| Titre : | Identifying Posttraumatic Amnesia in Individuals With a Glasgow Coma Scale of 15 After Mild Traumatic Brain Injury (2015) |
| Auteurs : | Susanne Meares ; Arthur E. Shores ; Tracy Smyth |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2015/5, 2015) |
| Article en page(s) : | p. 956-959 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Rééducation et réadaptation |
| Mots-clés: | Amnesia ; anterograde ; Amnésie antérograde ; Brain injuries ; Lésions encéphaliques |
| Résumé : |
Objective To examine the utility of the Abbreviated Westmead Post-traumatic Amnesia Scale, which includes the Glasgow Coma Scale (GCS) and 3 picture cards used to measure amnesia, in identifying the presence or absence of posttraumatic amnesia in individuals with mild traumatic brain injury (mTBI). Design Prospective study using data from the Abbreviated Westmead Post-traumatic Amnesia Scale. Setting Trauma hospital. Participants Individuals with possible mTBI who presented between April and September 2011 (N=252; age range, 18–65y; mean age, 37.4+13.9y; 77% men). Intervention Administration of the Abbreviated Westmead Post-traumatic Amnesia Scale. Main Outcome Measures GCS and Abbreviated Westmead Post-traumatic Amnesia Scale pass/fail rates. Results Of the individuals, 169 (mean age, 35.1+13.6y; 77% men) received the scale. A pass/fail performance was achieved a median 121 minutes (interquartile range, 89–205min) after triage. Of the 45 who failed, 31 (69%) had a GCS score of 15. The likelihood of failing was associated with being older (odds ratio [OR], 1.03; 95% confidence interval [CI], 1.02–1.06; P<.05 having consumed alcohol ci p and the scale being administered closer to time of injury nineteen those who failed had a gcs score> Conclusions A GCS score of 15 does not always signify return to normative cognitive function. Individuals with a GCS score of 15 who are acutely cognitively impaired are at risk of not being accurately identified. The addition of an amnesia score to the GCS in the Abbreviated Westmead Post-traumatic Amnesia Scale will assist in making a diagnosis of mTBI. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999315000027 |
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