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Titre : | Long-Term Neurobehavioral Symptoms and Return to Productivity in Operation Enduring Freedom/Operation Iraqi Freedom Veterans With and Without Traumatic Brain Injury (2018) |
Auteurs : | Marianne H. Mortera ; Stacy A. Kinirons ; Jessie Simantov |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 2, supplément, 2018) |
Article en page(s) : | p. S50-S57 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Anciens combattants ; Personnel militaire ; Rééducation et réadaptation |
Mots-clés: | Brain injuries ; traumatic ; Lésions traumatiques de l'encéphale ; Military personnel ; Veterans |
Résumé : |
Objective To describe Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) veterans who underwent the Comprehensive Traumatic Brain Injury Evaluation (CTBIE), differences between the traumatic brain injury (TBI) and non-TBI subgroups, and factors associated with return to productivity (RTP). Design Retrospective medical record review. Setting Medical center. Participants Medical records of OEF/OIF veterans (N=236) who underwent the CTBIE between 2009 and 2013. Interventions Not applicable. Main Outcome Measures Demographic characteristics, injury history, clinical presentation, and factors associated with RTP. Results Veteran sample included 90.7% men, was 45.3% white and 34.7% black, with half of Hispanic origin, and had a mean age of 33 years. The mean time since injury was approximately 4 years. Reported symptoms were high, with >90% reporting anxiousness, irritability, sleep difficulty, forgetfulness, and headaches. TBI diagnosis was found in 163 veterans (69%). The TBI subgroup was younger (TBI: 32.5y vs non-TBI: 34.9y; P=.02), reported a greater number of injuries (P<.001 and had significantly higher rates of half the reported symptoms. greatest differences were noted with forgetfulness vs non-tbi: p poor concentration headaches rtp was for total veteran population. factors associated race ratio confidence interval sensitivity to light ci fatigue veterans that did times less likely report depression .32 .12> Conclusions Veterans reported a substantial number of lingering symptoms, with a higher prevalence in veterans with TBI. Veterans with reported depression were less likely to RTP. Future research should focus on the relation between depression and non-RTP and the effectiveness of Department of Veterans Affairs services. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999317300011 |