Effect of concussion and blast exposure on symptoms after military deployment
| Autor: | Lauren A. Stentz, Katalina Sher, Carolyn E. Taylor, Briana N. Perry, Alia Creason, Radhames E. Lizardo, Jack W. Tsao, Robin S. Howard, Paul F. Pasquina, Scott Liu, Minoo Rouhanian, Eusebio Flores, F. Jay Haran, Mikias Wolde |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty 0211 other engineering and technologies 02 engineering and technology Irritability Blast injury Tinnitus Young Adult 03 medical and health sciences 0302 clinical medicine Blast Injuries Sleep Initiation and Maintenance Disorders Concussion medicine Humans Iraq War 2003-2011 Brain Concussion 021110 strategic defence & security studies Afghan Campaign 2001 Post-concussion syndrome Post-Concussion Syndrome business.industry Headache Odds ratio medicine.disease Irritable Mood Military Personnel Emergency medicine Neurology (clinical) medicine.symptom Headaches business 030217 neurology & neurosurgery Military deployment |
| Zdroj: | Neurology. 89:2010-2016 |
| ISSN: | 1526-632X 0028-3878 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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