Early neuropsychological tests as correlates of productivity 1 year after traumatic brain injury: a preliminary matched case–control study

Ryu, Won Hyung A.; Cullen, Nora; Bayley, Mark

doi:10.1097/mrr.0b013e32832e6b4b

Cited by 11 publications

(8 citation statements)

References 14 publications

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“…12,14) The evaluations of the memory function by WMS-R Logical Memory (I & II) and Visual Reproduction (I & II) in our study indicated a return to near normal ranges. This discrepancy may have stemmed from differences in severity and uniformity among our participants.…”

Section: Discussionsupporting

confidence: 47%

Correlations between Cognitive Impairments and Employment Status in Patients with Diffuse Axonal Injury

Hirota

Inaji

Nariai

et al. 2017

Neurol. Med. Chir.(Tokyo)

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Patients with diffuse axonal injury (DAI) may initially present with prominent physical impairments, but their cognitive dysfunctions are more persistent and are attributable to later unemployment. In this study, we analyzed how the findings of early and delayed neuropsychological assessments correlated with employment outcome of patients with DAI. A total of 56 patients with DAI without motor or visual dysfunction were included in this study. The neuropsychological battery consisted of the Wechsler Adult Intelligent Scale - Revised (WAIS-R), Wechsler Memory Scale - Revised (WMS-R), Trail Making Test (TMT), Wisconsin Card Sorting Test (WCST), and Word Fluency Test (WFT). This battery of tests was administered twice in early stage after injury and in later stage. The results of all of the neuropsychological tests improved significantly (P <0.001) between the early and later assessments. All scores other than TMT part A and B improved to the normal range (Z-score ≥ 2). The patient characteristics (age, gender, initial Glasgow Coma Scale, and duration of posttraumatic amnesia) had no relationship to the outcome. The results of TMT part B, however, were significantly correlated with employment outcome in both the early and later assessments (P = 0.01, 0.04). Given that TMT evaluates visual attention, we surmise that a lack of attention may be the core symptom of the cognitive deficit and cause the re-employment failure in patients with DAI. TMT part B in both early and later assessments has the potential to accurately predict chronic functional outcome.

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Section: Discussionsupporting

confidence: 47%

Correlations between Cognitive Impairments and Employment Status in Patients with Diffuse Axonal Injury

Hirota

Inaji

Nariai

et al. 2017

Neurol. Med. Chir.(Tokyo)

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“…12,27,32–34,55 However, this study adds to the literature by better elucidating the association of metacognitive and behavior regulation ratings of EF with impaired functioning in a large cohort of adolescents who sustained a moderate or severe TBI. In agreement with other research, 16,17,25 our findings also indicate that ratings of EF are associated with functioning globally and across various settings.…”

Section: Discussionmentioning

confidence: 96%

Association of Parent Ratings of Executive Function With Global- and Setting-Specific Behavioral Impairment After Adolescent Traumatic Brain Injury

Kurowski

Wade

Kirkwood

et al. 2013

Archives of Physical Medicine and Rehabilitation

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Objective To determine the association of primary caregiver-rated behavioral and metacognitive aspects of executive function (EF) with impaired functioning after adolescent traumatic brain injury (TBI). Design Multicenter cross-sectional study. Setting Outpatient. Participants Primary caregivers and children (N = 132) aged 12 to 17 years who sustained a moderate or severe TBI within the past 1 to 6 months. Interventions Not applicable. Main Outcome Measures Primary caregiver ratings of EF, tests of memory and processing speed (PS), and a structured parent interview to assess clinical impairments in behavioral functioning were used. Logistic regression was used to examine the relation of ratings of EF with clinical ratings of impairment in global adolescent functioning and in functioning in the home, school, and community settings after controlling for sex, race, socioeconomic status, injury severity, and performance on the tests of memory and PS. Results Caregiver ratings of poor EF were associated with impairment in both global behavioral functioning (odds ratio [OR] = 4.73; 95% confidence interval [CI], 1.54–14.52; P<.01) and community functioning (OR = 13.28; 95% CI, 1.94–90.87; P<.01). Conclusions Caregiver ratings of deficits in EF were associated with impaired behavioral functioning after adolescent TBI and were independent of performance on tests of memory and processing speed. Understanding the relation of EF with clinical impairments as manifested in different settings will help hone assessment batteries and focus treatments where they are needed most.

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“…For example, Sherer et al [9] provided patients with TBI with cognitive assessments after they overcame post-traumatic amnesia and found that a combination of tests measuring dual performance, speed of performance and memory predicted whether or not patients returned to work. Ryu et al [10] administered cognitive assessments during inpatient rehabilitation and found that tests measuring attention and visual perception discriminate patients with TBI based on post-injury employment outcome.…”

Section: Introductionmentioning

confidence: 99%

Early neuropsychological tests as correlates of return to driving after traumatic brain injury

2013

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Early neuropsychological tests as correlates of productivity 1 year after traumatic brain injury: a preliminary matched case–control study

Cited by 11 publications

References 14 publications

Correlations between Cognitive Impairments and Employment Status in Patients with Diffuse Axonal Injury

Correlations between Cognitive Impairments and Employment Status in Patients with Diffuse Axonal Injury

Association of Parent Ratings of Executive Function With Global- and Setting-Specific Behavioral Impairment After Adolescent Traumatic Brain Injury

Early neuropsychological tests as correlates of return to driving after traumatic brain injury

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