Incorporating a Computerized Cognitive Battery Into the Emergency Department Care of Pediatric Mild Traumatic Brain Injuries-Is It Feasible?
| Autor: | Aneesh Khetani, Angelo Mikrogianakis, Karen M. Barlow, Brian L. Brooks |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Traumatic brain injury Poison control Neuropsychological Tests 03 medical and health sciences 0302 clinical medicine Cognition Injury prevention Concussion medicine Humans 030212 general & internal medicine Diagnosis Computer-Assisted Prospective Studies Child Brain Concussion business.industry Human factors and ergonomics General Medicine Emergency department medicine.disease Triage Cognitive test Pediatrics Perinatology and Child Health Emergency Medicine Physical therapy Feasibility Studies Female Medical emergency business Emergency Service Hospital 030217 neurology & neurosurgery |
| Zdroj: | Pediatric emergency care. 34(7) |
| ISSN: | 1535-1815 |
| Popis: | Objectives The use of computers to test cognitive function acutely after a concussion is becoming increasingly popular, especially after sport-related concussion. Although commonly performed in the community, it is not yet performed routinely in the emergency department (ED), where most injured children present. The challenges of performing computerized cognitive testing (CCT) in a busy ED are considerable. The aim of this study was to evaluate the feasibility of CCT in the pediatric ED after concussion. Methods Children, aged 8 to 18 years with mild traumatic brain injury, presenting to the ED were eligible for this prospective study. Exclusion criteria included the use of drugs, alcohol, and/or physical injury, which could affect CCT performance. A 30-or 15-minute CCT battery was performed. Feasibility measures included environmental factors (space, noise, waiting time), testing factors (time, equipment reliability, personnel), and patient factors (age, injury characteristics). Results Forty-nine children (28 boys; mean age, 12.6; SD, ± 2.5) participated in the study. All children completed CCT. Mean testing times for the 30-and 15-minute battery were 29.7 and 15.2 minutes, respectively. Noise-cancelling headphones were well tolerated. A shorter CCT was more acceptable to families and was associated with fewer noise disturbances. There was sufficient time to perform testing after triage and before physician assessment in over 90% of children. Conclusions Computerized cognitive testing is feasible in the ED. We highlight the unique challenges that should be considered before its implementation, including environmental and testing considerations, as well as personnel training. |
| Databáze: | OpenAIRE |
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