Effect of Concussion and Blast Exposure on Symptoms After Military Deployment  

Oleh:

Tsao, Jack W. ; Stentz, Lauren A. ; Rouhanian, Minoo ; Howard, Robin S. ; Perry, Briana N. ; Haran, F. Jay ; Pasquina, Paul F. ; Wolde, Mikias ; Taylor, Carolyn E. ; Lizardo, Radhames ; Liu, Scott ; Flores, Eusebio ; Creason, Alia H. ; Sher, Katalina

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Neurology (Official Journal of The American Academy of Neurology) vol. 89 no. 19 (Nov. 2017), page 2010-2016.
Topik: Brain Trauma
Fulltext: N11 v89 n19 p2010 kelik2017.pdf (373.77KB)

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Perpustakaan FK Nomor Panggil: N11.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Objective: To examine whether blast exposure alone and blast-associated concussion result in similar neurologic and mental health symptoms. Methods: A 14-item questionnaire was administered to male US Marines on their return from deployment in Iraq and/or Afghanistan. Results: A total of 2,612 Marines (median age 22 years) completed the survey. Of those, 2,320 (88.9%) reported exposure to =1 blast during their current and/or prior deployments. In addition, 1,022 (39.1%) reported =1 concussion during the current deployment, and 731 (28.0%) had experienced at least 1 prior lifetime concussion. Marines were more likely to have sustained a concussion during the current deployment if they had a history of 1 (odds ratio [OR] 1.5, 95% confidence interval [CI] 1.2–2.0) or =1 (OR 2.3, 95% CI 1.7–3.0) prior concussion. The most common symptoms were trouble sleeping (38.4%), irritability (37.9%), tinnitus (33.8%), and headaches (33.3%). Compared to those experiencing blast exposure without injury, Marines either experiencing a concussion during the current deployment or being moved or injured by a blast had an increased risk of postinjury symptoms. Conclusions: There appears to be a continuum of increasing total symptoms from no exposure to blast exposure plus both current deployment concussion and past concussion. Concussion had a greater influence than blast exposure alone on the presence of postdeployment symptoms. A high blast injury score can be used to triage those exposed to explosive blasts for evaluation.

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