Concordance of common data elements for assessment of subjective cognitive complaints after mild-traumatic brain injury: a TRACK-TBI Pilot Study

ABSTRACT Objective: To determine characteristics and concordance of subjective cognitive complaints (SCCs) 6 months following mild-traumatic brain injury (mTBI) as assessed by two different TBI common data elements (CDEs). Research design: The Transforming Research and Clinical Knowledge in Traumatic Brain Injury (TRACK-TBI) Pilot Study was a prospective observational study that utilized the NIH TBI CDEs, Version 1.0. We examined variables associated with SCC, performance on objective cognitive tests (Wechsler Adult Intelligence Scale, California Verbal Learning Test, and Trail Making Tests A and B), and agreement on self-report of SCCs as assessed by the acute concussion evaluation (ACE) versus the Rivermead Post Concussion Symptoms Questionnaire (RPQ). Results: In total, 68% of 227 participants endorsed SCCs at 6 months. Factors associated with SCC included less education, psychiatric history, and being assaulted. Compared to participants without SCC, those with SCC defined by RPQ performed significantly worse on all cognitive tests. There was moderate agreement between the two measures of SCCs (kappa = 0.567 to 0.680). Conclusion: We show that the symptom questionnaires ACE and RPQ show good, but not excellent, agreement for SCCs in an mTBI study population. Our results support the retention of RPQ as a basic CDE for mTBI research. Abbreviations: BSI-18: Brief Symptom Inventory; 18CDEs: common data elements; CT: computed tomography; CVLT: California Verbal Learning Test; ED: emergency department; GCS: Glasgow coma scale; LOC: loss of consciousnessm; TBI: mild-traumatic brain injury; PTA: post-traumatic amnesia; SCC: subjective cognitive complaints; TBI: traumatic brain injury; TRACK-TBI: Transforming Research and Clinical Knowledge in Traumatic Brain Injury; TMT: Trail Making Test; WAIS-PSI: Wechsler Adult Intelligence Scale, Fourth Edition, Processing Speed Index

[1]  Hester F. Lingsma,et al.  Development of a Prediction Model for Post-Concussive Symptoms following Mild Traumatic Brain Injury: A TRACK-TBI Pilot Study. , 2017, Journal of neurotrauma.

[2]  Likang Xu,et al.  Traumatic Brain Injury–Related Emergency Department Visits, Hospitalizations, and Deaths — United States, 2007 and 2013 , 2017, Morbidity and mortality weekly report. Surveillance summaries.

[3]  W. Kop,et al.  The role of objective cognitive dysfunction in subjective cognitive complaints after stroke , 2017, European journal of neurology.

[4]  D. Delis,et al.  The California verbal learning test , 2016 .

[5]  J. Lamoureux,et al.  Usefulness of the rivermead postconcussion symptoms questionnaire and the trail-making test for outcome prediction in patients with mild traumatic brain injury , 2016, Applied neuropsychology. Adult.

[6]  Amanda R. Rabinowitz,et al.  A pilot investigation of the Motivation Behaviors Checklist (MBC): An observational rating scale of effort towards testing for baseline sports-concussion assessment , 2016, Journal of clinical and experimental neuropsychology.

[7]  I. White,et al.  Follow-up issues in children with mild traumatic brain injuries. , 2016, Journal of neurosurgery. Pediatrics.

[8]  R. Galioto,et al.  Subjective cognitive complaints versus objective neuropsychological performance in older adults with epilepsy , 2015, Epilepsy & Behavior.

[9]  L. C. Davis,et al.  Factors Associated with Word Memory Test Performance in Persons with Medically Documented Traumatic Brain Injury , 2015, The Clinical neuropsychologist.

[10]  G. Iverson,et al.  Systematic review of multivariable prognostic models for mild traumatic brain injury. , 2015, Journal of neurotrauma.

[11]  E. Hay-Smith,et al.  The contribution of psychological factors to recovery after mild traumatic brain injury: Is cluster analysis a useful approach? , 2015, Brain injury.

[12]  G. Iverson,et al.  Advanced topics in neuropsychological assessment following sport-related concussion , 2015, Brain injury.

[13]  E. Bigler.  Effort, symptom validity testing, performance validity testing and traumatic brain injury , 2014, Brain injury.

[14]  K. Peters,et al.  Who gets post-concussion syndrome? An emergency department-based prospective analysis , 2014, International Journal of Emergency Medicine.

[15]  M. T. Pellecchia,et al.  Do Subjective Memory Complaints Herald the Onset of Mild Cognitive Impairment in Parkinson Disease? , 2014, Journal of geriatric psychiatry and neurology.

[16]  G. Gioia,et al.  Use of Modified Acute Concussion Evaluation Tools in the Emergency Department , 2014, Pediatrics.

[17]  E. Bigler,et al.  Contribution of psychological trauma to outcomes after traumatic brain injury: assaults versus sporting injuries. , 2014, Journal of neurotrauma.

[18]  G. Manley,et al.  Progress in developing common data elements for traumatic brain injury research: version two--the end of the beginning. , 2013, Journal of neurotrauma.

[19]  Hester F. Lingsma,et al.  Transforming research and clinical knowledge in traumatic brain injury pilot: multicenter implementation of the common data elements for traumatic brain injury. , 2013, Journal of neurotrauma.

