with the likelihood of receiving a TBI service-connected disability (SCD) determination monthly total SCD compensation among Veterans. Setting: Veterans Health Administration (VHA) Benefits (VBA). Participants: 1 319 590 veterans VBA rating who entered VHA between October 1, 2000, September 24, 2019. Design: This retrospective study analyzed association determination, percentage,...

There is a high prevalence of Operation Enduring Freedom/Operation Iraqi Freedom veterans returning with the "polytrauma clinical triad" pain, posttraumatic stress disorder, and traumatic brain injury. This study examined effect polytrauma triad on sleep disturbance, defined as difficulty falling or staying asleep, common problem in veterans.A chart review was conducted for 200 evaluated at outpatient clinic. Data that were abstracted included disturbance severity index, diagnoses disorder...

The frequencies of hearing impairment (HI), vision (VI), or dual (hearing and vision) sensory (DSI) in patients with blast-related traumatic brain injury (TBI) their effects on functional recovery are not well documented. In this preliminary study 175 admitted to a Polytrauma Rehabilitation Center, we completed examinations obtained Functional Independence Measure (FIM) scores at admission discharge for 62 TBI. We diagnosed HI only, VI DSI 19%, 34%, 32% patients, respectively. Only 15% the...

With the use of Veterans Health Administration and Department Defense databases veterans who completed a Affairs comprehensive traumatic brain injury (TBI) evaluation, objectives this study were to (1) identify co-occurrence self-reported auditory, visual, vestibular impairment, referred as multisensory impairment (MSI), (2) examine demographic, deployment-related, mental health characteristics that potentially predictive MSI. Our sample included 13,746 with either history deployment-related...

Background: Intimate partner violence (IPV) is prevalent among women Veterans and known to increase women’s risk for traumatic brain injury (TBI). IPV-related TBI has not been examined in the Veteran population. Objectives: To identify occurrence of a sample examine associations with sociodemographic characteristics, health symptoms, care utilization, IPV experiences. Research Design: Cross-sectional mail survey conducted 2013. Subjects: The comprised 176 New England Department Affairs (VA)...

To describe the prevalence of self-reported rates auditory, visual, and dual sensory impairment (DSI) in Afghanistan Iraq war Veterans receiving traumatic brain injury (TBI) evaluations.Retrospective medical chart review.Thirty-six thousand nine hundred nineteen who received a TBI evaluation between October 2007 June 2009. Final sample included 12,521 subjects judged to have deployment-related comparison group 9106 participants with no evidence TBI.Self-reported auditory visual...

Background: VHA screens for traumatic brain injury (TBI) among patients formerly deployed to Afghanistan or Iraq, referring those who screen positive a Comprehensive TBI Evaluation (CTBIE).

The effects of traumatic brain injury (TBI) incurred during military service are widely studied; however, less is known about TBI resulting from intimate partner violence ("IPV-related TBI"). Women Veterans at high risk for IPV, yet no research has examined future psychosocial health risks associated with IPV-related history in this population. We psychiatric and physical outcomes, as well a sample women who, Time 1, reported (n = 13) or without 20) persistent symptoms; that is, symptoms...

To examine the relations among demographic characteristics, traumatic brain injury (TBI) history, suspected psychiatric conditions, current neurobehavioral health symptoms, and employment status in Veterans evaluated for TBI Department of Affairs.Retrospective cross-sectional database review comprehensive evaluations documented between October 2007 June 2009.Operation Enduring Freedom/Operation Iraqi Freedom (n = 11 683) who completed a evaluation.Veterans Affairs clinicians use to obtain...

Background: Traumatic brain injury (TBI) research among Operation Enduring Freedom (OEF) and Iraqi (OIF) veterans has focused primarily on men. We examine associations between probable deployment-related TBI postdeployment mental physical health symptoms separately by gender. To identify unique of with symptoms, analyses were also conducted for without posttraumatic stress disorder (PTSD). Methods: A mail survey, including self-report measures was completed 2348 OEF/OIF (51% female), sampled...

We studied the prevalence and characteristics of self-reported driving difficulties examined their association with traumatic brain injury (TBI) and/or posttraumatic stress disorder (PTSD) in Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) veterans who were seen at a Department Veterans Affairs outpatient polytrauma clinic. In this study, we used brief questionnaire chart reviews to assess following four groups patients: TBI only, PTSD + PTSD, Neither (neither nor PTSD)....

While outcome from mild traumatic brain injury (mTBI) is generally favorable, concern remains over potential negative long-term effects, including impaired cognition. This study examined the link between cognitive performance and remote mTBIs within Long-term Impact of Military-relevant Brain Injury Consortium-Chronic Effects Neurotrauma Consortium (LIMBIC-CENC) multicenter, observational Veterans service members (SMs) with combat exposure.

Background Veterans with a history of traumatic brain injury (TBI) and/or posttraumatic stress disorder (PTSD) may be at increased risk suicide attempts and other forms intentional self-harm as compared to veterans without TBI or PTSD. Objective Using administrative data from the US Health Administration (VHA), we studied associations between PTSD diagnoses, subsequent diagnoses among who used VHA health care 2008 2017. Methods All encounters hospitalizations for were assigned “index dates”...

Objectives The association between traumatic brain injury (TBI) and alcohol use disorder (AUD) is known, but the extent of TBI’s role in developing AUD remains unclear. This study examines TBI severity with subsequent diagnosis, hazard for death due to alcohol, drug overdose, or suicide. Methods Data from a national US military/veteran cohort (October 1999–September 2016, followed until September 2020) were analyzed using Fine-Gray competing risk models investigate relationships exposure,...

Objectives: To describe the prevalence of sensory dysfunction (i.e. auditory, visual, vestibular, chemosensory and multiple problems) explore associations with traumatic brain injury (TBI) severity mechanism among deployed Post-9/11 Veterans.Methods: This retrospective cohort analysis used Departments Defense Veterans Affairs diagnostic codes administrative data.Results: Among 570,248 in this cohort, almost 23% had at least one diagnosis dysfunction. In multinomial regression analysis, odds...

To describe rates of mild traumatic brain injury (mTBI) with and without concurrent posttraumatic stress disorder a sample former current military personnel, to compare the factor structure Neurobehavioral Symptom Inventory (NSI) based on whether participants sustained mTBI positive (PTSD) screen.Participants recruited tested at 7 Veterans Affairs (VA) sites 1 training facility as part national, longitudinal study mental health, physical, cognitive outcomes among veterans service members....

Objective: The aim of this qualitative study was to document perceived barriers supported employment implementation as described by Department Veterans Affairs (VA) employees. Methods: Interviews were conducted over two years at six VA medical centers involved in implementing employment, an evidence-based practice for helping people with serious mental illness obtain competitive employment. Eighty-four unique semistructured interviews focusing on program development the time points 110...

Many female veterans have deployed to Operation Enduring Freedom (OEF), Iraqi (OIF), and New Dawn (OND), some experience traumatic brain injury (TBI). Although TBI is increasingly recognized as an important health issue for OEF/OIF/OND veterans, there little attention stressful experiences that may exacerbate problems or hinder recovery among who experienced TBI. Lifetime intimate partner violence (IPV) common general samples of veterans. Given the negative implications IPV on women’s...