First, to describe the development of a novel postconcussive symptom (PCS) code set for identifying symptoms via medical records. Second, to apply it to a population-based cohort of service members with a history of mild traumatic brain injury (mTBI) per Military Health System (MHS) records, to identify distinct subgroups based on patterns of risk for specific PCS.
✦ The floor
Discussion
Signed responses from readers of the wire.
No immediate practice change for audiologists; this is a methodology paper establishing a diagnostic code set for research and surveillance purposes in military mTBI populations.
A validated symptom-coding framework for post-concussive military patients could eventually enable more targeted vestibular and auditory rehabilitation by distinguishing symptom profiles at scale.
- 01Novel diagnostic code set developed to classify postconcussive symptom subgroups in service members.
- 02Approach uses existing medical records rather than prospective data collection.
- 03Symptom subgrouping may help personalize rehabilitation strategies, including vestibular care.
- 04Study population is military personnel with mild TBI — findings may not generalize broadly.
- 05Published in the Journal of Head Trauma Rehabilitation (PMID 42509605).
A novel diagnostic code system can identify distinct postconcussive symptom subgroups among service members using medical records.
studypartially supported- PMID
- 42509605
- DOI
- 10.1097/HTR.0000000000001199.
- Journal
- Journal of Head Trauma Rehabilitation
- Publication type
- research_article
- Evidence level
- 4
- Population
- Military service members with mild traumatic brain injury
- Intervention
- Application of a novel postconcussive symptom diagnostic code system to medical records
Primary outcomes
Identification of postconcussive symptom subgroups; Validity of the novel diagnostic code set