Format

Send to

Choose Destination
J Head Trauma Rehabil. 2014 Jan-Feb;29(1):99-107. doi: 10.1097/HTR.0b013e318294dd37.

The Rehabilitation Institute of Chicago Military Traumatic Brain Injury Screening Instrument: determination of sensitivity, specificity, and predictive value.

Author information

1
Memory and Cognitive Disorders Program, Department of Neurology, NorthShore University Health System, Glenview, Illinois (Dr Zollman); Rehabilitation Institute of Chicago, Chicago, Illinois (Mss Starr and Kondiles and Dr Larson); Rehabilitation Services, National Intrepid Center of Excellence, Bethesda, Maryland (Dr Cyborski); and Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (Dr Larson).

Abstract

BACKGROUND:

Traumatic brain injury (TBI) is referred to as the signature injury of the wars in Iraq and Afghanistan. Given the prevalence of TBI in military personnel, there is a need for validated instruments tailored to accurately screen for TBI in this population.

METHODS:

Three hundred service members or veterans underwent a novel screen and a comprehensive diagnostic assessment to identify the occurrence of TBI and/or the presence of posttraumatic stress disorder. Negative predictive value, positive predictive value, sensitivity, and specificity were calculated.

RESULTS:

This screening tool for TBI yielded sensitivity of 96%, specificity of 64%, negative predictive value of 95%, and positive predictive value of 69%.

CONCLUSION:

The Rehabilitation Institute of Chicago Military Traumatic Brain Injury Screening Instrument has a high negative predictive value and high sensitivity for TBI. This tool identifies individuals likely to have sustained a TBI. Moreover, it detects those who are likely not to have sustained such an injury and can be reassured in this regard. Because such distinction can be made with a high degree of accuracy in rapid and cost-effective fashion, it represents an important contribution to the armamentarium of TBI screening tools.

PMID:
23756432
DOI:
10.1097/HTR.0b013e318294dd37
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wolters Kluwer
Loading ...
Support Center