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Quality of Life Research
Gepubliceerd in: Quality of Life Research 1/2024

19-10-2023

Evaluation of clinical outcomes and employment status in veterans with dual diagnosis of traumatic brain injury and spinal cord injury

Auteurs: Jillian M. R. Clark, Erin D. Ozturk, Catherine Chanfreau-Coffinier, Victoria C. Merritt, the VA Million Veteran Program

Gepubliceerd in: Quality of Life Research | Uitgave 1/2024

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Abstract

Purpose

To examine clinical outcomes and employment status in Veterans with and without a dual diagnosis of traumatic brain injury (TBI) and spinal cord injury (SCI).

Methods

This cross-sectional study examined a national sample of Veterans enrolled in the VA Million Veteran Program who completed the Comprehensive TBI Evaluation (CTBIE) as part of the Veterans Health Administration’s TBI Screening and Evaluation Program. Veterans (N = 12,985) were classified into the following TBI/SCI groups using CTBIE data: those with a dual diagnosis of TBI and SCI (TBI+/SCI+); those with a history of TBI but no SCI (TBI+/SCI−); and those with no history of TBI or SCI (TBI−/SCI−; i.e., the control group). CTBIE-derived outcomes included neurobehavioral symptoms, comorbid psychiatric symptoms, pain and pain interference, and employment status.

Results

Chi-square analyses showed significant associations between TBI/SCI group and all clinical outcomes evaluated (all p’s < .001; V = 0.07–0.11). In general, the TBI+/SCI+ and TBI +/SCI− groups endorsed comparable levels of neurobehavioral symptoms, psychiatric symptoms, and pain, but significantly greater rates of symptoms and pain relative to the TBI−/SCI− group. Effect sizes for all pairwise comparisons were small (φ = 0.01–0.11). Finally, there was no significant association between TBI/SCI group and employment status (p = .170; V = 0.02), with all three groups showing relatively comparable rates of unemployment.

Conclusions

Regardless of SCI status, Veterans with TBI history endorsed poorer clinical outcomes than Veterans without TBI and SCI. However, rates of unemployment were similarly high across all three groups. Findings suggest that any Veteran completing the CTBIE may be at risk for poor clinical and employment outcomes.
vorige artikel Oral health literacy and its association with oral health-related quality of life amongst pregnant women: a cross-sectional study
volgende artikel A randomized controlled trial of propofol-remifentanil total intravenous anesthesia and sevoflurane-fentanyl anesthesia on early postoperative fatigue in patients undergoing laparoscopic colorectal surgery
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Metagegevens
Titel
Evaluation of clinical outcomes and employment status in veterans with dual diagnosis of traumatic brain injury and spinal cord injury
Auteurs
Jillian M. R. Clark
Erin D. Ozturk
Catherine Chanfreau-Coffinier
Victoria C. Merritt
the VA Million Veteran Program
Publicatiedatum
19-10-2023
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 1/2024
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-023-03518-7

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