Traumatic brain injury in veterans of the wars in Iraq and Afghanistan: Communication disorders stratified by severity of brain injury

Rocío S. Norman, Carlos A. Jaramillo, Megan Amuan, Margaret Ann Wells, Blessen C. Eapen, Mary Jo Pugh

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Objective: To describe the prevalence of communication disorders in veterans of the wars in Iraq and Afghanistan with traumatic brain injury (TBI). Design: Retrospective study of the prevalence of aphasia, fluency and voice disorders among veterans with different severity levels of TBI. Data was obtained from the VA National repository for OEF/OIF/OND veterans who received VA care in Fiscal Years 2010 and 2011. Results: Among the 303716 veterans in this study, 1848 were diagnosed with a communication disorder; 40% of these were also diagnosed with a TBI. Voice disorders were the most prevalent diagnosis (3.5 per 1000) followed by aphasia (1.9 per 1000) and fluency disorder (0.7 per 1000). Individuals with a TBI diagnosis were more likely to have a diagnosis of aphasia, followed by fluency and then voice disorder. The odds ratio (OR) of aphasia with TBI was 11.09-252.75 (95% CI=8.78-441.52, p<0.01). OR for fluency disorders with TBI was 3.58-10.41 (95% CI=2.56-42.40, p<0.01) and association of voice disorders with TBI was significant for all levels of TBI severity (OR=1.5-6.61, 95% CI=1.24-14.05, p<0.01). Conclusions: Veterans who sustained a TBI were more likely to have a diagnosis of a communication disorder, regardless of TBI severity. Those with TBI, including mild TBI, should be screened and evaluated for communication disorders.

Original languageEnglish (US)
Pages (from-to)1623-1630
Number of pages8
JournalBrain Injury
Volume27
Issue number13-14
DOIs
StatePublished - 2013

Fingerprint

Communication Disorders
Afghanistan
Iraq
Veterans
Brain Injuries
Voice Disorders
Aphasia
2003-2011 Iraq War
Odds Ratio
Traumatic Brain Injury
Warfare
Brain Injury
War in Iraq
Brain Concussion
Retrospective Studies

Keywords

  • Aphasia
  • Epidemiology
  • Fluency disorder
  • TBI severity
  • Veterans Health Administration
  • Voice disorder

ASJC Scopus subject areas

  • Clinical Neurology
  • Arts and Humanities (miscellaneous)
  • Developmental and Educational Psychology

Cite this

Traumatic brain injury in veterans of the wars in Iraq and Afghanistan : Communication disorders stratified by severity of brain injury. / Norman, Rocío S.; Jaramillo, Carlos A.; Amuan, Megan; Wells, Margaret Ann; Eapen, Blessen C.; Pugh, Mary Jo.

In: Brain Injury, Vol. 27, No. 13-14, 2013, p. 1623-1630.

Research output: Contribution to journalArticle

Norman, Rocío S. ; Jaramillo, Carlos A. ; Amuan, Megan ; Wells, Margaret Ann ; Eapen, Blessen C. ; Pugh, Mary Jo. / Traumatic brain injury in veterans of the wars in Iraq and Afghanistan : Communication disorders stratified by severity of brain injury. In: Brain Injury. 2013 ; Vol. 27, No. 13-14. pp. 1623-1630.
@article{45e1743027494913af725457cbc5d36d,
title = "Traumatic brain injury in veterans of the wars in Iraq and Afghanistan: Communication disorders stratified by severity of brain injury",
abstract = "Objective: To describe the prevalence of communication disorders in veterans of the wars in Iraq and Afghanistan with traumatic brain injury (TBI). Design: Retrospective study of the prevalence of aphasia, fluency and voice disorders among veterans with different severity levels of TBI. Data was obtained from the VA National repository for OEF/OIF/OND veterans who received VA care in Fiscal Years 2010 and 2011. Results: Among the 303716 veterans in this study, 1848 were diagnosed with a communication disorder; 40{\%} of these were also diagnosed with a TBI. Voice disorders were the most prevalent diagnosis (3.5 per 1000) followed by aphasia (1.9 per 1000) and fluency disorder (0.7 per 1000). Individuals with a TBI diagnosis were more likely to have a diagnosis of aphasia, followed by fluency and then voice disorder. The odds ratio (OR) of aphasia with TBI was 11.09-252.75 (95{\%} CI=8.78-441.52, p<0.01). OR for fluency disorders with TBI was 3.58-10.41 (95{\%} CI=2.56-42.40, p<0.01) and association of voice disorders with TBI was significant for all levels of TBI severity (OR=1.5-6.61, 95{\%} CI=1.24-14.05, p<0.01). Conclusions: Veterans who sustained a TBI were more likely to have a diagnosis of a communication disorder, regardless of TBI severity. Those with TBI, including mild TBI, should be screened and evaluated for communication disorders.",
keywords = "Aphasia, Epidemiology, Fluency disorder, TBI severity, Veterans Health Administration, Voice disorder",
author = "Norman, {Roc{\'i}o S.} and Jaramillo, {Carlos A.} and Megan Amuan and Wells, {Margaret Ann} and Eapen, {Blessen C.} and Pugh, {Mary Jo}",
year = "2013",
doi = "10.3109/02699052.2013.834380",
language = "English (US)",
volume = "27",
pages = "1623--1630",
journal = "Brain Injury",
issn = "0269-9052",
publisher = "Informa Healthcare",
number = "13-14",

