Evidence map›Paper›PMID 39019484›Full record

ArticleThe Journal of head trauma rehabilitation

Research Letter: Characterizing Lifetime Mild TBI Exposure Among Female and Male Military Service Members and Veterans in the LIMBIC-CENC Study.

Samuel R Walton, Jessie R Oldham, Rosemay A Remigio-Baker, Benjamin L Brett, Tara A Austin, Olivia D Cetin, Elisabeth A Wilde, Landon B Lempke, Zhining Ou, Sreekanth Kamineni and 7 more

Abstract read
In one paragraph

Article in The Journal of head trauma rehabilitation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
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

17 authors.

Samuel R WaltonAuthor Affiliations: Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University School of Medicine and Richmond Veterans Affairs Medical Center, Central Virginia VA Health Care System, Richmond (Dr Walton); Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University School of Medicine, Richmond (Dr Oldham); Brain Injury Center of Excellence, Silver Spring; Compass Government Solutions, Annapolis (Dr Remigio-Baker); Department of Neurosurgery, Medical College of Wisconsin, Milwaukee (Dr Brett); San Diego VA Healthcare System, San Diego (Dr Austin); San Diego VA Healthcare System, San Diego (Ms Cetin); Department of Neurology, University of Utah School of Medicine and George E. Wahlen VA Medical Center, Salt Lake City (Dr Wilde); Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University School of Medicine, Richmond (Dr Lempke); Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City (Ms Ou); Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City (Dr Kamineni); W. G. (Bill) Hefner VA Healthcare System, Salisbury and Department of Translational Neuroscience, Wake Forest School of Medicine, Winston-Salem (Dr Martindale); VA Portland Health Care System Oregon Health and Science University, Portland (Dr O'Neil); Department of Medicine, VA Salt Lake City, Salt Lake City, Division of Epidemiology, University of Utah School of Medicine, Salt Lake City (Dr Pugh); Physical Medicine & Rehabilitation, Perelman School of Medicine, University of Pennsylvania and Rehabilitation Medicine, Corporal Michael J. Crescenz VA Medical Center, Philadelphia (Dr Swanson); Department of Population Health and Health Disparities, School of Public and Population Health, the University of Texas Medical Branch at Galveston, Galveston(Dr Pappadis); Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University School of Medicine and Richmond Veterans Affairs Medical Center, Central Virginia VA Health Care System, Richmond (Dr Cifu); and Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University School of Medicine and Richmond Veterans Affairs Medical Center, Central Virginia VA Health Care System, Richmond (Dr Walker).ORCID 0000-0003-2647-5701
Jessie R Oldham
Rosemay A Remigio-Baker
Benjamin L Brett
Tara A Austin
Olivia D Cetin
Elisabeth A Wilde
Landon B Lempke
Zhining Ou
Sreekanth Kamineni
Sarah L Martindale
Maya E O'Neil
Mary J Pugh
Randel L Swanson
Monique R Pappadis
David X Cifu
William C Walker

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
CTSA UM1 Program at University of UtahUM1TR004409 · NCATS · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RACHEL HESS, Jennifer Juhl Majersik · 2023 to 2026
$21.9M
University of Utah Center for Clinical and Translational ScienceUL1TR001067 · NCATS · UNIVERSITY OF UTAH · PI DERE, WILLARD H., HESS, RACHEL · 2013 to 2017
$19.8M
UNIVERSITY OF UTAH CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE-UL1: BPCAUL1RR025764 · NCRR · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2008 to 2011
$19.4M
University of Utah Center for Clinical and Translational Science-UL1UL1TR000105 · NCATS · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2012 to 2013
$5.1M
Building Interdisciplinary Research Careers in Women's HealthK12AR084233 · NIAMS · VIRGINIA COMMONWEALTH UNIVERSITY · PI Barbara D. Boyan, SUSAN G. KORNSTEIN · 2023 to 2026
$2.2M
Chronic Care Management of Geriatric Traumatic Brain InjuryK01AG065492 · NIA · UNIVERSITY OF TEXAS MED BR GALVESTON · PI PAPPADIS, MONIQUE RENAE · 2020 to 2024
$623k
Traumatic and Treatable Vascular Pathology in the Outcome of TBIIK2RX003651 · VA · PHILADELPHIA VA MEDICAL CENTER · PI SWANSON, RANDEL L · 2022 to 2025
–
ACL HHS 90DPTB0025CSRD VA I01 CX001135CSRD VA I01 CX001246CSRD VA I01 CX002096CSRD VA I01 CX002097HSRD VA I01 HX003155HSRD VA IK6 HX003762NCATS NIH HHS UL1 TR000105NCATS NIH HHS UL1 TR001067NCATS NIH HHS UL1 TR002538NCATS NIH HHS UM1 TR004409NCRR NIH HHS UL1 RR025764NIAMS NIH HHS K12 AR084233NIA NIH HHS K01 AG065492NIMHD NIH HHS L60 MD009326RRD VA I01 RX000365RRD 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 RX003651RRD VA IK2 RX004764
6 · The paper itself

Abstract

objectiveTo (1) characterize lifetime mild traumatic brain injury (TBI) exposures among male and female US military service members and Veterans (SMVs) and (2) evaluate sex-related differences in mild TBI exposures.

settingClinical research laboratory.

participantsParticipants were enrolled in the ongoing Long-term Impact of Military-relevant Brain Injury Consortium-Chronic Effects of Neurotrauma Consortium (LIMBIC-CENC) Prospective Longitudinal Study.

designCross-sectional. MAIN MEASURES: Lifetime history of mild TBI was measured via structured interview. All mild TBI characteristics were collected as part of this interview, including total lifetime number; environment (deployment vs. non-deployment); timing of injury (relative to military service and age); and mechanism of injury (blast-related vs. non-blast).

resultsMost participants ( n = 2323; 87.5% male; 79.6% Veteran) reported ≥1 lifetime mild TBI ( n = 1912; 82%), among whom, many reported ≥2 lifetime mild TBIs. Female SMVs reported fewer total lifetime mild TBIs than male participants ( P < 0.001), including fewer deployment-related ( P < 0.001) and non-deployment ( P < 0.001) mild TBIs. There were significant sex differences for total number of mild TBIs sustained before ( P = 0.005) and during ( P < 0.001) military service but not after separation from military service ( P = 0.99). Among participants with a lifetime history of mild TBI, female SMVs were less likely to report ≥2 mTBIs ( P = 0.003); however, male SMVs were more likely to report a mild TBI during military service ( P = 0.03), including combat-related mild TBI ( P < 0.001) and mild TBI involving blast ( P < 0.001).

conclusionsThese findings inform clinical and research efforts related to mild TBI in US military SMVs. It may not be sufficient to simply measure the total number of mild TBIs when seeking to compare clinical outcomes related to mild TBI between sexes; rather, it is important to measure and account for the timing, environment, and mechanisms associated with mild TBIs sustained by female and male SMVs.

Indexed as

Brain ConcussionMilitary PersonnelVeteransAdultCross-Sectional StudiesFemaleHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesSex FactorsUnited States

Identifiers

PMID39019484
PMCPMC13519882

What OpenQuestion holds

Textmetadata
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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.