5 results match your criteria: "California (Dr Dismuke-Greer); and Uniformed Services University of the Health Sciences[Affiliation]"
Department of Defense Military Treatment Facility and Community Care Costs After Traumatic Brain Injury in Service Members and Veterans Treated in Veterans Affairs Polytrauma Rehabilitation Centers: A VA TBI Model Systems Study.
J Head Trauma Rehabil
January 2025
Author Affiliations: Health Economic Resource Center (HERC), VA Palo Alto Care System, Menlo Park, California (Dr Dismuke-Greer); Research Department, Craig Hospital, Englewood, Colorado; Traumatic Brain Injury Model Systems National Data and Statistical Center, Englewood, Colorado (Ms Almeida); Tampa VA Research and Education Foundation at James A. Haley Veterans' Hospital; Department of Emergency Medicine, University of South Florida, Tampa, Florida (Dr Ryan); Chief of Staff Office and TBI Center of Excellence at James A. Haley Veterans Hospital, Department of Internal Medicine, University of South Florida, Tampa, Florida (Dr Nakase-Richardson).
Objective: To estimate cost models of military traumatic brain injury (TBI) that can provide evidence for future cost-effectiveness analyses highlighted as a gap in the recent National Academies of Sciences, Engineering, and Medicine (NASEM) report on accelerating progress in TBI.
Setting: Military Treatment Facilities (MTFs) and community care facilities within the Military Health System (MHS).
Participants: 1,101 service members/veterans (SMV) diagnosed with a TBI and treated at a Veterans Administration (VA) Polytrauma Rehabilitation Center (PRC).
Cost-Effectiveness of Sleep Apnea Diagnosis and Treatment in Hospitalized Persons With Moderate to Severe Traumatic Brain Injury.
J Head Trauma Rehabil
November 2024
Author Affiliations: Department of Internal Medicine, Morsani College of Medicine, University of South Florida, Tampa, Florida (Dr Tsalatsanis and Dr Kumar); Health Economics Resource Center, VA Palo Alto Health Care System, Menlo Park, California (Dr Dismuke-Greer); Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, Washington (Dr Hoffman); Department of Rehabilitation Medicine, University of Minnesota Medical School, Minneapolis, Minnesota (Dr Monden); The Ohio State University Wexner Medical Center, Columbus, Ohio (Dr Magalang); and Medicine Service (Dr Schwartz) Mental Health and Behavioral Science Service (Dr Martin), and Polytrauma TBI Rehabilitation (Dr Nakase-Richardson), James A. Haley Veterans' Hospital, Tampa, Florida.
Objective: To assess the cost-effectiveness of alternative approaches to diagnose and treat obstructive sleep apnea (OSA) in patients with traumatic brain injury (TBI) during inpatient rehabilitation.
Setting: Data collected during the Comparison of Sleep Apnea Assessment Strategies to Maximize TBI Rehabilitation Participation and Outcome (C-SAS) clinical trial (NCT03033901) on an inpatient rehabilitation TBI cohort were used in this study.
Study Design: Decision tree analysis was used to determine the cost-effectiveness of approaches to diagnosing and treating sleep apnea.
Risk of Adverse Outcomes Among Veterans Who Screen Positive for Traumatic Brain Injury in the Veterans Health Administration But Do Not Complete a Comprehensive Evaluation: A LIMBIC-CENC Study.
J Head Trauma Rehabil
May 2024
Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, Massachusetts (Dr Pogoda); Department of Health Law, Policy & Management, Boston University School of Public Health, Boston, Massachusetts (Drs Pogoda and Adams); VHA Rocky Mountain Mental Illness Research Education and Clinical Center, Aurora, Colorado (Dr Adams); Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, Oregon, and Epidemiology, Oregon Health and Science University-Portland State University School of Public Health, Oregon Health and Science University, Portland (Dr Carlson); Health Economics Resource Center, VA Palo Alto Health Care System, Menlo Park, California (Dr Dismuke-Greer); Informatics, Decision-Enhancement and Analytic Sciences Center, VA Salt Lake City Health Care System, Salt Lake City, Utah (Ms Amuan and Dr Pugh); and Department of Internal Medicine, Division of Epidemiology, University of Utah Spence Fox Eccles School of Medicine, Salt Lake City (Dr Pugh).
Article Synopsis
- - The study aimed to evaluate if post-9/11 veterans who screened positive for mild traumatic brain injury (mTBI) but didn't complete a Comprehensive TBI Evaluation (CTBIE) faced higher risks of negative outcomes compared to those who did complete it.
- - Researchers analyzed data from over 52,000 veterans between 2008-2019, categorizing them into three groups based on CTBIE completion and mTBI status: mTBI+, mTBI-, and no CTBIE.
- - Results indicated that the mTBI+ group had a higher risk of substance use disorders and overdose compared to the no CTBIE group, but lower mortality rates; further exploration is needed to understand
Changes in Outpatient Healthcare Utilization and Costs Following Mild Traumatic Brain Injury Among Service Members in the Military Health System by Preexisting Behavioral Health Condition Status.
J Head Trauma Rehabil
November 2023
National Intrepid Center of Excellence (NICoE), Walter Reed National Military Medical Center, Bethesda, Maryland (Messrs Hoover and Adirim-Lanza and Drs French and Caban); Division of Health Law, Policy and Management, Boston University School of Public Health, Boston, Massachusetts (Dr Adams); VA Rocky Mountain Mental Illness Research, Education, and Clinical Center (MIRECC), Aurora, Colorado (Dr Adams); Health Economics Resource Center (HERC), VA Palo Alto Healthcare System, Palo Alto, California (Dr Dismuke-Greer); and Uniformed Services University of the Health Sciences, Bethesda, Maryland (Dr French).
Article Synopsis
- The study aimed to evaluate changes in healthcare use and costs after a mild traumatic brain injury (mTBI) diagnosis among active-duty service members, focusing on whether preexisting behavioral health (BH) conditions influenced these changes.
- Researchers analyzed medical encounter records from 21,984 service members one year before and after an mTBI diagnosis, using regression models to compare those with and without prior BH conditions.
- Results showed a significant increase in healthcare utilization (39.5%) and costs (34.8%) post-diagnosis, but those with preexisting BH conditions had smaller increases in both utilization and costs, particularly in primary care settings.
Association Between Traumatic Brain Injury and Subsequent Cardiovascular Disease Among Post-9/11-Era Veterans.
JAMA Neurol
November 2022
Informatics, Decision-Enhancement, and Analytic Sciences Center of Innovation, VA Salt Lake City Health Care System, Salt Lake City, Utah.
Importance: Traumatic brain injury (TBI) was common among US service members deployed to Iraq and Afghanistan. Although there is some evidence to suggest that TBI increases the risk of cardiovascular disease (CVD), prior reports were predominantly limited to cerebrovascular outcomes. The potential association of TBI with CVD has not been comprehensively examined in post-9/11-era veterans.
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