Correspondence of the Boston Assessment of Traumatic Brain Injury-Lifetime and the VA Comprehensive TBI Evaluation.
Correspondence of the Boston Assessment of Traumatic Brain Injury-Lifetime and the VA Comprehensive TBI Evaluation.
复制标题
DOI：
10.1097/htr.0000000000000361
复制
发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Fortier CB
中科院分区：
文献类型：
--
作者：
Radigan LJ;McGlinchey RE;Milberg WP;Fortier CB
比较使用波士顿TBI寿命评估（BAT-L）（一种用于在研究中识别TBI的经验证的法医临床访谈）对轻度创伤性脑损伤（mTBI）的阳性与阴性诊断，以及使用综合TBI评估（CTBIE）在临床多发伤服务中对mTBI的诊断。入组TRACTS纵向队列研究并在退伍军人健康管理局（VHA）医疗机构接受CTBIE的OEF/OIF/OND退伍军人（n=104）。BAT-L、CTBIE、神经行为症状量表。BAT-L和CTBIE mTBI诊断之间的对应性较差（kappa=0.283）。二级评价显示相对于BAT-L的敏感性中等，但特异性较差。该协议并没有改善后，删除个人谁没有症状有效性措施，评估的有效性10规模的NSI。这种缺乏对应性突出了使用回顾性自我报告诊断退伍军人mTBI的困难。未来的工作需要建立一个可靠和有效的方法来识别军事mTBI既为我们的退伍军人的照顾和适当的利益分配。
To compare the diagnosis of positive versus negative for mild traumatic brain injury (mTBI) using the Boston Assessment of TBI-Lifetime (BAT-L), a validated forensic clinical interview used to identify TBI in research, to the diagnosis of mTBI in the clinical Polytrauma Service using the Comprehensive TBI Evaluation (CTBIE). OEF/OIF/OND Veterans who were enrolled in the TRACTS longitudinal cohort study and received a CTBIE at a Veterans Health Administration (VHA) healthcare facility (n=104). BAT-L, CTBIE, Neurobehavioral Symptom Inventory. There was poor correspondence between the BAT-L and CTBIE mTBI diagnoses (kappa=0.283). The Second Level Evaluation showed moderate sensitivity but poor specificity relative to the BAT-L. The agreement did not improve after removing individuals who had failed symptom validity measures, as assessed by the Validity 10 scale of the NSI. This lack of correspondence highlights the difficulties in diagnosing mTBI in Veterans using retrospective self-report. Future work is needed to establish a reliable and valid method for identifying military mTBI both for the care of our Veterans and for appropriate distribution of benefits.