Evidence map›Paper›PMID 35099335›Full record

ArticleBrain injury2022

Traumatic brain injury, cardiovascular disease, and risk of dementia among older US Veterans.

Erica Kornblith, Amber Bahorik, Yixia Li, Carrie B Peltz, Deborah E Barnes, Kristine Yaffe

Open access · greenAbstract read
In one paragraph

Article in Brain injury, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Immune Response in Traumatic Brain Injury.Current neurology and neuroscience reports · 2024
    Review
  7. Review
  8. Article
  9. Article
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  11. Review
  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

6 authors at 2 institutions in 1 country.

Erica KornblithSan Francisco Veterans Affairs Health Care System, San Francisco, California, USA.
Amber BahorikDepartment of Psychiatry and Behavioral Sciences, University of California San Francisco USA.
Yixia LiSan Francisco Veterans Affairs Health Care System, San Francisco, California, USA.
Carrie B PeltzSan Francisco Veterans Affairs Health Care System, San Francisco, California, USA.
Deborah E BarnesSan Francisco Veterans Affairs Health Care System, San Francisco, California, USA.ORCID 0000-0002-2953-4079
Kristine YaffeSan Francisco Veterans Affairs Health Care System, San Francisco, California, USA.
University of California, San Francisco · USSan Francisco VA Health Care System · US

Funding

Predictors & Outcomes of Cognitive Trajectories in the Oldest OldK24AG031155 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI YAFFE, KRISTINE · 2007 to 2020
$1.5M
Chronic Effects of Neurotrauma Consortium (CENC) Epidemiology StudyI01CX001246 · VA · VETERANS AFFAIRS MED CTR SAN FRANCISCO · PI YAFFE, KRISTINE · 2015 to 2017
–
VA-DoD Long-Term Impact of Military-Relevant Brain Injury Consortium (LIMBIC): Epidemiology StudyI01CX002096 · VA · VETERANS AFFAIRS MED CTR SAN FRANCISCO · PI Kristine Yaffe · 2020 to 2026
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VA-DoD Long-Term Impact of Military-Relevant Brain Injury Consortium (LIMBIC)I01CX002097 · VA · VA VETERANS ADMINISTRATION HOSPITAL · PI DAVID X. CIFU, Rudolph c Johnson · 2021 to 2026
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VA-DoD Long-Term Impact of Military-Relevant Brain Injury Consortium (LIMBIC): Health Economics StudyI01HX003155 · VA · VETERANS ADMIN PALO ALTO HEALTH CARE SYS · PI DISMUKE, CLARA E · 2022 to 2022
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CENC - Otolith Dysfunction and Postural StabilityI01RX001135 · VA · JAMES H QUILLEN VA MEDICAL CENTER · PI AKIN, FAITH WURM, HALL, COURTNEY · 2015 to 2017
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CENC - Tau Conformation and Phosphorylation in mTBII01RX001774 · VA · JAMES A. HALEY VA MEDICAL CENTER · PI CRAWFORD, FIONA C. · 2015 to 2018
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CENC - Diffusion Tensor Imaging Standardization using Novel MR Diffusion PhantomsI01RX001880 · VA · MICHAEL E DEBAKEY VA MEDICAL CENTER · PI WILDE, ELISABETH A · 2015 to 2020
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CENC - Novel White Matter Imaging to Improve Diagnosis of Mild TBII01RX002076 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI JAK, AMY · 2015 to 2018
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CENC- Longitudinal Cohort StudyI01CX001135 · VA · VA VETERANS ADMINISTRATION HOSPITAL · PI BELANGER, HEATHER G, CIFU, DAVID X. · 2015 to 2019
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CENC - Clinical and Neuroimaging Correlates of Neurodegeneration in Military mTBII01RX002171 · VA · MINNEAPOLIS VA MEDICAL CENTER · PI DAVENPORT, NICHOLAS DAVID · 2016 to 2019
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CENC - Structural and Functional Neurobiology of Veterans Exposed to Primary Blast ForcesI01RX002172 · VA · W G HEFNER VA MEDICAL CENTER · PI TABER, KATHERINE H · 2016 to 2019
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CSRD VA I01 CX001135CSRD VA I01 CX001246CSRD VA I01 CX002096CSRD VA I01 CX002097HSRD VA I01 HX003155HSRD VA IK6 HX003762NIA NIH HHS K24 AG031155RRD VA I01 RX001135RRD VA I01 RX001774RRD VA I01 RX001880RRD VA I01 RX002076RRD VA I01 RX002170RRD VA I01 RX002171RRD VA I01 RX002172RRD VA I01 RX002173RRD VA I01 RX002174RRD VA I01 RX003442RRD VA I01 RX003443RRD VA I01 RX003444RRD VA IK2 RX003073
6 · The paper itself

Abstract

objectiveTraumatic brain injury (TBI) is associated with elevated rates of cardiovascular disease (CVD), and both CVD and TBI are risk factors for dementia. We investigated whether CVD and its risk factors underlie the association between TBI and dementia. MATERIALS AND

methodsCox proportional hazards models among 195,416 Veterans Health Administration patients age 55+ with TBI and a non-TBI, age/sex/race-matched comparison sample.

resultsVeterans +TBI were more likely to have any CVD diagnosis (24% vs 36% p = <0.001) or risk factor (83 vs. 90% p < .001) compared to -TBI. During follow-up (mean ~7 years), 12.0% of Veterans with TBI only (HR: 2.17 95% CI 2.09-2.25), and 10.3% with CVD only developed dementia (HR 1.21 95% CI 1.15-1.28), compared to 6.5% with neither. There was an additive association between TBI and CVD on dementia risk (HR 2.51, 95% CI 2.41-2.61). Among those +TBI (±CVD), risk was minimally attenuated by adjustment for CVD/CVD risk factors (unadjusted HR: 2.38, 95% CI: 2.31-2.45; adjusted HR: 2.17, 95% CI 2.10-2.23).

conclusionsOlder veterans TBI have increased prevalence of CVD/CVD risk factors. TBI and CVD had an additive statistical association, with dementia risk increased by ~2.5-fold. However, CVD accounted for little of the association between TBI and dementia. More research is needed to understand mechanisms of TBI-dementia and inform clinical guidelines post-TBI.

Indexed as

Brain Injuries, TraumaticCardiovascular DiseasesDementiaVeteransHumansMiddle AgedRisk Factorscardiovascular diseasedementiatraumatic brain injuryVeterans

Identifiers

PMID35099335
PMCPMC9187591
OpenAlexW4210615405

What OpenQuestion holds

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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.