U.S. Navy Petty Officer 1st Class Jonathan Fauth, shares his Traumatic Brain Injury story with an audience, highlighting the importance of educating service members to better understand the causes, symptoms and treatment of TBI, at Landstuhl Regional Medical Center, earlier this year.(Photo by Marcy Sanchez)
The de-identified clinical assessment data from the consortium's flagship Longitudinal Cohort Study (LCS) includes more than 1,500 participants, 93 clinical research forms, and 250,000 data points. Study participants were current and former U.S. service members with varying histories of TBI from no exposure to more than 15 incidents, from seven VA medical centers around the country and one military medical treatment facility.
"This CENC is an example of how stakeholders from the government, research, and Service member and Veteran communities come together in collaboration to tackle the challenge of long term effects of military-related brain injuries," said Dr. B. Christie Vu, health science program manager, Congressionally Directed Medical Research Programs (CDMRP).
The study's impact will expand with its inclusion in FITBIR. Greater access to the dataset will encourage collaborations, secondary analysis, and could accelerate development of medical solutions for warfighters with TBI. Additional data from the CENC will be added in coming months.
"The efforts of the CENC team are sustained through other research efforts, large and small, but the amount of data collected is greater than any one team's capacity to address in a short amount of time," said Vu. "By placing the data in a shared state, others in the research community will be able to look at the CENC data alone and in combination with other available datasets to increase the power of TBI research funded to date."
Researchers can find information about accessing FITBIR here.
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The 2021 Progressive Return to Activity (PRA) Following Acute Concussion/Mild Traumatic Brain Injury Clinical Recommendation is an evidence-based return to activity protocol for primary care managers and concussion/traumatic brain injury (TBI) clinic providers. The PRA is a six-step approach that begins after the provider performs the Military Acute Concussion Evaluation 2 (MACE 2) and diagnoses the patient with a concussion/TBI. The PRA stages start with relative rest and allow service members to gradually increase activities until they receive clearance for return to full duty or activity. In each stage, it offers general and military specific activities and options to help providers manage their patients’ primary symptom clusters. The PRA also offers recommendations on specialty referrals and handouts are available for providers to give patients and leadership.
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While he was deployed, retired Army Sgt. 1st Class Victor Medina was in a vehicle that was hit by an explosive device. He sustained a traumatic brain injury (TBI) that severely impaired some of his physical functions and ability to speak. Medina’s wife, Roxana Delgado, continued her pursuit of a Ph.D. in health sciences and became his caregiver. As they adjusted to a life neither one of them had imagined, their marriage became a new kind of partnership.
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