The Galveston Orientation and Amnesia Test: A Practical Scale to Assess Cognition after Head Injury
The Galveston Orientation and Amnesia Test: A Practical Scale to Assess Cognition after Head Injury
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加尔维斯顿取向和遗忘测试：评估头部受伤后认知能力的实用量表
DOI：
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发表时间：
1979
影响因子：
1.9
通讯作者：
R. Grossman
中科院分区：
文献类型：
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作者：
H. Levin;V. M. O'Donnell;R. Grossman
本研究开发了加尔维斯顿定向和定向障碍测验（GOAT），用于评价闭合性颅脑损伤亚急性恢复期的认知功能。这个实用的量表测量对人、地点和时间的定向，以及对受伤前后事件的记忆。50例轻度闭合性脑损伤患者的测试分数分布用于定义性能变化范围，并分析人口统计学因素的影响。在52例闭合性颅脑损伤患者的有效性研究中，受损GOAT评分的持续时间与格拉斯哥戈马量表上的眼开放、运动反应和言语反应的急性神经外科评分密切相关。创伤后健忘症的持续时间，定义为持续存在的缺陷GOAT评分，是较长的计算机断层扫描证据弥漫性或双侧脑损伤的患者相比，局灶性单侧病变的情况下。系列GOAT评分也可预测长期恢复水平。简短的认知测试文献的审查披露，几种技术有足够的有效性数据证实其用于老年痴呆症的检测，精神病，和医疗人群。各种简短的认知测试的临床应用的建议进行了讨论。
The Galveston Orientation and Amnesia Test (GOAT) was developed to evaluate cognition serially during the subacute stage of recovery from closed head injury. This practical scale measures orientation to person, place, and time, and memory for events preceding and following the injury. The distribution of test scores in 50 patients who had recovered from a mild closed head injury was used to define the range of variation in performance and to analyze the effects of demographic factors. In a validity study of 52 closed head-injured patients, the duration of impaired GOAT scores was strongly related to the acute neurosurgical ratings of eye opening, motor responding, and verbal responding on the Glasgow Goma Scale. Duration of post-traumatic amnesia, as defined by the persistence of defective GOAT scores, was longer in patients with computed tomographic evidence of diffuse or bilateral brain injury as compared to cases with focal unilateral lesions. Serial GOAT scores were also predictive of long term level of recovery. Review of the brief cognitive test literature disclosed that several techniques have adequate validity data substantiating their use in the detection of dementia in geriatric, psychiatric, and medical populations. Recommendations for the clinical application of the various brief cognitive tests are discussed.