Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.
The Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD 20814, USA.
Int J Environ Res Public Health. 2021 Jul 30;18(15):8079. doi: 10.3390/ijerph18158079.
This study used data from the Military Health System Data Repository to examine the association between mild traumatic brain injuries (mTBI) and work functioning such as work duty limitations, hospital emergency room visits and inpatient admissions for active-duty service members (ADSMs). Further, this study assessed the role that common symptoms of mTBI play in work functioning. Multivariate results showed that having a mTBI diagnosis is not a major factor that results in being "released with work duty limitations". However, findings from these regression models also showed that the interaction of mTBI with cognitive and linguistic symptoms resulted in odds of 3.63 (CI: 1.40-9.36, < 0.01) for being "released with work duty limitations" and odds of 4.98 (CI: 1.16-21.39, < 0.05) for having any emergency department visits compared to those with no diagnosis of mTBI and none of these symptoms. Additionally, the interaction of mTBI with sleep disturbance and chronic pain showed odds of 2.72 (CI: 1.31-5.65, < 0.01) and odds of 11.56 (CI: 2.65-50.44, < 0.01) for being "released with work duty limitations" compared to those with no diagnosis of TBI and none of these symptoms, respectively. Further research is needed to investigate the association between mTBI and duration of time off work to provide a comprehensive understanding of the effect of mTBI on work functioning in the Military Health System.
这项研究利用军事健康系统数据仓库的数据，考察了轻度创伤性脑损伤（mTBI）与现役军人（ADSM）的工作功能之间的关系，如工作任务限制、急诊室就诊和住院。此外，本研究评估了 mTBI 的常见症状在工作功能中的作用。多变量结果表明，mTBI 诊断本身并不是导致“工作任务限制释放”的主要因素。然而，这些回归模型的结果还表明，mTBI 与认知和语言症状的相互作用导致“工作任务限制释放”的几率为 3.63（95%CI：1.40-9.36， < 0.01），与无 mTBI 诊断和无这些症状的人相比，急诊就诊的几率为 4.98（95%CI：1.16-21.39， < 0.05）。此外，mTBI 与睡眠障碍和慢性疼痛的相互作用导致“工作任务限制释放”的几率分别为 2.72（95%CI：1.31-5.65， < 0.01）和 11.56（95%CI：2.65-50.44， < 0.01），与无 TBI 诊断和无这些症状的人相比。需要进一步研究 mTBI 与离职时间之间的关系，以全面了解 mTBI 对军事健康系统工作功能的影响。
