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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
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