Neurosensory Screening and Symptom Provocation in Pediatric Mild Traumatic Brain Injury Article Swipe
Andrew R. Mayer
,
Christopher J. Wertz
,
Cidney R. Robertson‐Benta
,
Sharvani Pabbathi Reddy
,
David D. Stephenson
,
Andrew B. Dodd
,
Scott Oglesbee
,
Edward J. Bedrick
,
Christina L. Master
,
Mathew F. Grady
,
Nicholas A. Shaff
,
Faith M. Hanlon
,
Richard A. Campbell
,
J. P. Phillips
,
Roger Zemek
,
Keith Owen Yeates
,
Timothy B. Meier
,
Rebekah Mannix
,
John J. Leddy
,
Kristy B. Arbogast
,
Grace Park
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1097/htr.0000000000000560
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1097/htr.0000000000000560
Objective: To evaluate diagnostic/prognostic implications of neurosensory testing during the subacute stage in patients with pediatric mild traumatic brain injury (pmTBI). Setting: Recruitment from pediatric emergency department and urgent care clinics, assessment in a controlled environment. Participants: In total, 146 pmTBI patients evaluated 7.4 ± 2.3 days and approximately 4 months postinjury; 104 age/sex-matched healthy controls (HCs) at equivalent time points. Design: Prospective cohort study. Main Measures: Neurosensory examination based on sequence of 10 established tests of vestibular-ocular, oculomotor, vestibulospinal, and visual functioning. Results: The amount of symptom provocation (positive change from pretest symptomatology) was significantly increased in pmTBI relative to HCs on every subtest 1 week postinjury, as were deficits in monocular accommodative amplitude and King-Devick Test errors. However, symptom provocation did not meaningfully alter diagnostic sensitivity/specificity relative to more easily obtained pretest symptom ratings. Evidence of clinically significant symptom provocation 1 week postinjury improved sensitivity (Δ = +12.9%) of identifying patients with persistent postconcussive symptoms 4 months postinjury on an independent symptom measure. Conclusions: The diagnostic sensitivity/specificity of neurosensory testing in acutely concussed youth may be limited at 1 week postinjury as a function of natural recovery occurring in most emergency department cohorts. Neurosensory screening may have greater utility for identifying patients who experience delayed recovery.
Related Topics
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1097/htr.0000000000000560
- OA Status
- green
- Cited By
- 5
- References
- 32
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3008033403
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3008033403Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1097/htr.0000000000000560Digital Object Identifier
- Title
-
Neurosensory Screening and Symptom Provocation in Pediatric Mild Traumatic Brain InjuryWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-02-26Full publication date if available
- Authors
-
Andrew R. Mayer, Christopher J. Wertz, Cidney R. Robertson‐Benta, Sharvani Pabbathi Reddy, David D. Stephenson, Andrew B. Dodd, Scott Oglesbee, Edward J. Bedrick, Christina L. Master, Mathew F. Grady, Nicholas A. Shaff, Faith M. Hanlon, Richard A. Campbell, J. P. Phillips, Roger Zemek, Keith Owen Yeates, Timothy B. Meier, Rebekah Mannix, John J. Leddy, Kristy B. Arbogast, Grace ParkList of authors in order
- Landing page
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https://doi.org/10.1097/htr.0000000000000560Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://www.ncbi.nlm.nih.gov/pmc/articles/7335318Direct OA link when available
- Concepts
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Provocation test, Traumatic brain injury, Medicine, Psychiatry, Alternative medicine, PathologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
5Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2, 2023: 1, 2022: 1, 2020: 1Per-year citation counts (last 5 years)
- References (count)
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32Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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