[20]  U. Björnstig,et al.  Long-term follow-up of patients with mild traumatic brain injury: a mixed-method study. , 2013, Journal of rehabilitation medicine.

[21]  Timothy F Chen,et al.  Interrater agreement and interrater reliability: key concepts, approaches, and applications. , 2013, Research in social & administrative pharmacy : RSAP.

[22]  J. Silver.  Effort, exaggeration and malingering after concussion , 2012, Journal of Neurology, Neurosurgery & Psychiatry.

[23]  Hester F. Lingsma,et al.  Prognostic Value of Major Extracranial Injury in Traumatic Brain Injury: An Individual Patient Data Meta-analysis in 39 274 Patients , 2012, Neurosurgery.

[24]  R. Ruff,et al.  Comparison of subjective cognitive complaints with neuropsychological tests in individuals with mild vs more severe traumatic brain injuries , 2012, Brain injury.

[25]  K. Mogg,et al.  When a minor head injury results in enduring symptoms: a prospective investigation of risk factors for postconcussional syndrome after mild traumatic brain injury , 2011, Journal of Neurology, Neurosurgery & Psychiatry.

[26]  R. Villemure,et al.  Self-reported symptoms during post-mild traumatic brain injury in acute phase: Influence of interviewing method , 2011, Brain injury.

[27]  J. Giacino,et al.  Recommendations for the use of common outcome measures in traumatic brain injury research. , 2010, Archives of physical medicine and rehabilitation.

[28]  Henry L. Lew,et al.  Common data elements for traumatic brain injury: recommendations from the interagency working group on demographics and clinical assessment. , 2010, Archives of physical medicine and rehabilitation.

[29]  G. Iverson,et al.  Post-concussion symptom reporting and the "good-old-days" bias following mild traumatic brain injury. , 2010, Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists.

[30]  M. Wald,et al.  Traumatic brain injury in the United States; emergency department visits, hospitalizations, and deaths, 2002-2006 , 2010 .

[31]  R. Hanks,et al.  Brain injury severity, litigation status, and self-report of postconcussive symptoms , 2008, The Clinical neuropsychologist.

[32]  G. Gioia,et al.  Improving Identification and Diagnosis of Mild Traumatic Brain Injury With Evidence: Psychometric Support for the Acute Concussion Evaluation , 2008, The Journal of head trauma rehabilitation.

[33]  J. Batchelor,et al.  The diagnostic accuracy of the Revised Westmead PTA Scale as an adjunct to the Glasgow Coma Scale in the early identification of cognitive impairment in patients with mild traumatic brain injury , 2008, Journal of Neurology, Neurosurgery, and Psychiatry.

[34]  G. Bleijenberg,et al.  Cognitive complaints after mild traumatic brain injury: things are not always what they seem. , 2007, Journal of psychosomatic research.

[35]  J. Corrigan,et al.  Initial Reliability and Validity of the Ohio State University TBI Identification Method , 2007, The journal of head trauma rehabilitation.

[36]  A. Feinstein,et al.  The effect of major depression on subjective and objective cognitive deficits in mild to moderate traumatic brain injury. , 2006, The Journal of neuropsychiatry and clinical neurosciences.

[37]  N. Gray,et al.  Utility of Glasgow Coma Scale-Extended in symptom prediction following mild traumatic brain injury , 2006, Brain injury.

[38]  Alan Tennant,et al.  Construct validity and reliability of the Rivermead Post-Concussion Symptoms Questionnaire , 2005, Clinical rehabilitation.

[39]  R. Wood.  Understanding the 'miserable minority': a diasthesis-stress paradigm for post-concussional syndrome. , 2004, Brain injury.

[40]  E. Stip,et al.  Self-assessed cognitive dysfunction and objective performance in outpatients with schizophrenia participating in a rehabilitation program , 2004, Schizophrenia Research.

[41]  J. Suhr,et al.  Cognitive factors in Postconcussion Syndrome symptom report. , 2004, Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists.

[42]  J. Borg,et al.  Prognosis for mild traumatic brain injury: results of the WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury. , 2004, Journal of rehabilitation medicine.

[43]  R. Hanks,et al.  Etiology of traumatic brain injury: characterization of differential outcomes up to 1 year postinjury. , 2003, Archives of physical medicine and rehabilitation.

[44]  D. Wade,et al.  The Rivermead Post Concussion Symptoms Questionnaire: a measure of symptoms commonly experienced after head injury and its reliability , 1995, Journal of Neurology.

[45]  P. Yeoman,et al.  The abbreviated injury scale as a predictor of outcome of severe head injury , 1995, Intensive Care Medicine.

[46]  D. Gronwall,et al.  Delayed recovery of intellectual function after minor head injury. , 1974, Lancet.

[47]  W. Haddon,et al.  The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. , 1974, The Journal of trauma.

[48]  J. Ghajar,et al.  Clinical policy: neuroimaging and decisionmaking in adult mild traumatic brain injury in the acute setting. , 2008, Annals of emergency medicine.

[49]  J. Langlois,et al.  Traumatic brain injury in the United States; emergency department visits, hospitalizations, and deaths , 2006 .

[50]  R. Ruff,et al.  Miserable minority: emotional risk factors that influence the outcome of a mild traumatic brain injury. , 1996, Brain injury.