Diagnostic criteria for postconcussional syndrome after mild to moderate traumatic brain injury
Diagnostic criteria for postconcussional syndrome after mild to moderate traumatic brain injury
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DOI：
10.1176/appi.neuropsych.17.3.350
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发表时间：
2005-06-01
影响因子：
2.9
通讯作者：
Diaz-Marchan, PJ
中科院分区：
文献类型：
--
作者：
Boake, C;McCauley, SR;Diaz-Marchan, PJ
本研究评估了178例轻中度创伤性脑损伤（TBI）和104例颅外创伤患者脑震荡后综合征（PCS）诊断标准的患病率和特异性。在伤后3个月对PCS的诊断和统计手册第四版（DSM-IV）和国际疾病分类（ICD-10）标准进行评估。结果表明，采用ICD-10诊断PCS的患病率（64%）高于DSM-IV诊断标准（U M）。TBI的特异性有限，因为颅外创伤患者通常符合PCS标准。作者得出结论，在常规采用DSM-IV和ICD-10标准之前，需要进一步完善PCS标准。
This study evaluated the prevalence and specificity of diagnostic criteria for postconcussional syndrome (PCS) in 178 adults with mild to moderate traumatic brain injury (TBI) and 104 with extracranial trauma. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) and International Classification of Diseases (ICD-10) criteria for PCS were evaluated 3 months after injury. The results showed that prevalence of PCS was higher using ICD-10 (64%) than DSM-IV criteria U M. Specificity to TBI was limited because PCS criteria were often fulfilled by patients with extracranial trauma. The authors conclude that further refinement of the DSM-IV and ICD-10 criteria for PCS is needed before these criteria are routinely employed.