Department of Defense: Use of Neurocognitive Assessment Tools in Post-Deployment Identification of Mild Traumatic Brain Injury.GAO-12-27R October 24, 2011
Traumatic brain injury Traumatic brain injury (TBI), traumatic injuries to the brain, also called intracranial injury, or simply head injury, occurs when a sudden trauma causes brain damage. TBI can result from a closed head injury or a penetrating head injury and is one of two subsets of acquired brain (TBI TBI 1. Thyroxine-binding index 2. Total body irradiation ) has emerged as a serious concern among U.S. forces serving in military operations This is a list of missions, operations, and projects. Missions in support of other missions are not listed independently. World War I
''See also List of military engagements of World War I
A multi-site medical care, clinical research and education center A unique collaboration of the Department of Defense (DoD), Department of Veterans Affairs (VA) health care system and a civilian partner Funded through the within DOD. A majority of these cases, 163,181, were classified as mild traumatic brain injuries (mTBI)--commonly referred to as concussions. Early detection of injury is critical in TBI patient management. Diagnosis of moderate and severe TBI usually occurs in a timely manner due to the obvious and visible nature of the head injury. Identification of mTBI presents a challenge due to its less obvious nature. With mTBI, there may be no observable head injury. In addition, in the combat theater, an mTBI may not be identified if it occurs at the same time as other combat injuries that are more visible or life-threatening, such as orthopedic injuries or open wounds. Furthermore, some of the symptoms of mTBI--such as irritability and insomnia--are similar to those associated with other conditions, such as post-traumatic stress disorder. Although the majority of patients with mTBI recover quickly with minimal intervention, a subset of patients develops lingering symptoms that interfere with social and occupational functioning. Accurate and timely identification of mTBI is important as treatment can mitigate the physical, emotional, and cognitive effects of the injury. Neurocognitive deficits associated with mTBI can be identified by neurocognitive assessment tools. These tools generally consist of a series of tests that measure cognitive performance areas that may be impaired by an mTBI such as attention, judgment, and memory. Identification of mTBI in servicemembers who served in Afghanistan and Iraq has been the subject of recent media attention, with particular attention focused on the proper use of neurocognitive assessment tools to screen all servicemembers postdeployment for deficits or symptoms related to mTBI. In this context and in response to congressional request, this report describes (1) DOD's post-deployment policy on the use of neurocognitive assessment tools as a stand-alone initial screen to identify servicemembers who may have sustained an mTBI during deployment; (2) what informed DOD's decisions to establish this post-deployment policy; and (3) mTBI experts' views on the science related to DOD's policy decision.
DOD does not require that all servicemembers be screened post-deployment using a neurocognitive assessment tool but does require that all servicemembers be screened using a set of TBI screening questions. According to DOD officials, this policy was informed by findings and recommendations from several task forces and expert panel reports, and scientific studies. Additionally, mTBI experts told us that the scientific evidence supports DOD's policy. For example, these experts told us that neurocognitive assessment tools cannot determine whether low cognitive function cognitive function Neurology Any mental process that involves symbolic operations–eg, perception, memory, creation of imagery, and thinking; CFs encompasses awareness and capacity for judgment is caused by an mTBI. These experts told us, however, that neurocognitive assessment tools can be useful as part of a full clinical evaluation clinical evaluation Medtalk An evaluation of whether a Pt has symptoms of a disease, is responding to treatment, or is having adverse reactions to therapy for a person who has already screened positive for a possible mTBI.
Categories: National Defense, Disease detection or diagnosis, Health care services, Mental health, Mental health care services, Military personnel deployment, Patient care services, Policy evaluation, Post-traumatic stress disorders, Risk assessment, Strategic planning, Testing, Veterans