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Characterization of acute stress reaction following an IED blast-related mild traumatic brain injury.
- Source :
-
Brain Injury . Jul2015, Vol. 29 Issue 7/8, p898-904. 7p. - Publication Year :
- 2015
-
Abstract
- Primary objective: To characterize an acute stress reaction (ASR) following an improvised explosive device (IED) blast-related mild traumatic brain injury (mTBI). Research design: Participants were male, US military personnel treated in Afghanistan within 4 days following an IED-related mTBI event ( n = 239). Methods and procedures: Demographics, diagnosis of ASR, injury history and self-reported mTBIs, blast exposures and psychological health histories were recorded. Main outcomes and results: In total, 12.5% of patients met ASR criteria. Patients with ASR were significantly younger and junior in rank ( p < 0.05). Patients with ASR were more likely to experience the IED-blast while dismounted, report a loss of consciousness (LOC) and higher pain levels ( p < 0.05). Adjusting for age and rank, multivariate logistic regression showed an association between mTBI history and ASR (AOR = 1.405; 95% CI = 1.105-1.786, p < 0.01). Adjusting for mechanism of injury (dismounted vs. mounted), LOC and pain, multivariate logistic regression showed an association between mTBI history and ASR (AOR = 1.453; 95% CI = 1.132-1.864, p < 0.01). Prior blast exposure and past psychological health issues were not associated with ASR. Conclusions: A history of multiple mTBIs is associated with increased risk of ASR. Future research is warranted. [ABSTRACT FROM AUTHOR]
- Subjects :
- *COMPLICATIONS of brain injuries
*BRAIN injury diagnosis
*BRAIN concussion
*BRAIN injuries
*CHI-squared test
*CONFIDENCE intervals
*DISEASE susceptibility
*FISHER exact test
*LONGITUDINAL method
*MEDICAL history taking
*MEDICAL referrals
*MENTAL health
*MILITARY hospitals
*SCIENTIFIC observation
*HEALTH outcome assessment
*RESEARCH funding
*STATISTICAL sampling
*SCALE analysis (Psychology)
*SELF-evaluation
*MILITARY personnel
*PSYCHOLOGICAL stress
*T-test (Statistics)
*MULTIPLE regression analysis
*PSYCHOSOCIAL factors
*PAIN measurement
*BLAST injuries
*CROSS-sectional method
*RETROSPECTIVE studies
*SEVERITY of illness index
*ACUTE diseases
*DATA analysis software
*DESCRIPTIVE statistics
*ODDS ratio
*DISEASE complications
*DIAGNOSIS
Subjects
Details
- Language :
- English
- ISSN :
- 02699052
- Volume :
- 29
- Issue :
- 7/8
- Database :
- Academic Search Index
- Journal :
- Brain Injury
- Publication Type :
- Academic Journal
- Accession number :
- 108442156
- Full Text :
- https://doi.org/10.3109/02699052.2015.1022879