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Evaluating the utility of ICD-10 diagnostic criteria for postconcussion syndrome following mild traumatic brain injury.
J Int Neuropsychol Soc. 2006 Jan; 12(1):111-8.JI

Abstract

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.

Authors+Show Affiliations

Department of Psychology, University of Windsor, Windsor, Ontario, Canada.No affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

16433950

Citation

Kashluba, Shauna, et al. "Evaluating the Utility of ICD-10 Diagnostic Criteria for Postconcussion Syndrome Following Mild Traumatic Brain Injury." Journal of the International Neuropsychological Society : JINS, vol. 12, no. 1, 2006, pp. 111-8.
Kashluba S, Casey JE, Paniak C. Evaluating the utility of ICD-10 diagnostic criteria for postconcussion syndrome following mild traumatic brain injury. J Int Neuropsychol Soc. 2006;12(1):111-8.
Kashluba, S., Casey, J. E., & Paniak, C. (2006). Evaluating the utility of ICD-10 diagnostic criteria for postconcussion syndrome following mild traumatic brain injury. Journal of the International Neuropsychological Society : JINS, 12(1), 111-8.
Kashluba S, Casey JE, Paniak C. Evaluating the Utility of ICD-10 Diagnostic Criteria for Postconcussion Syndrome Following Mild Traumatic Brain Injury. J Int Neuropsychol Soc. 2006;12(1):111-8. PubMed PMID: 16433950.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluating the utility of ICD-10 diagnostic criteria for postconcussion syndrome following mild traumatic brain injury. AU - Kashluba,Shauna, AU - Casey,Joseph E, AU - Paniak,Chris, PY - 2005/06/07/received PY - 2005/09/07/revised PY - 2005/09/08/accepted PY - 2006/1/26/pubmed PY - 2006/3/16/medline PY - 2006/1/26/entrez SP - 111 EP - 8 JF - Journal of the International Neuropsychological Society : JINS JO - J Int Neuropsychol Soc VL - 12 IS - 1 N2 - 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. SN - 1355-6177 UR - https://www.unboundmedicine.com/medline/citation/16433950/Evaluating_the_utility_of_ICD_10_diagnostic_criteria_for_postconcussion_syndrome_following_mild_traumatic_brain_injury_ L2 - https://www.cambridge.org/core/product/identifier/S1355617706060036/type/journal_article DB - PRIME DP - Unbound Medicine ER -