Citation

Regasa LE, Agimi Y, Stout KC. J. Head Trauma Rehabil. 2019; 34(1): 21-29.

Affiliation

Defense and Veterans Brain Injury Center (DVBIC), Silver Spring, Maryland (Drs Regasa, Agimi, and Stout); General Dynamics Information Technology (GDIT), Fairfax, Virginia (Dr Regasa); and Information Innovators, Inc, Springfield, Virginia (Dr Agimi).

Copyright

(Copyright © 2019, Lippincott Williams and Wilkins)

DOI

10.1097/HTR.0000000000000417

PMID

30045222

Abstract

OBJECTIVE: To evaluate the prevalence of delayed traumatic brain injury (TBI) diagnosis and cause of injury that resulted in a TBI diagnosis after military deployment.

DESIGN: Medical record notes were reviewed in 2016 from a random sample of 1150 US military service members who had their first-time deployment in 2011 and likely sustained a TBI. Location and cause of the injury were extracted from the progress note for analysis. PARTICIPANTS AND SETTING: Active-duty US military service members who received an International Classification of Diseases, Ninth Revision code for a TBI diagnosis in a military facility. MAIN OUTCOME MEASURES: Presence of TBI, location of injury, cause of injury, and time of diagnosis with respect to deployment.

RESULTS: The odds of being diagnosed with a deployment-related TBI were 8 times higher during the first 4 weeks upon return from deployment than the subsequent 32 weeks. The likelihood of diagnosing a deployment-sustained TBI during weeks 5 to 32 was 2 times higher than during 33 to 76 weeks following return from deployment. The proportion of deployment-related TBI diagnoses decreased with time following return from deployment but remained above 40% during weeks 33 to 76. Service branch, gender, race, occupation, and time between TBI diagnosis and return from deployment were significant predictors of deployment-related TBIs. Moving motor vehicle, sports, parachute, and being struck by objects were the top causes of injury in garrison (nondeployed setting), whereas blast produced the majority (66%) of all causes of injuries that resulted in a TBI in the deployed setting.

CONCLUSION: The increased incidence rate of a TBI diagnosis following deployment can be attributed to delayed diagnosis of TBI sustained from injuries during deployment. TBIs sustained during deployment can be diagnosed beyond the initial 4 weeks after return from deployment and may continue up to 76 weeks following return from deployment.

Language: en