Sensitivity and Specificity of Subacute Computerized Neurocognitive Testing and Symptom Evaluation in Predicting Outcomes After Sports-Related Concussion
Sensitivity and Specificity of Subacute Computerized Neurocognitive Testing and Symptom Evaluation in Predicting Outcomes After Sports-Related Concussion
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DOI：
10.1177/0363546510392016
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发表时间：
2011-06-01
影响因子：
4.8
通讯作者：
Lovell, Mark R.
中科院分区：
文献类型：
--
作者：
Lau, Brian C.;Collins, Michael W.;Lovell, Mark R.
背景：每年约有136000名高中运动员受到脑震荡的影响。计算机化的神经认知测试已被证明在诊断脑震荡方面具有适当的敏感性和特异性，但尚未有研究评估其在预测恢复时间方面的效用。确定运动脑震荡亚急性恢复期间的预后将有助于临床医生更自信地处理重返比赛和学术决定。目的：量化计算机化神经认知测试结合运动相关脑震荡亚急性恢复期症状的预后能力。研究设计：队列研究（预后）；证据等级2。方法：总而言之，108名男性高中足球运动员在受伤后2.23天内完成了基于计算机的神经认知测试，并按照国际指导原则进行了随访，直到恢复比赛。运动员分为延长恢复期（14天；n = 50）和短期恢复期（14天）。
Background: Concussions affect an estimated 136 000 high school athletes yearly. Computerized neurocognitive testing has been shown to be appropriately sensitive and specific in diagnosing concussions, but no studies have assessed its utility to predict length of recovery. Determining prognosis during subacute recovery after sports concussion will help clinicians more confidently address return-to-play and academic decisions.Purpose: To quantify the prognostic ability of computerized neurocognitive testing in combination with symptoms during the subacute recovery phase from sports-related concussion.Study Design: Cohort study (prognosis); Level of evidence, 2.Methods: In sum, 108 male high school football athletes completed a computer-based neurocognitive test battery within 2.23 days of injury and were followed until returned to play as set by international guidelines. Athletes were grouped into protracted recovery (>14 days; n = 50) or short-recovery (