Traumatic Brain Injuries: Unreported and Untreated in an Army Population

被引:16
作者
Escolas, Sandra M. [1 ,2 ,3 ]
Luton, Margie [1 ,2 ,3 ]
Ferdosi, Hamid [1 ,2 ]
Chavez, Bianca D. [1 ,2 ,4 ]
Engel, Scot D. [1 ,3 ]
机构
[1] Def & Vet Brain Injury Ctr, 1335 East West Highway,Ste 6-100, Silver Spring, MD 20910 USA
[2] Gen Dynam Informat Technol, 3211 Jermantown Rd, Fairfax, VA 22030 USA
[3] Ft Hood Intrepid Spirit Ctr, Bldg 36029 58th St, Ft Hood, TX 76544 USA
[4] Traumat Brain Injury Clin, Bldg 2496,Ricker Rd, Ft Bliss, TX 79916 USA
关键词
HEAD-INJURY; PARKINSON DISEASE; RISK; PREVALENCE;
D O I
10.1093/milmed/usz259
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction In 2008, it was reported that 19.5% of service members previously deployed experienced a mild traumatic brain injury (mTBI). Fifty-seven percent of those did not seek medical care. It was suggested that concerns with seeking care involved confidentiality and career issues. Objective: This study addressed mTBI history, medical treatment history, and stigmas associated with mTBI/concussion. Materials and Methods An anonymous questionnaire was developed. Data collection occurred throughout March 2018 in conjunction with Brain Injury Awareness Month activities. Results All 5,174 volunteers were Army; 86% male; 87% were between 18 and 34 years old; 89% had <14 years in the military; 35% had a combat deployment; and 10% reported having one or more mTBIs in their military careers. Of the Soldiers who reported a concussion, 52% sought medical care. Of those not seeking care, 64% reported they did not think the injury required care, followed by 18% fearing negative impact on their career. Twenty-eight percent who experienced an mTBI versus 11% who have not reported that there is a stigma associated with an mTBI. Conclusions Soldiers sometimes failed to report their suspected concussions and did not seek medical care. Educational efforts may increase reporting of and medical screening for potentially concussive events. Future research to determine the ramifications of unreported and untreated mTBIs/concussions is recommended.
引用
收藏
页码:154 / 160
页数:7
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