Traumatic Brain Injury Hospitalizations of U.S. Army Soldiers Deployed to Afghanistan and Iraq

Wójcik, Barbara E.; Stein, Catherine R.; Bagg, Karen A.; Humphrey, Rebecca J.; Orosco, Jason

doi:10.1016/j.amepre.2009.10.006

Cited by 154 publications

(101 citation statements)

References 9 publications

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“…The demographic composition of the veteran population is changing as the proportions of younger, female, and nonwhite veterans increase (8). There are also early indicators of changes in the prevalence of service-related injuries, such as traumatic brain injury (9), and exposures, such as military sexual trauma (10), that may precipitate changes in suicide risk among post-9/11 veterans (11,12). A more complete picture of the absolute and relative risk of suicide for all veterans and within meaningful subgroups is necessary to appropriately target and evaluate treatment and prevention programs, allocate suicide prevention resources, and track changes in suicide rates over time.…”

mentioning

confidence: 99%

Changes in Suicide Mortality for Veterans and Nonveterans by Gender and History of VHA Service Use, 2000–2010

Hoffmire¹,

Kemp²,

Bossarte³

2015

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Objective: Veterans are believed to be at high risk of suicide. However, research comparing suicide rates between veterans and nonveterans is limited, and even less is known regarding differences by history of Veterans Health Administration (VHA) service use. This study directly compared veteran and nonveteran suicide risk while for the first time differentiating veterans by VHA service use. Methods:The cross-sectional study analyzed data from 173,969 adult suicide decedents from 23 states (2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010) included in the U.S. Department of Veterans Affairs suicide data archive. Annual standardized mortality ratios (SMRs) were computed for veterans compared with nonveterans and for veterans who used VHA services compared with veterans who did not, overall and separately for males and females.Results: After the analysis controlled for age and gender differences, the number of observed veteran suicides was approximately 20% higher than expected in 2000 (SMR=1.19, 95% confidence interval [CI]=1.10-1.28), and this increased to 60% higher by 2010 (SMR=1.63, CI=1.58-1.68). The elevated risk for female veterans (2010 SMR=5.89) was higher than that observed for male veterans (2010 SMR=1.54). Trends for non-VHA-utilizing veterans mirrored those of the veteran population as a whole, and the SMR for VHA-utilizing veterans declined. Since 2003, the number of suicides among VHAutilizing veterans was less than expected when compared directly with the suicide rate among non-VHA-utilizing veterans.Conclusions: Veterans are members of the community and, as such, are an important part of observed increases in U.S. suicide rates. Not all veterans are at equal or increasing risk of suicide, however. VHA-utilizing veterans appear to have declining absolute and relative suicide rates.

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mentioning

confidence: 99%

Changes in Suicide Mortality for Veterans and Nonveterans by Gender and History of VHA Service Use, 2000–2010

Hoffmire¹,

Kemp²,

Bossarte³

2015

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“…Penetrating head trauma does occur among combat veterans but is far less frequent than either injury from blunt injury or blast exposure. From September 2001 through September 2007, penetrating head trauma accounted for 11 percent of the 2,898 military hospital admissions for U.S. Army soldiers deployed to Afghanistan or Iraq [40], and a similar evaluation of Joint Theater Trauma Registry patients with TBI from 2003 through 2007 showed penetrating trauma in 18.5 percent [41]. These percentages represent upper bounds for penetrating trauma cases because they are based on military medical facility admissions, and therefore do not include many mTBI cases that were not evaluated by a military physician.…”

Section: Blast Injury As Novel Injury Cause In Combat Veteransmentioning

confidence: 99%

Review: Managing posttraumatic stress disorder in combat veterans with comorbid traumatic brain injury

Capehart¹,

Bass²

2012

JRRD

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“…Antiepileptic drugs are really only useful in severe traumatic brain injury to prevent seizures within the first week after severe trauma (29)(30)(31).…”

Section: Post-traumatic Epilepsymentioning

confidence: 99%

Managing Common Complex Symptomatic Epilepsies: Tumors and Trauma

et al. 2013

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Traumatic Brain Injury Hospitalizations of U.S. Army Soldiers Deployed to Afghanistan and Iraq

Cited by 154 publications

References 9 publications

Changes in Suicide Mortality for Veterans and Nonveterans by Gender and History of VHA Service Use, 2000–2010

Changes in Suicide Mortality for Veterans and Nonveterans by Gender and History of VHA Service Use, 2000–2010

Review: Managing posttraumatic stress disorder in combat veterans with comorbid traumatic brain injury

Managing Common Complex Symptomatic Epilepsies: Tumors and Trauma

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