1 / 8

TBI Screening

TBI Screening. All OEF/OIF patients are screened for possible TBI Conducted within three VA clinic visits Done by various providers Identifies soldiers who may have sustained a concussion while deployed Positive screens are referred for an in-depth evaluation. Mild TBI .

carys
Download Presentation

TBI Screening

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. TBI Screening • All OEF/OIF patients are screened for possible TBI • Conducted within three VA clinic visits • Done by various providers • Identifies soldiers who may have sustained a concussion while deployed • Positive screens are referred for an in-depth evaluation

  2. Mild TBI • Mild TBI accounts for 85-90% of all military related brain injuries • The vast majority of people with mild TBI recover without intervention • Belanger et al., 2005; McCrea, 2008; Ivins et al., 2009 • A small percentage have persistent difficulties • Risk factors

  3. Co-Morbidity • mTBI in the military population rarely occurs in isolation • Complex web of anxiety, depression, pain, substance use • Treatment of co-occuring conditions ; utilize an interdisciplinary approach • Addressing sleep is especially important

  4. Medications • “Studies to date have yielded minimal positive evidence for enhancing function, memory and behavior after TBI.” Chew and Zafonte 2009 • Medication can be a major contributor to symptoms • DoD/VA TBI Clinical Practice Guidelines, 2009

  5. TBI and Suicide • Risk Factors • Cognitive issues • Social factors • Post injury psychiatric issues • Treatment considerations • Ongoing risk assessment • Enhance protective factors • Expectations verses capability

  6. Current Data: VA Wide • 426,413 total screened • 84,008 (19.7%) referred for further evaluation • 31,980 TBI positive (7.5% of total screened) • 12, 583 previously diagnosed • Military reports: • 428 penetrating • 271 severe • 3,389 moderate

  7. Local Statistics • Over 3000 OEF/OIF patients screened • 928 seen for secondary evaluation • 262 diagnosed with ongoing TBI related symptoms • 252 mild traumatic brain injuries • 8 moderate TBIs • 2 severe TBIs

  8. Summary • Recovery takes a lot of hard work • Research • Regeneration • Hyperbaric treatment • Altitude • Biomarkers • Imaging • Neurotrauma/blast injury

More Related