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However, the burden of chronic disease posed by TBI is poorly understood and difficult to investigate, especially in the military setting. The authors report the case logs of a United States Navy neurosurgeon, detailing the acute management and outcomes of 156 patients sustaining TBI between November 2010 and May 2011 during the war in Afghanistan. By demographics, more than half of the patients treated were local nationals. By mechanism of injury, blunt trauma (40.4%) and explosive injury (37.2%) were the most common contributors to TBI. Decompressive craniectomies (24.0%) and clot evacuations (14.7%) were the procedures most commonly performed. Nearly one-quarter of patients were transferred to receive further care, yet only 3 patients were referred for rehabilitative services. Furthermore, the data suggest that patients sustaining comorbid injuries in addition to TBI may be predisposed to worse outcomes. Improvements in documentation of military patients may improve knowledge of TBI and further identify potential variables or treatments that may affect prognosis. The increased survivability from TBI also highlights the need for additional research expenditure in the field of neurorehabilitation specifically.<\/jats:p>","DOI":"10.3171\/2019.8.focus19493","type":"journal-article","created":{"date-parts":[[2019,11,1]],"date-time":"2019-11-01T19:36:17Z","timestamp":1572636977000},"page":"E13","source":"Crossref","is-referenced-by-count":10,"title":["Characteristics of traumatic brain injury during Operation Enduring Freedom\u2013Afghanistan: a retrospective case series"],"prefix":"10.3171","volume":"47","author":[{"given":"Parantap","family":"Patel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davis","family":"Taylor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min S.","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Arch Phys Med Rehabil","doi-asserted-by":"publisher","first-page":"2548","DOI":"10.1016\/j.apmr.2017.06.007","article-title":"Perception of barriers to the diagnosis and receipt of treatment for neuropsychiatric disturbances after traumatic brain injury","volume":"98","author":"Albrecht JS","year":"2017","unstructured":"Albrecht JS, O\u2019Hara LM, Moser KA, Mullins CD, Rao V: Perception of barriers to the diagnosis and receipt of treatment for neuropsychiatric disturbances after traumatic brain injury. 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