RecruitingNCT06034509

Cognitive and Vascular Functioning Following TBI


Sponsor

Walter Reed National Military Medical Center

Enrollment

300 participants

Start Date

Nov 27, 2023

Study Type

OBSERVATIONAL

Conditions

Summary

This observational study will examine the association of chronic traumatic cerebrovascular injury and cardiovascular risk factors with TBI-related cognitive impairment and vascular dementia. Cerebrovascular, inflammatory, and neurodegenerative blood biomarkers as well as clinical and neuroimaging data


Eligibility

Min Age: 18 YearsMax Age: 74 Years

Inclusion Criteria14

  • Active duty uniformed SM or Veteran who is currently eligible for treatment at WRNMMC (i.e., Defense Enrollment Eligibility Reporting System (DEERS)-eligible).
  • Ability to read, write, and speak English.
  • Ability to provide informed consent.
  • NICoE Intensive Outpatient Program (IOP) or NatHx Study comprehensive evaluation ≥3 years prior to current evaluation with valid neuropsychological test results.
  • Consent to allow access to prior research data collected through the NICoE TBI Neuroimaging Core Project or NatHx Study and consent to allow access to at least 1 prior blood specimen previously collected through these studies or the DoD Serum Biorepository.
  • \. History of at least one mild, moderate, severe, or penetrating TBI > 3 years prior to enrollment. TBI will be diagnosed if any one of the following criteria immediately after the injury is met and attributed to the brain injury, rather than environmental/psychological/other injury factors (DoD-VA criteria246):
  • Loss of consciousness (LOC) or post-traumatic amnesia (PTA)
  • Alteration of consciousness (AOC)
  • Evidence of neurologic dysfunction
  • TBI-related abnormality on structural neuroimaging (either CT or MRI). Additional Healthy Control Criteria
  • History of military deployment.
  • Low history of blast exposure (i.e., <10 blasts) Additional Blast Control Criteria
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  • History of significant blast exposure (i.e., exposure to ≥ 10 blasts)

Exclusion Criteria5

  • Disabling neurologic or psychological disorders such as autism, cerebral palsy, developmental disorder, stroke, brain tumor, multiple sclerosis, meningitis, encephalitis, brain abscess, vascular malformation, pre-injury epilepsy, schizophrenia, bipolar disorder, personality disorder
  • Diabetes mellitus requiring drug treatment
  • Hypertension requiring more than 1 antihypertensive drug to control BP
  • History of myocardial infarction or other systemic vasculopathies
  • Dementia diagnosis at initial NICoE/NatHx Study assessment

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Interventions

OTHERNo intervention. This is an observational study.

There are no interventions being tested in the Cognitive and Vascular Functioning Following TBI study.


Locations(1)

Walter Reed National Military Medical Center

Bethesda, Maryland, United States

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NCT06034509


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