McKinlay Audrey, Corrigan John D, Bogner Jennifer A, Horwood L John
Melbourne School of Psychological Science, The University of Melbourne, Australia (Dr McKinlay); Department of Physical Medicine and Rehabilitation, The Ohio State University, Columbus (Drs Corrigan and Bogner); and Christchurch Health and Development Study, University of Otago, Christchurch, New Zealand (Mr Horwood).
J Head Trauma Rehabil. 2017 Nov/Dec;32(6):E24-E28. doi: 10.1097/HTR.0000000000000284.
To investigate the concordance between medically documented childhood traumatic brain injury (TBI) and recall of same by adults aged 35 years.
A total of 962 birth cohort members from the Christchurch Health and Development Study available at the 35-year follow-up.
Childhood TBI information prospectively collected yearly over ages 0 to 15 years as part of the Christchurch Health and Development Study. At age 35 years, cohort members were administered the Ohio State University TBI Identification Method (OSU TBI-ID) to elicit recall of TBIs with loss of consciousness (LOC).
Ninety-four individuals reported 116 TBI events. Twenty-five TBI events resulting in LOC, 17 (68%) were recalled (true positives) and 8 (32%) were not recalled (false negatives). LOC was incorrectly recalled for 56 events (false positives), but 868 individuals correctly recalled no TBI event (no LOC). A further 35 events were (correctly) recalled for which a TBI had been recorded but no LOC (true negatives; 91.8%).
We evaluated the utility of the OSU TBI-ID to identify adult recall of childhood TBI with LOC occurring 19 to 35 years earlier. Most of the cohort accurately reported whether or not they had experienced a medically attended TBI with LOC, indicating that a positive result from the OSU TBI-ID provides useful screening information.
调查医学记录的儿童创伤性脑损伤（TBI）与35岁成年人对其回忆之间的一致性。
来自克赖斯特彻奇健康与发展研究的962名出生队列成员，可进行35年随访。
作为克赖斯特彻奇健康与发展研究的一部分，前瞻性收集0至15岁儿童每年的TBI信息。在35岁时，对队列成员进行俄亥俄州立大学TBI识别方法（OSU TBI-ID）测试，以引出对伴有意识丧失（LOC）的TBI的回忆。
94人报告了116起TBI事件。25起导致LOC的TBI事件中，17起（68%）被回忆起来（真阳性），8起（32%）未被回忆起来（假阴性）。56起事件被错误回忆为有LOC（假阳性），但868人正确回忆起没有TBI事件（没有LOC）。另有35起事件被（正确）回忆起来，这些事件有TBI记录但没有LOC（真阴性；91.8%）。
我们评估了OSU TBI-ID在识别成年人对19至35年前发生的伴有LOC的儿童TBI的回忆方面的效用。大多数队列成员准确报告了他们是否经历过有医疗救治的伴有LOC的TBI，这表明OSU TBI-ID的阳性结果提供了有用的筛查信息。
