Journal article
Associations Between Traumatic Brain Injury and Severity of Tinnitus-Related Functional Impairment Among US Military Veterans: A National, Population-Based Study
The journal of head trauma rehabilitation, Vol.39(3), pp.218-230
01 May 2024
PMID: 38709830
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective:To describe associations between a history of traumatic brain injury (TBI) and the severity of tinnitus-related functional impairment among a national, stratified random sample of veterans diagnosed with tinnitus by the Department of Veterans Affairs (VA) healthcare system.Setting:A multimodal (mailed and internet) survey administered in 2018. Participants: VA healthcare-using veterans diagnosed with tinnitus; veterans with comorbid TBI diagnosis were oversampled.Design:A population-based survey.Main Measures:TBI history was assessed using International Classification of Diseases (ICD) diagnosis codes in veterans' VA electronic health records. The severity of participants' overall tinnitus-related functional impairment was measured using the Tinnitus Functional Index. Population prevalence and 95% confidence intervals (CIs) were estimated using inverse probability weights accounting for sample stratification and survey nonresponse. Veterans' relative risk ratios of very severe or moderate/severe tinnitus-related functional impairment, versus none/mild impairment, were estimated by TBI history using bivariable and multivariable multinomial logistic regression.Results:The population prevalence of TBI was 5.6% (95% CI: 4.8-6.4) among veterans diagnosed with tinnitus. Veterans with a TBI diagnosis, compared with those without a TBI diagnosis, had 3.6 times greater likelihood of rating their tinnitus-related impairment as very severe (95% CI: 2.1-6.3), and 1.5 times greater likelihood of rating their impairment as moderate/severe (95% CI: 1.0-2.4), versus none/mild.Conclusions:These findings suggest an important role of TBI in the severity of tinnitus-related functional impairment among veterans. This knowledge can help inform the integration of tinnitus management services into the care received by veterans with TBI.
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Details
- Title
- Associations Between Traumatic Brain Injury and Severity of Tinnitus-Related Functional Impairment Among US Military Veterans: A National, Population-Based Study
- Creators
- Laura Coco - Clark Art InstituteElizabeth R. Hooker - Clark Art InstituteTess A. Gilbert - Clark Art InstituteAustin L. Prewitt - Clark Art InstituteKelly M. Reavis - Clark Art InstituteMaya E. O'Neil - VA Portland Hlth Care Syst, VA Hlth Serv Res & Dev Serv Ctr Innovat, Ctr Improve Vet Involvement Care, Portland, OR USAKhaya D. Clark - Clark Art InstituteJames A. Henry - Clark Art InstituteTara Zaugg - Clark Art InstituteKathleen F. Carlson - Clark Art Institute
- Publication Details
- The journal of head trauma rehabilitation, Vol.39(3), pp.218-230
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 13
- Grant note
- I21 RX002216-01; C9427S; C9230C / Veterans Health Administration, Office of Research and Development, Rehabilitation Research and Development Service (SPiRE) 1 UL1 RR024140 01 / Oregon Clinical and Translational Research Institute at Oregon Health & Science University
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Audiology - Distance
- Web of Science ID
- WOS:001279457900001
- Scopus ID
- 2-s2.0-85192626569
- Other Identifier
- 991022057791904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Clinical Neurology
- Rehabilitation