Hendricks Observational All individuals screened VA clinical evaluators’ Probable TBI overall 44,781 (21.6%) 5.8% of total (2013) () cohort study for TBI in the VHA judgment that a patient’s screened Probable TBI Males 23.1% Veterans Health between October 1, 2007 history and clinical course population in study Probable TBI Females 10.7% Administration - March 31, 2009. were consistent with a period had a Of 24,461 patients who received a comprehensive TBI evaluation (VHA). N=208,589. diagnosis of TBI. positive screen and Confirmed TBI 11,961 (48.9%) 2007-2009. a potential TBI Uncertain TBI (11.5%) confirmed through with a probable TBI were more likely to be male, enlisted, the CTBIE (does younger, less education, less than 8 years military service and in not include those Army or Marines. who had a TBI confirmed at a later date). Iverson National Drawn from VA’s Modified TBI screen; Probable TBI Male 198 (19.7%) (2013) () survey Environmental screening questions. 2009-2010. Epidemiology Service’s Screened positive if one Probable TBI Female 119 (10.7%) roster of veterans. Both deployment-related head VA and non-VA users injury was accompanied by who had deployed to alteration or LOC. OEF/OIF and were separated. Females oversampled. September 2009 October 2010. – N=2348 (48.6% response rate) Kontos Cross-sectional USA Special Operations Mild TBI: Glasgow Coma Mild TBI Overall 2813 (12.7%) (2013) () population based Command (USASOC) Scale (GCS) score of Comparison of 0, 1, 2 and 3+ diagnosed blast mTBI supported a survey. personnel without a and no associated dose-response gradient for reported mTBI symptoms. 2009-2011. pathological history. pathology. November 2009 – December 2011. N=22,203 (81.7% response rate). TBI Modified Brief TBI Screen 825 (2.8%)
Hendricks (2013) () Observational cohort study Veterans Health Administration (VHA). 2007-2009. All individuals screened for TBI in the VHA between October 1, 2007 - March 31, 2009. N=208,589. VA clinical evaluators’ judgment that a patient’s history and clinical course were consistent with a diagnosis of TBI. Probable TBI overall 44,781 (21.6%) 5.8% of total screened population in study period had a positive screen and a potential TBI confirmed through the CTBIE (does not include those who had a TBI confirmed at a later date). Probable TBI Males 23.1% Probable TBI Females 10.7% Of 24,461 patients who received a comprehensive TBI evaluation Confirmed TBI 11,961 (48.9%) Uncertain TBI (11.5%) with a probable TBI were more likely to be male, enlisted, younger, less education, less than 8 years military service and in Army or Marines. Iverson (2013) () National survey 2009-2010. Drawn from VA’s Environmental Epidemiology Service’s roster of veterans. Both VA and non-VA users who had deployed to OEF/OIF and were separated. Females oversampled. September 2009 – October 2010. N=2348 (48.6% response rate) Modified TBI screen; screening questions. Screened positive if one deployment-related head injury was accompanied by alteration or LOC. Probable TBI Male 198 (19.7%) Probable TBI Female 119 (10.7%) Kontos (2013) () Cross-sectional population based survey. 2009-2011. USA Special Operations Command (USASOC) personnel without a pathological history. November 2009 – December 2011. N=22,203 (81.7% response rate). Mild TBI: Glasgow Coma Scale (GCS) score of and no associated pathology. Mild TBI Overall 2813 (12.7%) Comparison of 0, 1, 2 and 3+ diagnosed blast mTBI supported a dose-response gradient for reported mTBI symptoms. Modified Brief TBI Screen TBI 825 (2.8%)
US%20Aust%20Comparative%20Literature%20Review.docx