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1
Association of Traumatic Brain Injury with Vestibular Dysfunction and Dizziness in Post-9/11 Veterans
Swan, Alicia
;
Nelson, Jeremy T.
;
Pogoda, Terri K.
;
Akin, Faith W.
;
Riska, Kristal
;
Hall, Courtney D.
;
Amuan, Megan E.
;
Yaffe, Kristine
;
Pugh, Mary Jo
In: ETSU Faculty Works (2020)
Abstract:
Objective:To describe the prevalence and impact of vestibular dysfunction and nonspecific dizziness diagnoses and explore their associations with traumatic brain injury (TBI) severity, mechanism, and postconcussive comorbidities among post-9/11 veterans. Setting:Administrative medical record data from the US Departments of Defense and Veterans Affairs (VA). Participants:Post-9/11 veterans with at least 3 years of VA care. Design:Cross-sectional, retrospective, observational study. Main measures:International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes for TBI, vestibular dysfunction, dizziness, and other commonly associated postconcussive conditions; Neurobehavioral Symptom Inventory. Results:Of the 570 248 post-9/11 veterans in this sample, 0.45% had a diagnosis of vestibular dysfunction and 2.57% had nonspecific dizziness. Those with either condition were more likely to have evidence of TBI (57.11% vs 28.51%) and reported more disruption from neurobehavioral symptoms. Blast and nonblast injuries were associated with greater symptom disruption, particularly in combination. Conclusions:There was a consistent, significant association between TBI and vestibular dysfunction or nonspecific dizziness, after controlling for sociodemographic factors, injury mechanism, and comorbid conditions. Given that most deployed post-9/11 veterans report blast and/or nonblast injuries, the need for prompt identification and management of these conditions and symptoms is clear.
Keyword:
Audiology and Speech-Language Pathology
;
dizziness
;
Geriatrics
;
Physical Therapy
;
Rehabilitation and Therapy
;
Speech Pathology and Audiology
;
traumatic brain injury
;
vestibular dysfunction
URL:
https://doi.org/10.1097/HTR.0000000000000513
https://dc.etsu.edu/etsu-works/7777
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