Mild Traumatic Brain Injury, Sleep, and Cardiovascular Disease: An Analysis of Military Health System Data

Abstract

Mild traumatic brain injury (mTBI) and Post-Traumatic Stress Disorder (PTSD) are important health consequences associated with military service. mTBI and PTSD share similar symptomology and sequelae, and together with comorbid sleep conditions, increase risk of coronary heart disease (CHD). This study compared 68,705 mTBI and 128,252 matched non-mTBI control patients by analyzing encounter-level data within the Military Healthcare System (MHS) between 2007-2019. Patients were followed up from study entry to one of the following occurred: CHD, death, disenrollment from the MHS, or end of the study. The primary study outcome was CHD as indicated by ICD codes. Cox proportional hazard models with time-varying covariates examined the relationship of mTBI, PTSD, and/or sleep problems to CHD incidence.

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Document Details

Document Type
Technical Report
Publication Date
Jul 11, 2022
Accession Number
AD1212233

Entities

People

  • Keen S. Liew

Organizations

  • Uniformed Services University of the Health Sciences

Tags

DTIC Thesaurus Topics

  • Blood
  • Brain
  • Brain Injuries
  • Cardiac Arrhythmias
  • Cardiovascular Diseases
  • Cardiovascular System
  • Cerebrovascular Disorders
  • Disability Administration
  • Dyssomnias
  • Health Services
  • Human Behavior
  • Medical Personnel
  • Myocardial Ischemia
  • Neurosciences
  • Psychiatry

Fields of Study

  • Medicine

Readers

  • Mental Health of Military Veterans with Posttraumatic Stress Disorder (PTSD): Risk Factors, Prevalence, Symptoms, and Treatment.
  • Psychological Intervention/Treatment for Stress, Anxiety, PTSD, and Related Emotional and Cognitive Health Symptoms.