Traumatic Brain Injury Classification Variability During the Afghanistan/Iraq Conflicts: Surveillance, Clinical, Research, and Policy Implications

Review Public, Environmental & Occupational Health

Multisite medical record review of emergency department visits for unspecified injury of head following the ICD-10-CM coding transition

Alexis Peterson et al.

Summary: This study assessed the evidence of TBI in ED medical records containing the S09.90 code, finding wide variation in the positive predictive value of S09.90 among sampled records, with 36%-52% showing medium to high evidence of TBI, while 48%-64% lacked evidence of TBI.

INJURY PREVENTION (2021)

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Article Clinical Neurology

Network Analysis of Research on Mild Traumatic Brain Injury in US Military Service Members and Veterans During the Past Decade (2010-2019)

Shawn R. Eagle et al.

Summary: The study evaluated trends in mild traumatic brain injury (mTBI) research in military service members and veterans from 2010 to 2019. It found a clear focus on veteran health and chronic effects of mTBI. Delaying treatment for mTBI symptoms and impairments may not be the most effective strategy, and early, active, and targeted treatment trials in military personnel could lead to meaningful improvements in clinical practices.

JOURNAL OF HEAD TRAUMA REHABILITATION (2021)

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Article Clinical Neurology

Risk Factors Associated With the Prescription of Opioids Among Service Members Following a First Mild Traumatic Brain Injury

Peter Hoover et al.

Summary: Factors affecting opioid receipt among active-duty service members following a first mild traumatic brain injury were evaluated in a retrospective analysis of EHR metadata. Results showed that age, gender, preexisting health conditions, and military characteristics all played a role in opioid prescription post-mTBI. Understanding these factors may inform policy for opioid use in the Military Health System.

JOURNAL OF HEAD TRAUMA REHABILITATION (2021)

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Article Neurosciences