En este trabajo se analiza la capacidad para predecir los rendimientos cognitivos del sujeto al año del trau matismo craneoencefálico de los siguientes Tests que son también los más utilizados en el estudio inicial del paciente: Escala de Coma de Glasgow (GCS9, Galves-ton Orientation and Amnesia Test (GOAT), Mini-Mental State Examination (MMSE) y Short Test of Mental Status (STMS); La confirmación de su pertinencia reafirmaria la utilidad de estas escalas en la clinica diaria entre profesionales no especialistas en Neuropsicologia los que la aplicación de baterias neuropsicológicas extensas supone una realidad casi imposible. Diseno: observacional longitudinal prospective Muestra: 100 sujetos adultos con traumatismo craneoencefálico (leve 63%; moderado 27% y severo 10%) en los que se analizan los rendimientos en dos momentos diferentes, al ingreso en el Servicio de Neurocirugía y al año del traumatismo.Analisis estadistico: regresión simple. Las puntuaciones obtenidas en la GCS al ingreso no predicen rendimientos cognitivos al año del traumatismo. El GOAT y Ios tests breves -MMSE y STMS- realizados al ingreso poseen un fuerte valor predictivo sobre la situación cognitiva general al año del traumatismo.
In this paper, the capacity of some brief neuropsychological tests to predicting cognitive performance one year after traumatic brain injury is studied. There test, also used after admission were: the Glasgow Coma Scale (GCS), the Galveston Orientation ad Amnesia Test (GOAT), the Mini-Mental State Examination (MMSE) and the Short Test of Mental Status (STMS). Confirmation of tests relevance would confirmtheir utility of in daily clinical practice for non-neurosychologist professionals to whom there extensive batteries of neuropsyhological test are difficult to apply. Desing: Prospective longitudinal observational. Sample: 100 adult subjects with traumatic brain injury (mild 63%; moderate 27% and severe 10%) whose cognitive performance was measured at two different moments: 1) At admission to Neurosurgery Department an 2) one year afte the injury. Statistical Analysis: Simple regression. The scores obtained by the GCS at the time of admission do not predict cognitive performance as recorded one year after the brain injury. The GOAT and the brief tests MMSE and STMS performed at admission have a strongerpower for predicting the general cognitive situation one year after traumatic brain injury.
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