Evidence map›Paper›PMID 33224086›Full record

SynthesisFrontiers in neurology2020

Characteristics and Impact of U.S. Military Blast-Related Mild Traumatic Brain Injury: A Systematic Review.

Helen Phipps, Stefania Mondello, Arlington Wilson, Travis Dittmer, Natalie N Rohde, Paul J Schroeder, Jaime Nichols, Camille McGirt, Justin Hoffman, Kaila Tanksley and 5 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
8.3field-weighted citation impact, top 2% 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

51 citing papers in PubMed, 119 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Long-Term outcomes of mild traumatic brain injury in veterans of the second Nagorno-Karabakh war.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
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  8. Article
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  15. Article
  16. Article
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  18. Review
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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

15 authors at 6 institutions in 3 countries.

Helen PhippsBooz Allen Hamilton, San Antonio, TX, United States.
Stefania MondelloDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy.
Arlington WilsonBooz Allen Hamilton, San Antonio, TX, United States.
Travis DittmerBooz Allen Hamilton, San Antonio, TX, United States.
Natalie N RohdeBooz Allen Hamilton, San Antonio, TX, United States.
Paul J SchroederBooz Allen Hamilton, San Antonio, TX, United States.
Jaime NicholsBooz Allen Hamilton, San Antonio, TX, United States.
Camille McGirtBooz Allen Hamilton, San Antonio, TX, United States.
Justin HoffmanBooz Allen Hamilton, San Antonio, TX, United States.
Kaila TanksleyBooz Allen Hamilton, San Antonio, TX, United States.
Mariam ChohanBooz Allen Hamilton, San Antonio, TX, United States.
Amanda HeidermanDell, Round Rock, TX, United States.
Hussein Abou AbbassDepartment of Anatomy, Cell Biology and Physiological Sciences, Faculty of Medicine, American University of Beirut, Beirut, Lebanon.
Firas KobeissyDepartment of Psychiatry, Center for Neuroproteomics and Biomarkers Research, University of Florida, Gainesville, FL, United States.
Sidney HindsMedical Research and Development Command, Ft Detrick, MD, United States.
Booz Allen Hamilton (United States) · USAmerican University of Beirut · LBDELL (United States) · USIstituti di Ricovero e Cura a Carattere Scientifico · ITUnited States Army Medical Research and Development Command · USUniversity of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As a result of armed conflict, head trauma from exposure to blasts is an increasing critical health issue, particularly among military service members. Whilst numerous studies examined the burden of blast-related brain injuries on service members', few systematic reviews have been published. This work provides a comprehensive summary of the evidence on blast-related mild traumatic brain injury (mTBI) burden in active U.S. military service members and inactive Veterans, describing characteristics and outcomes. Records published up to April 2017 were identified through a search of PubMed, Web of Science, Scopus, Ovid MEDLINE, and Cochrane Library. Records-based and original research reporting on U.S. military service members and Veterans with mild blast TBI were included. Data on subject characteristics, exposure, diagnostic criterion, and outcomes were extracted from included studies using a standardized extraction form and were presented narratively. Of the 2,290 references identified by the search, 106 studies with a total of 37,515 participants met inclusion criteria for blast-related mTBI. All but nine studies were based out of military or Veteran medical facilities. Unsurprisingly, men were over-represented (75-100%). The criteria used to define blast-related mTBI were consistent; however, the methodology used to ascertain whether individuals met those criteria for diagnosis were inconsistent. The diagnosis, most prevalent among the Army, heavily relied on self-reported histories. Commonly reported adverse outcomes included hearing disturbances and headaches. The most frequently associated comorbidities were post-traumatic stress disorder, depression, anxiety, sleep disorders, attention disorders, and cognitive disorders. The primary objective of this review was to provide a summary of descriptive data on blast-related mTBI in a U.S. military population. Low standardization of the methods for reaching diagnosis and problems in the study reporting emphasize the importance to collect high-quality data to fill knowledge gaps pertaining to blast-related mTBI.

Indexed as

blastepidemiologymild traumatic brain injuryPTSDsystematic reviewU.S. military

Identifiers

PMID33224086
PMCPMC7667277
OpenAlexW3097113231

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.