Evaluating the utility of ICD-10 diagnostic criteria for postconcussion syndrome following mild traumatic brain injury

The present study investigated the utility of the International Classification of Diseases and Related Health Problems, 10th edition (ICD-10) diagnostic criteria for postconcussion syndrome (PCS) symptoms by comparing symptom endorsement rates in a group of patients with mild traumatic brain injury...

Full description

Saved in:
Bibliographic Details
Published in:Journal of the International Neuropsychological Society 2006-01, Vol.12 (1), p.111-118
Main Authors: KASHLUBA, SHAUNA, CASEY, JOSEPH E., PANIAK, CHRIS
Format: Article
Language:English
Subjects:
Accuracy
Adult
Brain damage
Brain Injuries - complications
Brain Injuries - psychology
Control group
Diagnostic criteria
Female
Follow-up
Follow-Up Studies
Head injuries
Humans
Investigations
Longitudinal
Male
Neuropsychological Tests
Patients
Post-Concussion Syndrome - diagnosis
Post-Concussion Syndrome - etiology
Post-Concussion Syndrome - psychology
Psychiatric Status Rating Scales
ROC Curve
Studies
Symptoms
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The present study investigated the utility of the International Classification of Diseases and Related Health Problems, 10th edition (ICD-10) diagnostic criteria for postconcussion syndrome (PCS) symptoms by comparing symptom endorsement rates in a group of patients with mild traumatic brain injury (MTBI) to those of a noninjured control group at one month and three months post-injury. The 110 MTBI patients and 118 control participants were group-matched on age, gender, and education level. Seven of the nine self-reported ICD-10 PCS symptoms differentiated the groups at one month post-injury and two symptoms differentiated the groups at three months post-injury: symptom endorsement rates were higher in the MTBI group at both time periods. Fatiguing quickly and dizziness/vertigo best differentiated the groups at both time periods, while depression and anxiety/tension failed to differentiate the groups at either time period. Collectively, the ICD-10 PCS symptoms accurately classified the MTBI patients at one month post-injury, with the optimal positive test threshold of endorsement of five symptoms coinciding with a sensitivity and specificity of 73% and 61%, respectively. The ICD-10 PCS symptoms were unable to accurately classify the MTBI patients at three months post-injury. (JINS, 2006, 12, 111–118.)
ISSN:1355-6177
1469-7661
DOI:10.1017/S1355617706060036