An Evaluation of the Veterans Affairs Traumatic Brain Injury Screening Process Among Operation Enduring Freedom and/or Operation Iraqi Freedom Veterans

Charlesnika T. Evans, Justin R. St Andre, Theresa L.B. Pape, Monica L. Steiner, Kevin T. Stroupe, Timothy P. Hogan, Frances M. Weaver, Bridget M. Smith

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Objective: To describe the early results of the U.S. Department of Veterans Affairs (VA) screening program for traumatic brain injury (TBI) and to identify patient and facility characteristics associated with receiving a TBI screen and results of the screening. Design: National retrospective cohort study. Setting: VA Medical facilities. Patients: A total of 170,681 Operation Enduring Freedom and/or Operation Iraqi Freedom (OEF/OIF) Veterans who sought care at VA medical facilities from April 2007 to September 30, 2008. Methods: Data were abstracted from VA administrative and operational databases, including patient demographics, facility characteristics, and outcomes. Main Outcome Measurements: The main outcomes were receipt of and results of the TBI screen. Results: The majority of veterans eligible received the TBI screen (91.6%). Screening rates varied by patient and facility characteristics. In all, 25% of screened veterans had probable TBI exposure, in which the majority of the exposures were blasts (85.0%). The rate of a positive TBI screen was 20.5% for the screened cohort. Male gender, service in the army, multiple deployments, and mental health diagnoses in the previous year were associated with a positive screen. Conclusions: TBI screening rates are high in VA; concomitant mental health diagnoses were highly prevalent in individuals with positive TBI screens. These data indicate that there will be a significant need for long-term health care services for veterans with TBI symptomatology.

Original languageEnglish (US)
Pages (from-to)210-220
Number of pages11
JournalPM and R
Volume5
Issue number3
DOIs
StatePublished - Mar 1 2013
Externally publishedYes

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2003-2011 Iraq War
Irritable Mood
Afghan Campaign 2001-
Blast Injuries
Veterans Hospitals
Sex Factors
Mass Screening
Marital Status
Veterans
Post-Traumatic Stress Disorders
Brain Injuries
Headache
Cohort Studies
Retrospective Studies
Logistic Models
Mental Health
Traumatic Brain Injury
Sleep Wake Disorders
United States Department of Veterans Affairs

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Neurology
  • Clinical Neurology

Cite this

An Evaluation of the Veterans Affairs Traumatic Brain Injury Screening Process Among Operation Enduring Freedom and/or Operation Iraqi Freedom Veterans. / Evans, Charlesnika T.; St Andre, Justin R.; Pape, Theresa L.B.; Steiner, Monica L.; Stroupe, Kevin T.; Hogan, Timothy P.; Weaver, Frances M.; Smith, Bridget M.

In: PM and R, Vol. 5, No. 3, 01.03.2013, p. 210-220.

Research output: Contribution to journalArticle

Evans, Charlesnika T. ; St Andre, Justin R. ; Pape, Theresa L.B. ; Steiner, Monica L. ; Stroupe, Kevin T. ; Hogan, Timothy P. ; Weaver, Frances M. ; Smith, Bridget M. / An Evaluation of the Veterans Affairs Traumatic Brain Injury Screening Process Among Operation Enduring Freedom and/or Operation Iraqi Freedom Veterans. In: PM and R. 2013 ; Vol. 5, No. 3. pp. 210-220.
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abstract = "Objective: To describe the early results of the U.S. Department of Veterans Affairs (VA) screening program for traumatic brain injury (TBI) and to identify patient and facility characteristics associated with receiving a TBI screen and results of the screening. Design: National retrospective cohort study. Setting: VA Medical facilities. Patients: A total of 170,681 Operation Enduring Freedom and/or Operation Iraqi Freedom (OEF/OIF) Veterans who sought care at VA medical facilities from April 2007 to September 30, 2008. Methods: Data were abstracted from VA administrative and operational databases, including patient demographics, facility characteristics, and outcomes. Main Outcome Measurements: The main outcomes were receipt of and results of the TBI screen. Results: The majority of veterans eligible received the TBI screen (91.6{\%}). Screening rates varied by patient and facility characteristics. In all, 25{\%} of screened veterans had probable TBI exposure, in which the majority of the exposures were blasts (85.0{\%}). The rate of a positive TBI screen was 20.5{\%} for the screened cohort. Male gender, service in the army, multiple deployments, and mental health diagnoses in the previous year were associated with a positive screen. Conclusions: TBI screening rates are high in VA; concomitant mental health diagnoses were highly prevalent in individuals with positive TBI screens. These data indicate that there will be a significant need for long-term health care services for veterans with TBI symptomatology.",
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