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.
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