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Multiple traumatic brain injury and concussive symptoms among deployed military personnel

机译:部署的军事人员中多发性颅脑外伤和脑震荡症状

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Objective: To identify if concussive symptoms occur with greater frequency among military personnel with multiple lifetime TBIs and if a history of TBI increases risk for subsequent TBI. Patients: One hundred and sixty-one military personnel referred to a TBI clinic for evaluation and treatment of suspected head injury at a military clinic in Iraq. Methods: Military patients completed standardized self-report measures of concussion, depression and post-traumatic stress symptoms; clinical interview; and physical examination. Group comparisons were made according to number of lifetime TBIs and logistic regression was utilized to determine the association of past TBIs on current TBI. Results: Patients with one or more previous TBIs were more likely to report concussion symptoms immediately following a recent injury and during the evaluation. Although differences between single and multiple TBI groups were observed, these did not reach the level of statistical significance. A history of any TBI increased the likelihood of current TBI diagnosis, but this relationship was no longer significant when adjusting for injury mechanism, depression and post-traumatic stress symptoms. Conclusion: Among deployed military personnel, the relationship of previous TBI with recent TBI and concussive symptoms may be largely explained by the presence of psychological symptoms.
机译:目的:确定在具有多个终生TBI的军事人员中脑震荡症状是否更频繁地发生,以及TBI的病史是否增加了随后TBI的风险。患者:161名军事人员转诊至TBI诊所,在伊拉克的一家军事诊所评估和治疗怀疑的头部受伤。方法:军人完成了脑震荡,抑郁和创伤后应激症状的标准自我报告措施;临床面试;和身体检查。根据终生TBI的数量进行组比较,并使用逻辑回归确定过去TBI与当前TBI的关联。结果:患有一个或多个先前TBI的患者在近期受伤后以及评估期间更容易报告脑震荡症状。尽管观察到单个和多个TBI组之间存在差异,但这些差异未达到统计显着性水平。任何TBI病史都会增加当前TBI诊断的可能性,但是在调整损伤机制,抑郁症和创伤后应激症状时,这种关系不再重要。结论:在已部署的军事人员中,以前的TBI与最近的TBI和脑震荡症状之间的关系在很大程度上可以由心理症状的存在来解释。

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