@article{ref1,
title="Evidence for a multidomain clinical assessment of mild traumatic brain injury in older adults",
journal="Applied neuropsychology. Adult",
year="2023",
author="Sherry, Natalie S. and Kissinger-Knox, Alicia and Manderino, Lisa and Eagle, Shawn and Mucha, Anne and Collins, Michael W. and Kontos, Anthony P.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: There are few guidelines on the appropriate clinical tools to evaluate mTBI in older adults. <br><br>OBJECTIVE: We aimed to investigate the utility of a multidomain assessment to differentiate older adults with mTBI from controls. <br><br>METHODS: Participants included 68 older adults (37% male) aged 60-76 (M = 66.24, SD = 4.50) years. Thirty-four patients were diagnosed with a mTBI at a specialty mTBI clinic within 90 days of injury, and age- and sex-matched to 34 community controls. Participants completed the following assessments: Post-Concussion Symptom Scale (PCSS), Short Fall Efficacy Scale-International (Short FES-I), Generalized Anxiety Disorder-7 Item Scale (GAD-7), Geriatric Depression Scale-5 Item (GDS-5), Wide Range Achievement Test-Fourth Edition (WRAT-4) reading subtest, subtests of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS), clock drawing, and Vestibular/Ocular Motor Screening for Concussion (VOMS). Independent-samples t-tests or chi-squared analyses were used to compare assessment results between groups. A logistic regression (LR) was conducted to determine which combination of assessments best identified the mTBI group from controls. <br><br>RESULTS: The mTBI group endorsed significantly more symptoms of concussion (p < .001), balance concerns (p < .001), anxiety (p < .001), and depression (p = 0.04), and performed worse on cognitive (p < .001), vestibular (p < .001), and oculomotor (p = .004) screening relative to controls. The LR (p < .001; r(2) = 0.90) correctly identified 98.5% of older adults and retained concussion (p = .01) and depression (p = .02) symptoms, and cognitive (p = .03) and vestibular (p = .04) screening in the final model. <br><br>DISCUSSION: The current findings support a multidomain assessment model of care for evaluating mTBI in older adults.<p /> <p>Language: en</p>",
language="en",
issn="2327-9095",
doi="10.1080/23279095.2023.2218512",
url="http://dx.doi.org/10.1080/23279095.2023.2218512"
}