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Prediction of global outcome with acute neuropsychological testing following closed-head injury

Published online by Cambridge University Press:  01 October 2004

NICHOLAS J. PASTOREK ,
H. JULIA HANNAY  and
CHARLES S. CONTANT
NICHOLAS J. PASTOREK
Affiliation:
Department of Psychology, University of Houston, Houston, Texas
H. JULIA HANNAY
Affiliation:
Department of Psychology, University of Houston, Houston, Texas Department of Neurosurgery, Baylor College of Medicine, Houston, Texas
CHARLES S. CONTANT
Affiliation:
Department of Neurosurgery, Baylor College of Medicine, Houston, Texas
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Abstract

Delaying assessment until emergence from post-traumatic amnesia increases completion rates, but this practice causes variable time delays from the date of injury to testing, which can complicate the interpretation of research findings. In the current study, the performance of 105 head injury survivors on simple tests of language comprehension and attention was used to predict global outcome. It was hypothesized that 1 month performance on these measures would aid in the prediction of Disability Rating Scale (DRS) and Glasgow Outcome Scale (GOS) scores collected at 6 months post injury. Only raw scores on the modified Test of Complex Ideational Material accounted for a significant amount of the variance in DRS scores (4.4%) above that accounted for by age, education, Glasgow Coma Scale score, and pupil response. However, testability at 1 month post injury on all four tests consistently accounted for a larger portion of the variance in DRS scores (10.1–13.2%) and significantly improved prediction of GOS scores. Galveston Orientation and Amnesia Test scores collected at 1 month post injury accounted for substantially less variance in DRS scores (7.7–8.4%). Neuropsychological data, including the testability of patients, collected uniformly at 1 month following injury can contribute to the prediction of global outcome. (JINS, 2004, 10, 807–817.)

Keywords

Closed-head injuryAssessmentOutcome
Type
Research Article
Information
Journal of the International Neuropsychological Society , Volume 10 , Issue 6 , October 2004 , pp. 807 - 817
Copyright
© 2004 The International Neuropsychological Society

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