The performance of hospitalized, non head-injured children on the Westmead PTA scale

Marosszeky, Nick; Batchelor, Jennifer; Shores, E. Arthur; Marosszeky, J. E.; Klein-boonschate, Mary Anne; Fahey, Paul

doi:10.1080/13854049308401890

Cited by 29 publications

(21 citation statements)

References 18 publications

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“…Only three scales have been validated for use with school‐age (8–18y) children. The PTA scale originally developed for adults, WPTAS, has been found to be appropriate for use with children aged between 8 years and 16 years . The scale contains 12 items: seven orientation and five anterograde memory items.…”

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confidence: 99%

Duration of post‐traumatic amnesia as a predictor of functional outcome in school‐age children: a systematic review

Briggs

Brookes

Tate

et al. 2015

Develop Med Child Neuro

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Aim In adults, duration of post‐traumatic amnesia (PTA) is a powerful early predictor of functional outcomes in traumatic brain injury. The aim of this work was to assess the predictive validity of PTA duration for outcomes in children (6–18y). Method PsycINFO, MEDLINE, Web of Science, and Embase were searched for papers published to January 2014. Ten studies met inclusion criteria: they used standardized instruments to assess PTA and functional outcomes, and examined relationships between the two. Outcomes were classified according to (1) the International Classification of Functioning, Disability and Health (ICF) core sets for neurological conditions for post‐acute care and (2) global functioning and quality of life. Methodological quality was rated for each study. Results The search identified 10 studies of moderate mean quality (M=11.8 out of 18). Longer PTA duration related to worse functional outcomes: global functioning and in the two ICF categories (‘body function’, ‘activities and participation’). Relationships between PTA duration and quality of life and the ICF category of ‘body structure’ were not examined. PTA duration was, in 46 out of 60 (76.67%) instances, a stronger predictor of outcomes than other indices of injury severity. Conclusion Longer PTA duration is a valid predictor of worse outcomes in school‐age children. Thus, PTA should be routinely assessed in children after traumatic brain injury.

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mentioning

confidence: 99%

Duration of post‐traumatic amnesia as a predictor of functional outcome in school‐age children: a systematic review

Briggs

Brookes

Tate

et al. 2015

Develop Med Child Neuro

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“…The WPTAS was normed on hospitalized children who had not suffered a head injury (Marosszeky et al, 1993) and was found to be suitable for children ≥ 8 years of age in that 94% of these children met the WPTAS pass criteria. The duration of PTA measured by the WPTAS was found to be related (Kendall's Tau = −.32) to the functional outcome in children at discharge (Calvert et al, 2008).…”

Section: Main Measurementioning

confidence: 99%

“…To our knowledge, this is the first study to provide evidence that the WPTAS scores are developmentally invariant in children aged 8 years and older who have sustained TBI. The only other study that has examined the relationship between WPTAS responses and children's chronological age was carried out with pediatric in-patients with non-neurological injuries (Marosszeky et al, 1993). The length of time to regain functions could not, therefore, be measured as participants' cognitive skills were not compromised.…”

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confidence: 99%

“…The WPTAS was first developed for use in adults and subsequently validated on a sample of hospitalized children without head injuries and found to be developmentally appropriate for children aged 8 to 16 years (Marosszeky et al, 1993). The scale contains 12 items that assess (i) orientation (to person, place and time) and (ii) continuous (episodic) memory for new events (measured through memory for pictures of everyday objects and memory for the examiner's name).…”

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confidence: 99%

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Natural sequence of recovery from child post-traumatic amnesia: A retrospective cohort study

Briggs

Birse

Tate

et al. 2015

Child Neuropsychology

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Fifty children aged 8 to 15 years consecutively admitted to a children's hospital with TBI and PTA>24 were tested in a retrospective cohort study where the main measure was the Westmead PTA Scale (WPTAS). The group analyses show that orientation to time took longer to recover than orientation to person and place, but not memory, while the individual analyses revealed that when orientation to time was grouped with memory, 94% of children recovered orientation to person and place before orientation to time and memory (examiner and pictures). Correlation coefficients between age and the number of days taken to recover skills were not found to be significant. It was established that, in terms of the natural sequence of skills recovery in children aged 8 to 15 years following moderate to severe TBI, recovery of orientation to time is more closely aligned to memory than to orientation to person and place. It was also established that WPTAS items are developmentally appropriate for children aged 8 to 15 years who have sustained TBI. These findings are clinically important because monitoring recovery from PTA both impacts the rehabilitation offered to individuals during acute care and aids discharge planning.

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“…Table 1 provides demographic and injury details of the subjects allocated to the Injury and Study interventions. All subjects sustained severe degrees of TBI, as measured by duration of post-traumatic amnesia (PTA), using the Westmead PTA Scale (Shores, Marosszeky, Sandanam & Batchelor, 1986;Marosszeky et al, 1993). For the 19 subjects with available data on PTA, the duration ranged from 8 to 140 days, placing all subjects in the Very Severe injury range using the Russell and Smith (1961) criteria.…”

Section: Subjectsmentioning

confidence: 99%

Does Information and Feedback Improve Children's Knowledge and Awareness of Deficits after Traumatic Brain Injury?

Beardmore¹

1999

Neuropsychological Rehabilitation

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The performance of hospitalized, non head-injured children on the Westmead PTA scale

Cited by 29 publications

References 18 publications

Duration of post‐traumatic amnesia as a predictor of functional outcome in school‐age children: a systematic review

Duration of post‐traumatic amnesia as a predictor of functional outcome in school‐age children: a systematic review

Natural sequence of recovery from child post-traumatic amnesia: A retrospective cohort study

Does Information and Feedback Improve Children's Knowledge and Awareness of Deficits after Traumatic Brain Injury?

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