Coldren Rodney L, Kelly Mark P, Parish Robert V, Dretsch Michael, Russell Michael L
Uniformed Services University of the Health Sciences, Department of Preventive Medicine and Biometrics, 4301 Jones Bridge Road, Bethesda, MD 20814, USA.
Mil Med. 2010 Jul;175(7):477-81. doi: 10.7205/milmed-d-09-00258.
The diagnosis and management of concussion can be difficult in a combat environment, especially in the absence of loss of consciousness or post-traumatic amnesia. As no validated test exists to diagnose or grade neurocognitive impairment from a concussion, the military currently employs the Military Acute Concussion Evaluation (MACE) in Iraq. This is a two-part test, which incorporates the standardized assessment of concussion (SAC) as its objective score, although it has not been shown to be valid unless administered shortly after injury. A research team deployed to Iraq between January and April 2009 to examine the validity of several tests of neurocognitive function following a concussion, including the MACE. When administered more than 12 hours after the concussive injury, the MACE lacked sufficient sensitivity and specificity to be clinically useful.
在战斗环境中，脑震荡的诊断和处理可能具有挑战性，尤其是在没有意识丧失或创伤后遗忘症的情况下。由于目前尚无经过验证的测试来诊断或分级脑震荡引起的神经认知障碍，美军目前在伊拉克采用军事急性脑震荡评估（MACE）。这是一个分为两部分的测试，它将脑震荡标准化评估（SAC）作为其客观评分，不过，除非在受伤后不久进行，否则其有效性尚未得到证实。一个研究团队于2009年1月至4月被部署到伊拉克，以检验包括MACE在内的几种脑震荡后神经认知功能测试的有效性。当在脑震荡损伤12小时后进行测试时，MACE缺乏足够的敏感性和特异性，因此在临床上没有用处。
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