Evidence map›Paper›PMID 33662185›Full record

ArticleBrain and behavior2021

Longitudinal mental health outcomes of combat-injured service members.

Lauren E Walker, Jessica Watrous, Eduard Poltavskiy, Jeffrey T Howard, Jud C Janak, Warren B P Pettey, Lee Ann Zarzabal, Alan Sim, Adi Gundlapalli, Ian J Stewart

Abstract read
In one paragraph

Article in Brain and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
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  9. Observational
  10. Article
  11. Obstructive sleep apnea among survivors of combat-related traumatic injury: a retrospective cohort study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
  12. 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

10 authors.

Lauren E WalkerDavid Grant USAF Medical Center, Travis AFB, CA, USA.
Jessica WatrousLeidos Inc, San Diego, CA, USA.
Eduard PoltavskiyDavid Grant USAF Medical Center, Travis AFB, CA, USA.
Jeffrey T HowardUniversity of Texas San Antonio, San Antonio, TX, USA.
Jud C JanakBexar Data, San Antonio, TX, USA.
Warren B P PetteyVA Salt Lake City Health Care System, Salt Lake City, UT, USA.
Lee Ann ZarzabalPEO Defense Healthcare Management Systems (DHMS), San Antonio, TX, USA.
Alan SimPEO Defense Healthcare Management Systems (DHMS), San Antonio, TX, USA.
Adi GundlapalliVA Salt Lake City Health Care System, Salt Lake City, UT, USA.
Ian J StewartUniformed Services University of the Health Sciences, Bethesda, MD, USA.ORCID 0000-0001-6653-875X

Funding

Informatics, Decision-Enhancement and Analytic Sciences CenterI50HX001240 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI SAMORE, MATTHEW H · 2015 to 2015
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HSRD VA I50 HX001240
6 · The paper itself

Abstract

backgroundThe relationship between traumatic injury and subsequent mental health diagnoses is not well understood and may have significant implications for patient screening and clinical intervention. We sought to determine the adjusted association between traumatic injury and the subsequent development of post-traumatic stress disorder (PTSD), depression, and anxiety.

methodsUsing Department of Defense and Veterans Affairs datasets between February 2002 and June 2016, we conducted a retrospective cohort study of 7,787 combat-injured United States service members matched 1:1 to combat-deployed, uninjured service members. The primary exposure was combat injury versus no combat injury. Outcomes were diagnoses of PTSD, depression, and anxiety, defined by International Classification of Diseases 9th and 10th Revision Clinical Modification codes.

resultsCompared to noninjured service members, injured service members had higher observed incidence rates per 100 person-years for PTSD (17.1 vs. 5.8), depression (10.4 vs. 5.7), and anxiety (9.1 vs. 4.9). After adjustment, combat-injured patients were at increased risk of development of PTSD (HR 2.92, 95%CI 2.68-3.17), depression (HR 1.47, 95%CI 1.36-1.58), and anxiety (HR 1.34, 95%CI 1.24-1.45).

conclusionsTraumatic injury is associated with subsequent development of PTSD, depression, and anxiety. These findings highlight the importance of increased screening, prevention, and intervention in patients with exposure to physical trauma.

Indexed as

Military PersonnelStress Disorders, Post-TraumaticVeteransAnxiety DisordersHumansOutcome Assessment, Health CareRetrospective StudiesUnited Statesanxietydepressioninjurymilitary healthpost-traumatic stress disorderrisk factorsveterans

Identifiers

PMID33662185
PMCPMC8119815

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Registered trials

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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.