Back to Search
Start Over
Concordance of clinician judgment of mild traumatic brain injury history with a diagnostic standard.
- Source :
- Journal of Rehabilitation Research & Development; 2014, Vol. 51 Issue 3, p363-375, 13p
- Publication Year :
- 2014
-
Abstract
- The concordance of Department of Veterans Affairs (VA) clinician judgment of mild traumatic brain injury (mTBI) history with American Congress of Rehabilitation Medicine (ACRM)-based criteria was examined for Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) Veterans. In order to understand inconsistencies in agreement, we also examined the associations between evaluation outcomes and conceptually relevant patient characteristics, deployment-related events, current self-reported health symptoms, and suspected psychiatric conditions. The Veteran sample comprised 14,026 OIF/OEF VA patients with deployment-related mTBI history (n = 9,858) or no history of mTBI (n = 4,168) as defined by ACRM-based criteria. In the majority of cases (76.0%), clinician judgment was in agreement with the ACRM-based criteria. The most common inconsistency was between clinician judgment (no) and ACRM-based criteria (yes) for 21.3% of the patients. Injury etiology, current self-reported health symptoms, and suspected psychiatric conditions were additional factors associated with clinician diagnosis and ACRM-based criteria disagreement. Adherence to established diagnostic guidelines is essential for accurate determination of mTBI history and for understanding the extent to which mTBI symptoms resolve or persist over time in OIF/OEF Veterans. [ABSTRACT FROM AUTHOR]
- Subjects :
- BRAIN injury diagnosis
ANALYSIS of variance
ANXIETY
BRAIN concussion
BRAIN injuries
CHI-squared test
CONFIDENCE intervals
DATABASES
MENTAL depression
MEDICAL information storage & retrieval systems
JUDGMENT (Psychology)
NEUROPSYCHOLOGICAL tests
VETERANS
MEDICAL history taking
MEDICAL protocols
MULTIVARIATE analysis
POST-traumatic stress disorder
RESEARCH funding
SCALE analysis (Psychology)
SELF-evaluation
STATISTICS
SUBSTANCE abuse
T-test (Statistics)
LOGISTIC regression analysis
DATA analysis
QUANTITATIVE research
PAIN measurement
MILITARY service
CROSS-sectional method
RETROSPECTIVE studies
SEVERITY of illness index
DATA analysis software
ODDS ratio
SYMPTOMS
Subjects
Details
- Language :
- English
- ISSN :
- 07487711
- Volume :
- 51
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Journal of Rehabilitation Research & Development
- Publication Type :
- Academic Journal
- Accession number :
- 96789734
- Full Text :
- https://doi.org/10.1682/JRRD.2013.05.0115