title: An evaluation of the Veterans Affairs traumatic brain injury screening process among Operation Enduring Freedom and/or Operation Iraqi Freedom veterans.
abstract: OBJECTIVE
  To describe the early results of the U.S. Department of Veterans Affairs (VA) screening program for traumatic brain injury (TBI) and to identify patient and facility characteristics associated with receiving a TBI screen and results of the screening.
  
  
  METHODS
  National retrospective cohort study.
  
  
  METHODS
  VA Medical facilities.
  
  
  METHODS
  A total of 170,681 Operation Enduring Freedom and/or Operation Iraqi Freedom (OEF/OIF) Veterans who sought care at VA medical facilities from April 2007 to September 30, 2008.
  
  
  METHODS
  Data were abstracted from VA administrative and operational databases, including patient demographics, facility characteristics, and outcomes.
  
  
  METHODS
  The main outcomes were receipt of and results of the TBI screen.
  
  
  RESULTS
  The majority of veterans eligible received the TBI screen (91.6%). Screening rates varied by patient and facility characteristics. In all, 25% of screened veterans had probable TBI exposure, in which the majority of the exposures were blasts (85.0%). The rate of a positive TBI screen was 20.5% for the screened cohort. Male gender, service in the army, multiple deployments, and mental health diagnoses in the previous year were associated with a positive screen.
  
  
  CONCLUSIONS
  TBI screening rates are high in VA; concomitant mental health diagnoses were highly prevalent in individuals with positive TBI screens. These data indicate that there will be a significant need for long-term health care services for veterans with TBI symptomatology.
authors: Center for Management of Complex Chronic Care, Edward Hines Jr. Veterans Affairs (VA) Hospital, Department of VA, Hines, IL 60141, USA. Charlesnika.Evans@va.gov
authors: Charlesnika T
authors: CT
authors: Evans
authors: Justin R
authors: JR
authors: St Andre
authors: Theresa L-B
authors: TL
authors: Pape
authors: Monica L
authors: ML
authors: Steiner
authors: Kevin T
authors: KT
authors: Stroupe
authors: Timothy P
authors: TP
authors: Hogan
authors: Frances M
authors: FM
authors: Weaver
authors: Bridget M
authors: BM
authors: Smith
mesh_terms: D000328:Adult; D055826:Afghan Campaign 2001-; D044383:Black People / Q000706:statistics & numerical data; D001753:Blast Injuries / Q000453:epidemiology; D001930:Brain Injuries / Q000175:diagnosis* / Q000453:epidemiology*; D015331:Cohort Studies; D003863:Depression / Q000453:epidemiology; D006261:Headache / Q000453:epidemiology; D006787:Hospitals, Veterans; D006801:Humans; D054542:Iraq War, 2003-2011; D007508:Irritable Mood; D016015:Logistic Models; D008297:Male; D017533:Marital Status / Q000706:statistics & numerical data; D008403:Mass Screening / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012737:Sex Factors; D012893:Sleep Wake Disorders / Q000453:epidemiology; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology; D014481:United States / Q000453:epidemiology; D014728:Veterans / Q000706:statistics & numerical data*; D044465:White People / Q000706:statistics & numerical data; D001741:Black or African American