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The National Health Study for a New Generation of U.S. Veterans: Surveillance of Post-deployment Health. Aaron I Schneiderman, PhD, MPH, RN Acting Director, Environmental Epidemiology Service Environmental Health Strategic Healthcare Group Office of Public Health August 9, 2011.
Aaron I Schneiderman, PhD, MPH, RN
Acting Director, Environmental Epidemiology Service
Environmental Health Strategic Healthcare Group
Office of Public Health
August 9, 2011
Demographic Characteristics of OEF, OIF & OND Veterans Utilizing VA Health Care
* Percentages reported are approximate due to rounding.
† A range of birth years is now being reported rather than a range of ages to capture with greater precision the age distribution of OEF/OIF/OND Veterans utilizing VA health care. This began with the 3rd Qtr FY 2009 report.
OEF, OIF, & OND Veterans
*Includes both provisional and confirmed diagnoses.
**These are cumulative data since FY 2002, with data on hospitalizations and outpatient visits as of March 31, 2011; Veterans can have multiple diagnoses with each health care encounter. A Veteran is counted only once in any single diagnostic category but can be counted in multiple categories, so the above numbers add up to greater than 683,521; percentages add up to greater than 100 for the same reason.
† Percentages reported are approximate due to rounding.
Because there is no ICD-9 code specific to TBI, the above should be considered tentative and provisional. The sum of the number of patients corresponding to each ICD-9 code (n=62,616) is more than 51,331 because a patient may have more than one ICD-9 code.
For example, the fact that 43% of VA patient encounters were coded as being related to diseases of the nervous system/sense organs does not indicate that 43% of all recent Veterans are suffering from this health problem. Only epidemiological studies can evaluate the overall health of OEF/OIF/OND Veterans.
Schneiderman AI, Braver ER, Kang HK
Understanding sequelae of injury mechanisms and mild traumatic brain injury incurred during the conflicts in Iraq and Afghanistan: persistent post-concussive symptoms and posttraumatic stress disorder.Am J Epidemiol 2008;167:1446-1452.
The National Health Study for a New Generation of U.S. Veterans: Surveillance of Post-deployment Health
32a. During military service did you experience any of the following events?
*Any positive response: Deployed = 78%; Non-deployed = 66%
32b. Did you have any of the follow IMMEDIATELY after the events in question 32a.?
*Any positive response: Deployed = 31%; Non-deployed = 30%
**Only reported Being dazed, confused, ”seeing stars”: Deployed = 12%; Non-deployed = 11%
33. Did any of the following problems begin or get worse after any of the events in question 32a?
*Any positive response: Deployed = 77%; Non-deployed = 68%
33. In the past week, have you had any of the following?
*Any positive response: Deployed = 91%; Non-deployed = 91%
An endorsement of PCL-17 scale items with a summed score > 50 is considered a probable (+) screen for PTSD symptoms in the following table. This is a preliminary view of the data and should not be interpreted as an estimate of population prevalence of PTSD.
77% reported at least one injury mechanism
31% had a history of mild TBI in combat theaters based on immediate symptoms post-injury.
14.4% reported symptoms that met conventional threshold for PTSD