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首页> 外文期刊>Brain injury: BI >Identifying children and adolescents with cognitive dysfunction following mild traumatic brain injury--preliminary findings on abbreviated neuropsychological testing.
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Identifying children and adolescents with cognitive dysfunction following mild traumatic brain injury--preliminary findings on abbreviated neuropsychological testing.

机译：识别轻度脑外伤后认知功能障碍的儿童和青少年-简短的神经心理学测试的初步发现。

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OBJECTIVE: Studies on cognitive function in paediatric patients suffering head trauma suggest neuropsychological impairment even after mild traumatic brain injury (MTBI). The present study examined the feasibility of abbreviated neuropsychological testing in different settings in children and adolescents following MTBI. METHODS: Within the scope of two prospective studies on psychosocial and cognitive outcome, 71 school-aged children with mild, moderate or severe TBI were assessed. In addition, 15 healthy children were included in the study. The abbreviated instrument comprises three standardized tests measuring attention and memory functions (Digit Symbol, Digit Span, learning trials of the German Auditory Verbal Learning Test). Impairment rates were calculated according to a defined cut-off score for clinically significant cognitive impairment. RESULTS: Abbreviated testing could easily be implemented both in the acute and post-acute clinical setting. Out of the children with MTBI, 12% (shortly after injury) and 30% (2 months after injury), respectively, were classified as cognitively impaired. Following moderate or severe TBI, impairment occurred in 50% of the patients. Healthy children showed the best performance, while children with severe TBI performed worst. CONCLUSION: Results suggest that abbreviated testing allows detection of MTBI-related cognitive dysfunction. Identified children should be referred to a clinical neuropsychologist for comprehensive assessment.
机译：目的：对患颅脑外伤的小儿认知功能的研究表明，即使在轻度颅脑外伤（MTBI）之后，神经心理损害也存在。本研究检查了MTBI后儿童和青少年在不同情况下进行简短的神经心理学测试的可行性。方法：在两项关于社会心理和认知结果的前瞻性研究的范围内，评估了71名轻度，中度或重度TBI的学龄儿童。此外，该研究还包括了15名健康儿童。缩写的仪器包括三个测量注意力和记忆功能的标准化测试（数字符号，数字跨度，德国听觉语言学习测试的学习试验）。根据临床上明显的认知障碍的定义的临界值计算出减损率。结果：在急性和急性后临床环境中都可以轻松进行简短测试。在MTBI患儿中，分别有12％（受伤后不久）和30％（受伤后2个月）被归类为认知障碍。中度或重度TBI后，有50％的患者发生了损伤。健康的孩子表现最好，而患有严重TBI的孩子表现最差。结论：结果表明，简化的测试可以检测MTBI相关的认知功能障碍。确定的儿童应转介给临床神经心理学家进行全面评估。

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