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1
Disruptive Dizziness among Post-9/11 Veterans with Deployment-Related Traumatic Brain Injury
In: ETSU Faculty Works (2021)
Abstract: Objective: To identify disruption due to dizziness symptoms following deployment-related traumatic brain injury (TBI) and factors associated with receiving diagnoses for these symptoms. Setting: Administrative medical record data from the Department of Veterans Affairs (VA). Participants: Post-9/11 veterans with at least 3 years of VA care who reported at least occasional disruption due to dizziness symptoms on the comprehensive TBI evaluation. Design: A cross-sectional, retrospective, observational study. Main Measures: International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes of dizziness, vestibular dysfunction, and other postconcussive conditions; neurobehavioral Symptom Inventory. Results: Increased access to or utilization of specialty care at the VA was significant predictors of dizziness and/or vestibular dysfunction diagnoses in the fully adjusted model. Veterans who identified as Black non-Hispanic and those with substance use disorder diagnoses or care were substantially less likely to receive dizziness and vestibular dysfunction diagnoses. Conclusions: Access to specialty care was the single best predictor of dizziness and vestibular dysfunction diagnoses, underscoring the importance of facilitating referrals to and utilization of specialized, comprehensive clinical facilities or experts for veterans who report disruptive dizziness following deployment-related TBI. There is a clear need for an evidence-based pathway to address disruptive symptoms of dizziness, given the substantial variation in audiovestibular tests utilized by US providers by region and clinical specialty. Further, the dearth of diagnoses among Black veterans and those in more rural areas underscores the potential for enhanced cultural competency among providers, telemedicine, and patient education to bridge existing gaps in the care of dizziness.
Keyword: Audiology and Speech-Language Pathology; brain injuries; dizziness; health services; traumatic; vestibular diseases; veterans
URL: https://doi.org/10.1097/HTR.0000000000000714
https://dc.etsu.edu/etsu-works/9700
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2
Association of Traumatic Brain Injury with Vestibular Dysfunction and Dizziness in Post-9/11 Veterans
In: ETSU Faculty Works (2020)
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3
Effects of Noise Exposure on the Vestibular System: A Systematic Review
In: ETSU Faculty Works (2020)
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4
Impact of Otolith Dysfunction on Postural Stability and Quality of Life: a Chronic Effects of Neurotrauma Consortium Study
In: ETSU Faculty Works (2019)
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5
The Development of the Benign Paroxysmal Positional Vertigo Symptom Impact Questionnaire (BSIQ)
In: ETSU Faculty Works (2019)
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6
Noise and Blast-related Effects on Vestibular and Balance Function
In: ETSU Faculty Works (2018)
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7
Sensory Dysfunction and Traumatic Brain Injury Severity Among Deployed Post-9/11 Veterans: A Chronic Effects of Neurotrauma Consortium Study
In: ETSU Faculty Works (2018)
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8
Longitudinal consequences of mTBI and blast exposure on vestibular and balance function: preliminary observations
In: ETSU Faculty Works (2018)
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9
Impact of Otolith Dysfunction on Postural Stability and Quality of Life
In: ETSU Faculty Works (2018)
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10
Vestibular Consequences of Noise Exposure in Humans
In: ETSU Faculty Works (2018)
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11
A Benign Paroxysmal Positional Vertigo Triage Clinic
In: ETSU Faculty Works (2017)
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12
Efficacy of Gaze Stability Exercises in Older Adults with Non-vestibular Dizziness
In: ETSU Faculty Works (2017)
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13
Vestibular Consequences of Mild Traumatic Brain Injury and Blast Exposure: A Review
In: ETSU Faculty Works (2017)
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14
War-related Vestibular Dysfunction
In: ETSU Faculty Works (2017)
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15
Reliability and Validity of Bertec Computerized Dynamic Posturography
In: ETSU Faculty Works (2017)
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16
Characteristics and Treatment Outcomes of Benign Paroxysmal Positional Vertigo in a Cohort of Veterans
In: ETSU Faculty Works (2017)
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17
Contemporary Issues in Vestibular Assessment
In: ETSU Faculty Works (2016)
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18
Vestibular, Balance, Microvascular and White Matter Neuroimaging Characteristics of Blast Injuries and Mild Traumatic Brain Injury: Four Case Reports
In: ETSU Faculty Works (2016)
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19
Reliability of Regression Gain Versus Instantaneous Gain During Video Head Impulse Testing
In: ETSU Faculty Works (2016)
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20
Intra- and Inter-Examiner Reliability of the Binocular Video Head Impulse Test
In: ETSU Faculty Works (2016)
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