Departments of Orthopaedic Surgery (Drs Eagle, Collins, and Kontos) and Sports Medicine and Nutrition (Drs Connaboy and Flanagan), University of Pittsburgh, Pittsburgh, Pennsylvania; UPMC Sports Medicine Concussion Program, Pittsburgh, Pennsylvania (Drs Collins and Kontos); US Army Medical Research Directorate-West, Walter Reed Army Institute of Research, Joint Base Lewis-McChord, Washington (Dr Dretsch); and VA Puget Sound Health Care System-American Lake Division, Tacoma, Washington (Dr Uomoto).
J Head Trauma Rehabil. 2021;36(5):E345-E354. doi: 10.1097/HTR.0000000000000675.
To evaluate trends in the extant literature on mild traumatic brain injury (mTBI) in military service members and veterans using network analysis based on a comprehensive search of original, peer-reviewed research articles involving human participants published between January 1, 2010, and December 31, 2019. Specifically, we employed network analysis to evaluate associations in the following areas: (1) peer-reviewed journals, (2) authors, (3) organizations/institutions, and (4) relevant key words.
Included studies were published in peer-reviewed journals available on Web of Science database, using US military service members or veterans.
Bibliometric network analytical review.
Outcomes for each analysis included number of articles, citations, total link strength, and clusters.
The top publishing journals were (1) Journal of Head Trauma and Rehabilitation, (2) Military Medicine, (3) Brain Injury, (4) Journal of Neurotrauma, and (5) Journal of Rehabilitation Research and Development. The top publishing authors were (1) French, (2) Lange, (3) Cooper, (4) Vanderploeg, and (5) Brickell. The top research institutions were (1) Defense and Veterans Brain Injury Center, (2) Uniformed Services University of the Health Sciences, (3) University of California San Diego, (4) Walter Reed National Military Medical Center, and (5) Boston University. The top co-occurring key words in this analysis were (1) posttraumatic stress disorder (PTSD), (2) persistent postconcussion symptoms (PPCS), (3) blast injury, (4) postconcussion syndrome (PCS), and (5) Alzheimer's disease.
The results of this network analysis indicate a clear focus on veteran health, as well as investigations on chronic effects of mTBI. Research in civilian mTBI indicates that delaying treatment for symptoms and impairments related to mTBI may not be the most precise treatment strategy. Increasing the number of early, active, and targeted treatment trials in military personnel could translate to meaningful improvements in clinical practices for managing mTBI in this population.
通过对 2010 年 1 月 1 日至 2019 年 12 月 31 日期间发表的涉及人类参与者的原始同行评审研究文章进行全面搜索，利用基于网络的分析评估有关军事人员和退伍军人轻度创伤性脑损伤（mTBI）的现有文献趋势。具体来说，我们采用网络分析评估了以下领域的关联：（1）同行评审期刊，（2）作者，（3）组织/机构，（4）相关关键词。
纳入的研究发表在 Web of Science 数据库中的同行评审期刊上，使用的是美国军事人员或退伍军人。
文献计量网络分析回顾。
每种分析的结果包括文章数量、引用次数、总链接强度和聚类。
排名最高的出版期刊是（1）《头部创伤与康复杂志》、（2）《军事医学》、（3）《脑损伤杂志》、（4）《神经创伤杂志》和（5）《康复研究与发展杂志》。排名最高的出版作者是（1）French、（2）Lange、（3）Cooper、（4）Vanderploeg 和（5）Brickell。排名最高的研究机构是（1）国防和退伍军人脑损伤中心、（2）统一服务大学健康科学、（3）加利福尼亚大学圣地亚哥分校、（4）沃尔特里德国家军事医学中心和（5）波士顿大学。本次分析中排名最高的共同出现关键词是（1）创伤后应激障碍（PTSD）、（2）持续性脑震荡后症状（PPCS）、（3）爆炸伤、（4）脑震荡后综合征（PCS）和（5）阿尔茨海默病。
网络分析的结果表明，该研究明确关注退伍军人健康以及 mTBI 的慢性影响。针对平民 mTBI 的研究表明，延迟治疗与 mTBI 相关的症状和损伤可能不是最精确的治疗策略。在军事人员中增加更多早期、积极和有针对性的治疗试验可能会对管理该人群 mTBI 的临床实践产生有意义的改善。
