Prevalence and Costs of Co-occurring Traumatic Brain Injury With and Without Psychiatric Disturbance and Pain Among Afghanistan and Iraq War Veteran VA Users

@article{Taylor2012PrevalenceAC,
  title={Prevalence and Costs of Co-occurring Traumatic Brain Injury With and Without Psychiatric Disturbance and Pain Among Afghanistan and Iraq War Veteran VA Users},
  author={Brent C. Taylor and Emily M Hagel and Kathleen F Carlson and David X. Cifu and Andrea H Cutting and Douglas E. Bidelspach and Nina A. Sayer},
  journal={Medical Care},
  year={2012},
  volume={50},
  pages={342–346}
}
Background:Traumatic brain injury (TBI) is the “signature injury” in the Afghanistan and Iraq wars [Operation Enduring Freedom in Afghanistan (OEF)/Operation Iraqi Freedom (OIF)]. Patients with combat-related TBI also have high rates of psychiatric disturbances and pain. Objectives:To determine the prevalence of TBI alone and TBI with other conditions and the average cost of medical care for veterans with these diagnoses. Methods:Observational study using national inpatient, outpatient, and… 
Does Co-Occurring Traumatic Brain Injury Affect VHA Outpatient Health Service Utilization and Associated Costs Among Veterans With Posttraumatic Stress Disorder? An Examination Based on VHA Administrative Data
TLDR
Co-occurring TBI increases the already high level of healthcare utilization by veterans with PTSD, suggesting that OEF/OIF/OND veterans with comorbid PTSD/TBI have complex and wide-ranging healthcare needs.
Traumatic brain injury, posttraumatic stress disorder, and pain diagnoses in OIF/OEF/OND Veterans.
TLDR
While the absolute number of Veterans increased by over 40% from 2009 to 2011, the proportion of Veterans diagnosed with TBI and the high rate of comorbid PTSD and pain in this population remained relatively stable.
Comorbid TBI-depression costs in veterans: a chronic effect of neurotrauma consortium (CENC) study
TLDR
The estimated annual cost for Veterans with comorbid TBI-depression was more than $1 billion and VHA policymakers should consider screening for TBI and depression in pre-OEF/OIF veterans exposed to TBI.
Risk of hospitalization due to motor vehicle crashes among Iraq and Afghanistan War Veterans diagnosed with traumatic brain injury.
TLDR
Veterans with TBI had substantially greater risk of MVC-related hospitalizations than those without, and may benefit from enhanced driving safety interventions to reduce risk.
The Prevalence of Epilepsy and Association With Traumatic Brain Injury in Veterans of the Afghanistan and Iraq Wars
TLDR
Among OEF/OIF Veterans, epilepsy was associated with previous TBI diagnosis, with pTBI having the strongest association.
Three Year Trends in Veterans Health Administration Utilization and Costs after Traumatic Brain Injury Screening among Veterans with Mild Traumatic Brain Injury.
TLDR
The relatively high rate of VHA utilization and costs associated with mTBI over time demonstrates the importance of long-term planning to meet these veterans' needs.
Health Services Utilization, Healthcare Costs, and Diagnoses by Mild Traumatic Brain Injury Exposure: A Chronic Effects of Neurotrauma Consortium (CENC) Study.
TLDR
Veterans with BR mTBI had higher exposure to combat and detonation, and BR was associated with greater prevalence of select diagnoses, and higher health services utilization and costs, relative to NBR and no mTbi.
Association of Traumatic Brain Injury With Chronic Pain in Iraq and Afghanistan Veterans: Effect of Comorbid Mental Health Conditions.
TLDR
In combat veterans, chronic pain and pain disability are most commonly associated with TBI in conjunction with PTSD, depression, or both, and integrated models of care that simultaneously address pain in conjunctionWith TBI, PTSD, and depression will likely be the most clinically effective.
Utilization and Cost of Health Services in Individuals With Traumatic Brain Injury
TLDR
A systematic review of the literature since 2000 shows a wide variation in health services utilization and costs depending on population of study and severity of TBI, and supports the existence of racial/ethnic, gender, insurance, geographic disparities in the US as well as other unique disparities worldwide.
Associations Between Traumatic Brain Injury, Suspected Psychiatric Conditions, and Unemployment in Operation Enduring Freedom/Operation Iraqi Freedom Veterans
TLDR
Simultaneously addressing health-related, educational, and/or vocational needs may fill a critical gap for helping Veterans readjust to civilian life and achieve their academic and vocational potential.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 35 REFERENCES
Headaches among Operation Iraqi Freedom/Operation Enduring Freedom veterans with mild traumatic brain injury associated with exposures to explosions.
TLDR
The hypothesis that among veterans who reported mild TBI caused by exposure to an explosion during deployment in OIF/OEF, those with residual neurocognitive deficits would have a higher frequency of headaches and more severe headaches was examined.
Trends and risk factors for mental health diagnoses among Iraq and Afghanistan veterans using Department of Veterans Affairs health care, 2002-2008.
TLDR
Mental health diagnoses increased substantially after the start of the Iraq War among specific subgroups of returned veterans entering VA health care and early targeted interventions may prevent chronic mental illness.
Psychiatric diagnoses among Iraq and Afghanistan war veterans screened for deployment-related traumatic brain injury.
TLDR
Those with positive TBI screens were more likely than those without confirmed TBI status to have diagnoses for PTSD, anxiety, and adjustment disorders, and these findings have implications for health care delivery and provider education.
Characteristics and rehabilitation outcomes among patients with blast and other injuries sustained during the Global War on Terror.
TLDR
Characteristics and rehabilitation outcomes among patients who received inpatient rehabilitation for blast and other injuries sustained in Iraq and Afghanistan during the Global War on Terror are described.
Prevalence of posttraumatic stress disorder in Veterans Affairs primary care clinics.
TLDR
The prevalence of PTSD using Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition diagnostic criteria in Veterans Affairs (VA) primary care settings and associated sociodemographic characteristics and comorbidities was estimated to be 11.5%.
Mild traumatic brain injury in U.S. Soldiers returning from Iraq.
TLDR
Mildtraumatic brain injury occurring among soldiers deployed in Iraq is strongly associated with PTSD and physical health problems 3 to 4 months after the soldiers return home, and after adjustment for PTSD and depression, mild traumatic brain injury was no longer significantly associated with these physical health outcomes or symptoms, except for headache.
Psychopathology and psychiatric diagnoses of World War II Pacific theater prisoner of war survivors and combat veterans.
TLDR
The findings point to the persistent nature of symptoms thought to be residuals of extraordinary stress and the relation between severity of psychiatric sequelae and characteristics of the stressors.
Prevalence of chronic pain, posttraumatic stress disorder, and persistent postconcussive symptoms in OIF/OEF veterans: polytrauma clinical triad.
TLDR
The results underscore the complexity of the presenting complaints in OIF/OEF veterans and support the importance of a multidisciplinary team approach to assessment and treatment.
Pain among veterans of Operations Enduring Freedom and Iraqi Freedom.
TLDR
The results of this preliminary study suggest that a substantial percentage of OEF/OIF veterans will experience clinically significant pain following their military service.
Combat duty in Iraq and Afghanistan, mental health problems and barriers to care.
TLDR
The findings indicate that among the study groups there was a significant risk of mental health problems and that the subjects reported important barriers to receiving mental health services, particularly the perception of stigma among those most in need of such care.
...
1
2
3
4
...