Risk of Traumatic Brain Injury in Deployment and Nondeployment Settings Among Members of the Millennium Cohort Study.

IF 3.3 3区医学 Q2 CLINICAL NEUROLOGY Journal of Head Trauma Rehabilitation Pub Date : 2025-03-01 Epub Date: 2024-06-27 DOI:10.1097/HTR.0000000000000970

Kalyn C Jannace, Lisa Pompeii, David Gimeno Ruiz de Porras, William Brett Perkison, Jose-Miguel Yamal, Daniel W Trone, Rudolph P Rull

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Abstract

Objective: To describe and quantify the prevalence and risk of deployment and nondeployment service-related traumatic brain injury (TBI) among participants of the Millennium Cohort Study.

Setting: Survey data.

Participants: 28 759 Millennium Cohort Study participants who were active duty, Reserves, or National Guard at the time of the survey.

Design: Cross-sectional secondary data analysis.

Main measures: Estimates of prevalence and rates of TBI were calculated. Multivariable Poisson regression estimated rate ratios of TBI overall and stratified by deployment and nondeployment settings.

Results: The rate of TBI over the 362 535 person-years (PY) was 2.95 p/100 PY. the nondeployment rate was 2.15 p/100 PY, with a significantly higher rate (11.38 p/100 PY) in deployment settings. Bullets/blasts were the most common TBI mechanisms in deployed settings, while sports/physical training and military training were common in nondeployed settings.

Conclusions: The risk of TBI as well as its mechanism varies by deployment and nondeployment, suggesting that targeted prevention strategies are needed to reduce the risk for TBI among military personnel based on their deployment status.

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千禧年队列研究（Millennium Cohort Study）成员在部署和非部署环境中发生创伤性脑损伤的风险。

目的描述并量化 "千年队列研究 "参与者中与部署和非部署服役相关的创伤性脑损伤（TBI）的发生率和风险：调查数据。参与者：28 759 名千年队列研究参与者，调查时他们是现役军人、预备役军人或国民警卫队：设计：横断面二次数据分析：计算创伤性脑损伤的流行率和发病率。多变量泊松回归估算了总体 TBI 比率，并按部署和非部署环境进行了分层：在 362 535 人年中，创伤性脑损伤的发生率为 2.95 p/100 人年。非部署环境中的发生率为 2.15 p/100 人年，部署环境中的发生率明显更高（11.38 p/100 人年）。在部署环境中，子弹/爆炸是最常见的创伤性脑损伤机制，而在非部署环境中，运动/体能训练和军事训练则很常见：结论：不同部署环境和非部署环境下的创伤性脑损伤风险及其机制各不相同，这表明需要根据军人的部署状况制定有针对性的预防策略，以降低他们的创伤性脑损伤风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Head Trauma Rehabilitation 医学-康复医学

CiteScore

4.80

自引率

4.20%

发文量

153

审稿时长

6-12 weeks

期刊介绍： The Journal of Head Trauma Rehabilitation is a leading, peer-reviewed resource that provides up-to-date information on the clinical management and rehabilitation of persons with traumatic brain injuries. Six issues each year aspire to the vision of “knowledge informing care” and include a wide range of articles, topical issues, commentaries and special features. It is the official journal of the Brain Injury Association of America (BIAA).