Danielle C Hergert1, Veronik Sicard1, David D Stephenson1, Sharvani Pabbathi Reddy1, Cidney R Robertson-Benta1, Andrew B Dodd1, Edward J Bedrick2, Gerard A Gioia3,4, Timothy B Meier5, Nicholas A Shaff1, Davin K Quinn6, Richard A Campbell6, John P Phillips1,7, Andrei A Vakhtin1, Robert E Sapien8, Andrew R Mayer1,6,7,9. 1. The Mind Research Network/Lovelace Biomedical Research Institute, Albuquerque, NM, USA. 2. Department of Epidemiology and Biostatistics, University of Arizona, Tucson, AZ, USA. 3. Department of Pediatrics and Psychiatry & Behavioral Sciences, George Washington University School of Medicine, Washington, DC, USA. 4. Division of Pediatric Neuropsychology, Children's National Hospital, Washington, DC, USA. 5. Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, USA. 6. Department of Psychiatry and Behavioral Sciences, University of New Mexico, Albuquerque, NM, USA. 7. Department of Neurology, University of New Mexico, Albuquerque, NM, USA. 8. Department of Emergency Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM, USA. 9. Department of Psychology, University of New Mexico, Albuquerque, NM, USA.
Abstract
OBJECTIVE: Retrospective self-report is typically used for diagnosing previous pediatric traumatic brain injury (TBI). A new semi-structured interview instrument (New Mexico Assessment of Pediatric TBI; NewMAP TBI) investigated test-retest reliability for TBI characteristics in both the TBI that qualified for study inclusion and for lifetime history of TBI. METHOD: One-hundred and eight-four mTBI (aged 8-18), 156 matched healthy controls (HC), and their parents completed the NewMAP TBI within 11 days (subacute; SA) and 4 months (early chronic; EC) of injury, with a subset returning at 1 year (late chronic; LC). RESULTS: The test-retest reliability of common TBI characteristics [loss of consciousness (LOC), post-traumatic amnesia (PTA), retrograde amnesia, confusion/disorientation] and post-concussion symptoms (PCS) were examined across study visits. Aside from PTA, binary reporting (present/absent) for all TBI characteristics exhibited acceptable (≥0.60) test-retest reliability for both Qualifying and Remote TBIs across all three visits. In contrast, reliability for continuous data (exact duration) was generally unacceptable, with LOC and PCS meeting acceptable criteria at only half of the assessments. Transforming continuous self-report ratings into discrete categories based on injury severity resulted in acceptable reliability. Reliability was not strongly affected by the parent completing the NewMAP TBI. CONCLUSIONS: Categorical reporting of TBI characteristics in children and adolescents can aid clinicians in retrospectively obtaining reliable estimates of TBI severity up to a year post-injury. However, test-retest reliability is strongly impacted by the initial data distribution, selected statistical methods, and potentially by patient difficulty in distinguishing among conceptually similar medical concepts (i.e., PTA vs. confusion).
OBJECTIVE: Retrospective self-report is typically used for diagnosing previous pediatric traumatic brain injury (TBI). A new semi-structured interview instrument (New Mexico Assessment of Pediatric TBI; NewMAP TBI) investigated test-retest reliability for TBI characteristics in both the TBI that qualified for study inclusion and for lifetime history of TBI. METHOD: One-hundred and eight-four mTBI (aged 8-18), 156 matched healthy controls (HC), and their parents completed the NewMAP TBI within 11 days (subacute; SA) and 4 months (early chronic; EC) of injury, with a subset returning at 1 year (late chronic; LC). RESULTS: The test-retest reliability of common TBI characteristics [loss of consciousness (LOC), post-traumatic amnesia (PTA), retrograde amnesia, confusion/disorientation] and post-concussion symptoms (PCS) were examined across study visits. Aside from PTA, binary reporting (present/absent) for all TBI characteristics exhibited acceptable (≥0.60) test-retest reliability for both Qualifying and Remote TBIs across all three visits. In contrast, reliability for continuous data (exact duration) was generally unacceptable, with LOC and PCS meeting acceptable criteria at only half of the assessments. Transforming continuous self-report ratings into discrete categories based on injury severity resulted in acceptable reliability. Reliability was not strongly affected by the parent completing the NewMAP TBI. CONCLUSIONS: Categorical reporting of TBI characteristics in children and adolescents can aid clinicians in retrospectively obtaining reliable estimates of TBI severity up to a year post-injury. However, test-retest reliability is strongly impacted by the initial data distribution, selected statistical methods, and potentially by patient difficulty in distinguishing among conceptually similar medical concepts (i.e., PTA vs. confusion).
Authors: William C Walker; David X Cifu; Anne M Hudak; Gary Goldberg; Richard D Kunz; Adam P Sima Journal: J Neurotrauma Date: 2015-02-04 Impact factor: 5.269
Authors: D T Stuss; M A Binns; F G Carruth; B Levine; C E Brandys; R J Moulton; W G Snow; M L Schwartz Journal: J Neurosurg Date: 1999-04 Impact factor: 5.115
Authors: Kristin Wilmoth; Christian LoBue; Matthew A Clem; Rajadhar Reddy; Linda S Hynan; Nyaz Didehbani; Kathleen Bell; Kyle B Womack; John Hart; Hunt Batjer; C Munro Cullum Journal: Clin Neuropsychol Date: 2017-10-09 Impact factor: 3.535
Authors: Keith Owen Yeates; H Gerry Taylor; Jerome Rusin; Barbara Bangert; Ann Dietrich; Kathryn Nuss; Martha Wright; Daniel S Nagin; Bobby L Jones Journal: Pediatrics Date: 2009-03 Impact factor: 7.124
Authors: Noah D Silverberg; Grant L Iverson; Jeffrey R Brubacher; Elizabeth Holland; Lisa Casagrande Hoshino; Angela Aquino; Rael T Lange Journal: J Head Trauma Rehabil Date: 2016 Nov/Dec Impact factor: 2.710