Neurocognitive testing in the emergency department: A potential assessment tool for mild traumatic brain injury

Lunter, Catherine Maria; Carroll, Ernest A.; Housden, Charlotte; Outtrim, Joanne; Forsyth, Faye; Rivera, Annie; Maimaris, C; Boyle, Adrian; Sahakian, Barbara J.; Menon, David; Newcombe, Virginia

doi:10.1111/1742-6723.13163

Cited by 12 publications

(7 citation statements)

References 18 publications

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“…The battery of CANTAB tasks selected comprised the folowing: Motor Screening (MOT; screened for visual, motor and comprehension problems), Paired Associates Learning (PAL; episodic memory), Pattern Recognition Memory (PRM; visual recognition memory), Spatial Recognition Memory (SRM; spatial recognition memory), Spatial Span (SSP; visuospatial working memory capacity), Spatial Working Memory (SWM; retention and manipulation of visuospatial information, strategy use), Rapid Visual Information Processing (RVP; sustained attention), and Intra-Extra Dimensional Set Shift (IED; visual discrimination, attentional flexibility). CANTAB tasks are sensitive to neurocognitive dysfunction following TBI [29,[39][40][41].…”

Section: Cognitive Functioning Assessmentmentioning

confidence: 99%

Mild traumatic brain injury recovery: a growth curve modelling analysis over 2 years

et al. 2020

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Background An improved understanding of the trajectory of recovery after mild traumatic brain injury is important to be able to understand individual patient outcomes, for longitudinal patient care and to aid the design of clinical trials. Objective To explore changes in health, well-being and cognition over the 2 years following mTBI using latent growth curve (LGC) modelling. Methods Sixty-one adults with mTBI presenting to a UK Major Trauma Centre completed comprehensive longitudinal assessment at up to five time points after injury: 2 weeks, 3 months, 6 months, 1 year and 2 years. Results Persisting problems were seen with neurological symptoms, cognitive issues and poor quality of life measures including 28% reporting incomplete recovery on the Glasgow Outcome Score Extended at 2 years. Harmful drinking, depression, psychological distress, disability, episodic memory and working memory did not improve significantly over the 2 years following injury. For other measures, including the Rivermead Post-Concussion Symptoms and Quality of Life after Brain Injury (QOLIBRI), LGC analysis revealed significant improvement over time with recovery tending to plateau at 3–6 months. Interpretation Significant impairment may persist as late as 2 years after mTBI despite some recovery over time. Longitudinal analyses which make use of all available data indicate that recovery from mTBI occurs over a longer timescale than is commonly believed. These findings point to the need for long-term management of mTBI targeting individuals with persisting impairment.

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Section: Cognitive Functioning Assessmentmentioning

confidence: 99%

Mild traumatic brain injury recovery: a growth curve modelling analysis over 2 years

et al. 2020

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“…Seven studies described the use of technology for identifying, managing, or developing normative data in relation to neurocognitive symptoms commonly seen with concussion (Table 2). A variety of technology was used including the C3 App, 21,24 the Display Enhanced Testing for Concussions mTBI (DETECT System), 25 the CogSport, 26 the ImPACT, 27 the Cambridge Neuropsychological Test Automated Battery (CANTAB), 28 and the BrainScope Ahead 300. 29 The C3 App was successful at detecting significant differences for simple reaction time, choice reaction time, and Trail Making Test B when comparing individuals who recovered within three weeks of a concussion to individuals who remained symptomatic after three weeks.…”

Section: Results Of Individual Studiesmentioning

confidence: 99%

Technology and concussion: A scoping review

Reneker

Slaughter

Scruggs

et al. 2021

Journal of Concussion

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Background Technology for concussion identification and management is rapidly expanding across the continuum of care. Although many technologies offer a range of services around concussion, there is an absence of a non-commercial online location for medical providers to access regarding the functionality of the various technologies used in concussion identification and management. Objective The purpose of this review is to present research findings on technology for concussion identification and management. Methods Searches for eligible studies were conducted using the PubMed, EMBASE, and Scopus databases with specific search criteria. Through a stepwise process, full-text articles were selected for inclusion if they described clinically useful electronic technologies (i.e. electronics able to be used in standard clinical environments including telehealth) by healthcare providers or end users (i.e. parents or athletes). Results A total of 29 articles were included in this review and described technology used to measure symptoms (3), neurocognitive performance (7), the visual system (4), and balance or dual task performance (18). Within the results, various technologies demonstrated increased utility for concussion identification, often detecting subtle deficits not possible with current low-tech clinical methods, differentiating those with concussion from those without concussion, with strong reliability and validity. Conclusion Innovative technologies included in this review demonstrate enhanced ability to identify and manage symptoms of concussion, neurocognitive deficits, visual deficits, and balance and dual-task deficits.

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“…All eligible patients were included in this cohort study from 2 prospective observational cohorts: the Research in Traumatic Brain Injury (CENTER-TBI) study (December 19, 2014, to December 17, 2017) 20,21 and a Cambridge study (November 20, 2012, to December 19, 2013) with a similar protocol. 22,23 CENTER-TBI was accessed using the Neurobot platform (RRID/SCR_017004, core data, version 2.0; International Neuroinformatics Coordinating Facility; released May 15, 2019). Ethical approval for CENTER-TBI was obtained in accordance with all relevant laws and regulations for each recruiting site.…”

Section: Participantsmentioning

confidence: 99%

Neuroanatomical Substrates and Symptoms Associated With Magnetic Resonance Imaging of Patients With Mild Traumatic Brain Injury

et al. 2021

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Neurocognitive testing in the emergency department: A potential assessment tool for mild traumatic brain injury

Abstract: Computerised neurocognitive testing in the ED is feasible and can be utilised to detect deficits in cognitive performance in the mTBI population as part of a routine head injury assessment.

Cited by 12 publications

References 18 publications

Mild traumatic brain injury recovery: a growth curve modelling analysis over 2 years

Mild traumatic brain injury recovery: a growth curve modelling analysis over 2 years

Technology and concussion: A scoping review

Neuroanatomical Substrates and Symptoms Associated With Magnetic Resonance Imaging of Patients With Mild Traumatic Brain Injury

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