GALVESTON ORIENTATION AND AMNESIA TEST - PRACTICAL SCALE TO ASSESS COGNITION AFTER HEAD-INJURY
GALVESTON ORIENTATION AND AMNESIA TEST - PRACTICAL SCALE TO ASSESS COGNITION AFTER HEAD-INJURY
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DOI：
10.1097/00005053-197911000-00004
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发表时间：
1979-01-01
影响因子：
1.9
通讯作者：
GROSSMAN, RG
中科院分区：
文献类型：
--
作者：
LEVIN, HS;ODONNELL, VM;GROSSMAN, RG
加尔维斯顿定向和遗忘测试（GOAT）的开发是为了连续评估闭合性颅脑损伤亚急性恢复阶段的认知能力。该实用量表测量对人、地点和时间的定向，以及对受伤前后事件的记忆。使用 50 名从轻度闭合性头部损伤中恢复的患者的测试分数分布来定义表现的变化范围并分析人口因素的影响。在一项针对 52 名闭合性头部受伤患者的有效性研究中，GOAT 评分受损的持续时间与格拉斯哥昏迷量表上的睁眼、运动反应和言语反应的急性神经外科评级密切相关。与局灶性单侧脑损伤的患者相比，计算机断层扫描证据显示弥漫性或双侧脑损伤的患者的创伤后遗忘症持续时间（定义为 GOAT 评分缺陷的持续存在）更长。系列 GOAT 评分也可预测长期恢复水平。对简短认知测试文献的回顾表明，几种技术具有足够的有效性数据，证实它们在老年人、精神病学和医学人群痴呆症检测中的应用。讨论了各种简短认知测试的临床应用建议。
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 Coma 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.