Clinical Characteristics of Dementias That Occur Remotely After Traumatic Brain Injury in Retired Military Personnel

Study Overview
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Brief Summary
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The objective of this study is to measure the frequency and clinical types of mild cognitive impairment (MCI) or dementia that occur among up to 150 military retirees with and without a history of traumatic brain injury (TBI) among residents of the Armed Forces Retirement Home, Washington D.C. and the Veterans Home of California-Yountville. Investigators will compare the characteristics of dementia in those who have had a prior TBI to the characteristics in those without a history of TBI. It is our hypothesis that the dementia or MCI among those with prior TBI has distinct neuropsychological features that distinguishes it from those with dementia or MCI without a history of TBI.

Detailed Description
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75 participants with a history of TBI will be the cases (exposed) group. A control group of 75 retirement home residents without a history of TBI who are age-matched to the cases will also be recruited. Participants will be evaluated in a single visit, which will include neurological, psychiatric, and cognitive assessment. The evaluation will take approximately 4 hours. In some cases, the evaluation may be split into two 2 hour sessions.

Official Title
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Endophenotypes of Dementia Associated With Traumatic Brain Injury in Retired Military Personnel

Conditions
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Dementia, Traumatic Brain Injury (TBI), Mild Cognitive Impairment (MCI), Chronic Traumatic Encephalopathy (CTE), Post-traumatic Stress Disorder (PTSD)

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Cases (with a history of TBI): Ages 50-95 years History of traumatic brain injury of sufficient severity to have resulted in medical attention (ascertained via the Ohio State University TBI Identification Questionnaire-OSU TBI-ID, and based on DoD/VA criteria) Residence in AFRH-Washington D.C. or the Veterans Home of California-Yountville MMSE score ≥ 20 Capacity to provide consent to participate in research (assessment made by study physician) Ability to read and write English Controls (without a history of TBI): Ages 50-95 years No history of traumatic brain injury of sufficient severity to have resulted in medical attention (ascertained via the Ohio State University TBI Identification Questionnaire-OSU TBI-ID) Residence in AFRH-Washington or the Veterans Home of California-Yountville MMSE score ≥ 20 Capacity to provide consent or assent to participate in research Ability to read and write English - Exclusion Criteria: Cases (with a history of TBI): History of penetrating brain injury History of disabling neurological or psychiatric condition such as epilepsy (besides posttraumatic epilepsy), multiple sclerosis, cortical stroke, hypoxic-ischemic encephalopathy, encephalitis, or schizophrenia Controls (without a history of TBI): History of disabling neurological or psychiatric condition such as epilepsy, multiple sclerosis, cortical stroke, hypoxic-ischemic encephalopathy, encephalitis, or schizophrenia -

Ages Eligible for Study
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Minimum Age: 50 Years
Maximum Age: 95 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| History of TBI<br>The history of TBI will be assessed by the subject's answers to the Ohio State University Traumatic Brain Injury Identification Method Short Form (OSU TBI-ID SF). | |
| No history of TBI<br>The history of TBI will be assessed by the subject's answers to the Ohio State University Traumatic Brain Injury Identification Method Short Form (OSU TBI-ID SF). | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Prevalence of dementia or MCI in the two groups (TBI versus no TBI) | The primary outcome will be the prevalence of dementia/MCI in the two groups (i.e. those with and without a TBI). | Single visit, 4 hours. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Characterization of the types of dementia or MCI that occur in the two groups (TBI or no TBI) | The characterization of the dementia and cognitive impairment within the two groups based on the neuropsychological testing will be secondary outcomes of the study. | Single visit, 4 hours. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Dementia, Traumatic brain injury (TBI), Mild cognitive impairment (MCI), Chronic traumatic encephalopathy (CTE), Remote effects of TBI, Post-traumatic stress disorder (PTSD_