Journal of Rehabilitation Research & Development (JRRD)

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Volume 50 Number 9, 2013
   Pages 1169 — 1176

Abstract — Traumatic brain injury, posttraumatic stress disorder, and pain diagnoses in OIF/OEF/OND Veterans

David X. Cifu, MD;1–3* Brent C. Taylor, PhD;4–5 William F. Carne, PhD;2–3,6 Douglas Bidelspach, MPT;1,7 Nina A. Sayer, PhD;4–5,8 Joel Scholten, MD;1,9 Emily Hagel Campbell, MS4

1Physical Medicine and Rehabilitation Program Office, Department of Veterans Affairs (VA), Washington, DC; 2Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA; 3Hunter Holmes McGuire VA Medical Center (VAMC), Richmond, VA; 4Center for Chronic Disease Outcomes Research, Minneapolis VA Health Care System, Minneapolis, MN; 5Department of Medicine, University of Minnesota, Minneapolis, MN; 6Defense and Veterans Brain Injury Center, Richmond, VA; 7Rehabilitation and Prosthetics Services, Lebanon VAMC, Lebanon, PA; 8Department of Psychiatry, University of Minnesota, Minneapolis, MN; 9Department of Physical Medicine and Rehabilitation, Washington VAMC, Washington, DC; and Department of Physical Medicine and Rehabilitation, Georgetown University Medical Center, Washington, DC

Abstract — To identify the prevalence of traumatic brain injury (TBI), posttraumatic stress disorder (PTSD), and pain in Veterans from Operation Iraqi Freedom/Operation Enduring Freedom/Operation New Dawn (OIF/OEF/OND), Veterans who received any inpatient or outpatient care from Veterans Health Administration (VHA) facilities from 2009 to 2011 were studied. A subset of Veterans was identified who were diagnosed with TBI, PTSD, and/or pain (head, neck, or back) as determined by their International Classification of Diseases-9th Revision-Clinical Modification codes. Between fiscal years 2009 and 2011, 613,391 Veterans accessed VHA services at least once (age: 31.9 +/– 9.6 yr). TBI diagnosis in any 1 year was slightly less than 7%. When data from 3 years were pooled, 9.6% were diagnosed with TBI, 29.3% were diagnosed with PTSD, and 40.2% were diagnosed with pain. The full polytrauma triad expression (TBI, PTSD, and pain) was diagnosed in 6.0%. Results show that increasing numbers of Veterans from OIF/OEF/OND accessed VHA over a 3 year period. Among those with a TBI diagnosis, the majority also had a mental health disorder, with approximately half having both PTSD and pain. While the absolute number of Veterans increased by over 40% from 2009 to 2011, the proportion of Veterans diagnosed with TBI and the high rate of comorbid PTSD and pain in this population remained relatively stable.

Key words: military healthcare, military Veterans, Operation Enduring Freedom, Operation Iraqi Freedom, Operation New Dawn, pain, posttraumatic stress disorder, PTSD, TBI, traumatic brain injury.


View HTML  ¦  View PDF  ¦  Contents Vol. 50, No. 9
This article and any supplementary material should be cited as follows:
Cifu DX, Taylor BC, Carne WF, Bidelspach D, Sayer NA, Scholten J, Campbell EH. Traumatic brain injury, posttraumatic stress disorder, and pain diagnoses in OIF/OEF/OND Veterans. J Rehabil Res Dev. 2013;50(9): 1169–76.
http://dx.doi.org/10.1682/JRRD.2013.01.0006
ResearcherID/ORCID: Brent C. Taylor, PhD: A-8069-2009
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