Evidence map›Paper›PMID 30273517›Full record

ArticleBrain injury2018

Long-term physical and mental health outcomes associated with traumatic brain injury severity in post-9/11 veterans: A retrospective cohort study.

Alicia A Swan, Megan E Amuan, Sandra B Morissette, Erin P Finley, Blessen C Eapen, Carlos A Jaramillo, Mary Jo Pugh

Abstract read
In one paragraph

Article in Brain injury, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Accelerated biological aging and midlife frailty among U.S. military veterans.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Observational
  3. Evaluation of clinical outcomes and employment status in veterans with dual diagnosis of traumatic brain injury and spinal cord injury.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Alicia A Swana South Texas Veterans Health Care System , San Antonio , TX, USA.
Megan E Amuanb Center for Health Care Organization and Implementation Research , Edith Nourse Rogers VA Medical Center , Bedford , MA, USA.
Sandra B Morissettec Department of Psychology , The University of Texas at San Antonio , San Antonio , TX , USA.
Erin P Finleyc Department of Psychology , The University of Texas at San Antonio , San Antonio , TX , USA.
Blessen C Eapena South Texas Veterans Health Care System , San Antonio , TX, USA.
Carlos A Jaramilloa South Texas Veterans Health Care System , San Antonio , TX, USA.
Mary Jo Pughd IDEAS 2.0 Center of Innovation , VA Salt Lake City Health Care System , Salt Lake City , UT, USA.
South Texas Veterans Health Care System · USThe University of Texas at San Antonio · USEdith Nourse Rogers Memorial Veterans Hospital · USThe University of Texas Health Science Center at San Antonio · USUniversity of Utah · US

Funding

Identifying and Validating Complex Comorbidity Clusters in OEF-OIF VeteransI01HX000329 · VA · SOUTH TEXAS VETERANS HEALTH CARE SYSTEM · PI PUGH, MARY JO · 2011 to 2015
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HSRD VA I01 HX000329
6 · The paper itself

Abstract

objectivesTo examine long-term outcomes of self-reported physical and mental health among Post-9/11 Veterans stratified by traumatic brain injury (TBI) severity, we hypothesized that more severe TBI would be associated with significantly poorer outcomes.

methodsA prospective longitudinal survey of physical and mental health status was conducted with a national cohort of Post-9/11 Veterans. We then used generalized linear models (GLM) to assess the unique contribution of TBI severity on long-term outcomes after controlling for socio-demographic characteristics, comorbidity phenotypes, and deployment experiences.

resultsTBI of any severity was associated with significantly poorer outcomes relative to the No TBI group. However, the manifestation of these outcomes identified in our study differed meaningfully by TBI severity level.

conclusionsVeterans with any TBI exposure experience poorer long-term outcomes than those with no TBI even when covariates are considered. In particular, measures of somatization, PTSD symptom distress, and depression indicate pervasive and long-term health concerns among individuals with TBI. Additional research is required to fully explicate what appear to be complex relationships among TBI severity, physical and mental well-being, combat exposures, and socioeconomic resources in this population.

Indexed as

Brain Injuries, TraumaticMental HealthAdultCohort StudiesDepressionExerciseFemaleHealth SurveysHospitals, VeteransHumansIraq War, 2003-2011MaleMiddle AgedOutcome Assessment, Health CarePainRegression AnalysisComorbidityhealth statusmental healthself reportstress disorders

Identifiers

PMID30273517
PMCPMC13157276
OpenAlexW2894574466

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.