دورية أكاديمية
Two Decades of Department of Veterans Affairs Traumatic Brain Injury Care and Benefits for Veterans of Post-9/11 Conflicts.
| العنوان: | Two Decades of Department of Veterans Affairs Traumatic Brain Injury Care and Benefits for Veterans of Post-9/11 Conflicts. |
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| المؤلفون: | Whiteneck G; Author Affiliations: Research Department, Craig Hospital (Dr Whiteneck, Mr Williams, Ms Almeida, Ms Eagye, and Dr Mellick), Englewood, Colorado; Rehabilitation and Prosthetic Services (Mr Bidelspach and Ms Picon); and Epidemiology Program, Health Outcomes of Military Exposures (Dr Culpepper), Veterans Health Administration, Washington, District of Columbia., Williams W, Almeida E, Bidelspach D, Culpepper W, Picon LM, Eagye CB, Dr Mellick D |
| المصدر: | The Journal of head trauma rehabilitation [J Head Trauma Rehabil] 2024 Apr 01. Date of Electronic Publication: 2024 Apr 01. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Aspen Publications Country of Publication: United States NLM ID: 8702552 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1550-509X (Electronic) Linking ISSN: 08859701 NLM ISO Abbreviation: J Head Trauma Rehabil Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Gaithersburg Md : Aspen Publications Original Publication: [Gaithersburg, Md.] : Aspen, [c1986- |
| مستخلص: | Objective: To describe the background, methodology, and results of the congressionally mandated Department of Veterans Affairs (VA) Traumatic Brain Injury (TBI) Veterans Health Registry. Setting: Veterans Health Administration (VHA) and Veterans Benefit Administration (VBA). Participants: A total of 441 639 Veterans of post-9/11 conflicts who exhibited symptoms associated with TBI and sought care or benefits from the VA between September 2001 and September 2021. Design: Retrospective analysis of VHA and VBA administrative records. Main Measures: (1) VA/Department of Defense Identity Repository to identify Veterans with a deployment to the Southwest Asia theater of operations; (2) the VA TBI Screening and Evaluation Program data; (3) Inpatient and Outpatient Encounter data; and (4) an extract of the VBA Corporate Database to identify Veterans filing benefit claims based on TBI. Results: An unduplicated total of 441 639 post-9/11 Veterans were identified in the Registry via three different pathways to entry: 369 909 Veterans through a positive TBI Screen, 253 177 Veterans receiving healthcare including a TBI diagnosis, and 108 541 Veterans filing TBI disability claims. Among Veterans reporting current TBI symptoms who completed a clinical evaluation, a diagnosis of TBI was confirmed by a TBI specialist in 68.7% of the cases. The TBI severity of confirmed cases was classified as mild in 86.6% of the cases, moderate in 8.3%, and severe in 4.1%. The TBI Registry Veterans were hospitalized 66 503 times and seen 1 521 898 times as outpatients in VHA facilities with diagnoses including TBI. Among Veterans filing TBI disability claims, 67.3% were adjudicated as service-connected. Conclusion: The VA TBI Health Registry has identified over 440 000 Veterans of post-9/11 conflicts who presented to the VA for care or benefits with TBI symptomatology. This large number and the volume of TBI health care and benefits provided over the two decades since 9/11 demonstrate the need for the VA's strong ongoing focus on screening, evaluation, and rehabilitation of TBI. Key words:Department of Veterans Affairs, post-9/11, Registry, TBI, traumatic brain injury, VA, VBA, Veterans, Veterans Benefit Administration, Veterans Health Administration, VHA. Competing Interests: The authors declare no conflicts of interest. |
| References: | DoD TBI World Wide Numbers. The Armed Forces Health Surveillance Division (AFHSD) TBI Center of Excellence. Accessed 11/6/2023. https://health.mil/Military-Health-Topics/Centers-of-Excellence/Traumatic-Brain-Injury-Center-of-Excellence/DOD-TBI-Worldwide-Numbers. Taylor B, Hagel Campbell E, Nugent S, et al. Three year trends in VHA utilization and costs following traumatic brain injury screening among veterans with mild traumatic brain injury. Journal of Neurotrauma. 2017;34(17):2567–2574. doi:10.1089/neu.2016.4910. (PMID: 10.1089/neu.2016.4910) Mortera MH, Kinirons SA, Simantov J, Klingbeil H. Long-term neurobehavioral symptoms and return to productivity in Operation Enduring Freedom/Operation Iraqi Freedom veterans with and without traumatic brain injury. Arch Phys Med Rehabil. 2018;99(2):S50–S57. doi:10.1016/j.apmr.2016.11.026. (PMID: 10.1016/j.apmr.2016.11.026) Scholten JD, Sayer NA, Vanderploeg RD, Bidelspach DE, Cifu DX. Analysis of US Veterans Health Administration comprehensive evaluations for traumatic brain injury in Operation Enduring Freedom and Operation Iraqi Freedom veterans. Brain Injury. 2012;26(10):1177–1184. doi:10.3109/02699052.2012.661914. (PMID: 10.3109/02699052.2012.661914) International Statistical Classification of Diseases and Related Health Problems (9th and 10th Ed.). Geneva, CH: World Health Organization. Accessed May 30, 2023. https://icd.who.int/. Corrigan JD, Hammond FM. Traumatic brain injury as a chronic health condition. Arch Phys Med Rehabil. 2013;94(6):1199–1201. doi:10.1016/j.apmr.2013.01.023. (PMID: 10.1016/j.apmr.2013.01.023) Spinal Cord Injuries and Disorders System of Care. U.S. Department of Veterans Affairs. Accessed 11/6/2023. https://www.sci.va.gov/Veterans/Annual_Evaluations.asp. |
| تواريخ الأحداث: | Date Created: 20240423 Latest Revision: 20240423 |
| رمز التحديث: | 20240424 |
| DOI: | 10.1097/HTR.0000000000000952 |
| PMID: | 38652670 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1550-509X |
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| DOI: | 10.1097/HTR.0000000000000952 |