de Guise Elaine, Gosselin Nadia, Leblanc Joanne, Champoux Marie-Claude, Couturier Céline, Lamoureux Julie, Dagher Jehane, Marcoux Judith, Maleki Mohammed, Feyz Mitra
Traumatic Brain Injury Program, McGill University Health Center and Department of Neurology and Neurosurgery, McGill University, Montreal, Quebec, Canada.
Appl Neuropsychol. 2011 Jul;18(3):179-90. doi: 10.1080/09084282.2011.595444.
The aim of this study was to compare the performances of patients with mild, moderate, and severe traumatic brain injury (TBI) on the Clock Drawing Test (CDT), the Mini-Mental State Examination (MMSE), and neuropsychological measures as well as to correlate these measures with outcome assessed by the Extended Glasgow Outcome Score. This study was conducted in an acute care early rehabilitation setting on 102 patients with mild, 30 with moderate, and 30 with severe TBI. Patients with moderate and severe TBI showed more impairment on the CDT compared with those with mild TBI. Similar results were obtained for the MMSE, F ((2,159df)) = 3.789, p = .025. Finally, a receiver-operating characteristic analysis showed that the CDT and the Trail-Making Test-Part B (TMT-B) in combination have the potential for prediction of outcome in a TBI population. In conclusion, this combination of the CDT and the TMT-B seems to be useful for early assessment of TBI patients.
本研究的目的是比较轻度、中度和重度创伤性脑损伤（TBI）患者在画钟试验（CDT）、简易精神状态检查表（MMSE）及神经心理学测量方面的表现，并将这些测量结果与通过扩展格拉斯哥预后评分评估的预后进行关联。本研究在急性护理早期康复环境中对102例轻度TBI患者、30例中度TBI患者和30例重度TBI患者进行。与轻度TBI患者相比，中度和重度TBI患者在CDT上表现出更多损伤。MMSE也得到了类似结果，F（（2,159df））=3.789，p=0.025。最后，一项受试者工作特征分析表明，CDT和连线测验B部分（TMT-B）相结合有预测TBI人群预后的潜力。总之，CDT和TMT-B的这种组合似乎对TBI患者的早期评估有用。