}

TY - JOUR

T1 - Traumatic brain injury in veterans of the wars in Iraq and Afghanistan

T2 - Communication disorders stratified by severity of brain injury

AU - Norman, Rocío S.

AU - Jaramillo, Carlos A.

AU - Amuan, Megan

AU - Wells, Margaret Ann

AU - Eapen, Blessen C.

AU - Pugh, Mary Jo

PY - 2013

Y1 - 2013

N2 - Objective: To describe the prevalence of communication disorders in veterans of the wars in Iraq and Afghanistan with traumatic brain injury (TBI). Design: Retrospective study of the prevalence of aphasia, fluency and voice disorders among veterans with different severity levels of TBI. Data was obtained from the VA National repository for OEF/OIF/OND veterans who received VA care in Fiscal Years 2010 and 2011. Results: Among the 303716 veterans in this study, 1848 were diagnosed with a communication disorder; 40% of these were also diagnosed with a TBI. Voice disorders were the most prevalent diagnosis (3.5 per 1000) followed by aphasia (1.9 per 1000) and fluency disorder (0.7 per 1000). Individuals with a TBI diagnosis were more likely to have a diagnosis of aphasia, followed by fluency and then voice disorder. The odds ratio (OR) of aphasia with TBI was 11.09-252.75 (95% CI=8.78-441.52, p<0.01). OR for fluency disorders with TBI was 3.58-10.41 (95% CI=2.56-42.40, p<0.01) and association of voice disorders with TBI was significant for all levels of TBI severity (OR=1.5-6.61, 95% CI=1.24-14.05, p<0.01). Conclusions: Veterans who sustained a TBI were more likely to have a diagnosis of a communication disorder, regardless of TBI severity. Those with TBI, including mild TBI, should be screened and evaluated for communication disorders.

AB - Objective: To describe the prevalence of communication disorders in veterans of the wars in Iraq and Afghanistan with traumatic brain injury (TBI). Design: Retrospective study of the prevalence of aphasia, fluency and voice disorders among veterans with different severity levels of TBI. Data was obtained from the VA National repository for OEF/OIF/OND veterans who received VA care in Fiscal Years 2010 and 2011. Results: Among the 303716 veterans in this study, 1848 were diagnosed with a communication disorder; 40% of these were also diagnosed with a TBI. Voice disorders were the most prevalent diagnosis (3.5 per 1000) followed by aphasia (1.9 per 1000) and fluency disorder (0.7 per 1000). Individuals with a TBI diagnosis were more likely to have a diagnosis of aphasia, followed by fluency and then voice disorder. The odds ratio (OR) of aphasia with TBI was 11.09-252.75 (95% CI=8.78-441.52, p<0.01). OR for fluency disorders with TBI was 3.58-10.41 (95% CI=2.56-42.40, p<0.01) and association of voice disorders with TBI was significant for all levels of TBI severity (OR=1.5-6.61, 95% CI=1.24-14.05, p<0.01). Conclusions: Veterans who sustained a TBI were more likely to have a diagnosis of a communication disorder, regardless of TBI severity. Those with TBI, including mild TBI, should be screened and evaluated for communication disorders.

KW - Aphasia

KW - Epidemiology

KW - Fluency disorder

KW - TBI severity

KW - Veterans Health Administration

KW - Voice disorder

UR - http://www.scopus.com/inward/record.url?scp=84888865430&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84888865430&partnerID=8YFLogxK

U2 - 10.3109/02699052.2013.834380

DO - 10.3109/02699052.2013.834380

M3 - Article

C2 - 24131337

AN - SCOPUS:84888865430

VL - 27

SP - 1623

EP - 1630

JO - Brain Injury

JF - Brain Injury

SN - 0269-9052

IS - 13-14

ER -