TBI Intro: Outcome Measures

Question 1

glasgow coma scale

Answer 1

classifies acute injury as mild, mod, severe TBI

Question 2

ranchos los amigos levels of cognitive function (LOCF)

Answer 2

delineates 8-10 cognitive and behavioral levels

Question 3

rappaports disability rating scale (DRS)

Answer 3

classifies levels of disability using a wide range of functional behaviors

Question 4

glasgow outcome scale

Answer 4

expands original GCS scale

includes major disability categories for outcome assessment

Question 5

galveston orientation and amnesia test (GOAT) and orientation log (O-Log)

Answer 5

measure post traumatic amnesia

Question 6

coma recovery scale (CRS-R)

Answer 6

assists with differential diagnosis, prognostic assessment, treatment planning for disorder of consciousness

Question 7

disorder of consciousness scale (DOCS)

Answer 7

measures arousal and neurobehavioral behavior in pt’s with disorders of consciousness

Question 8

glasgow coma scale components

Answer 8

pupillary response
motor activity
ability to verbalize

Question 9

glasgow coma scale score ranges

Answer 9

3-8 severe
9-12 moderate
13-15 mild

Question 10

if u get a 3 on the GCS on initial presentation what does that result in

Answer 10

65-100% tbi mortality rate

Question 11

mild tbi: 
GCS score: 
LOC:
consciousness:
post-traumatic amnesia: 
imaging:

Answer 11

• 13-15
• 0-30 mins
• brief (<24hrs) alteration of consciouness
• <1 day
• normal

Question 12

moderate tbi: 
GCS score: 
LOC:
consciousness:
post-traumatic amnesia: 
imaging:

Answer 12

• 9-12
• > 30 mins but <24 hours
• alteration of consciousness >24 hrs
• > 1 but <7 days
• normal or abnormal

Question 13

severe tbi: 
GCS score: 
LOC:
consciousness:
post-traumatic amnesia: 
imaging:

Answer 13

• 3-8
• > 24 hours
• alteration of consciousness >24 hrs
• > 7 days
• normal or abnormal

Question 14

disability rating scale (DRS)

Answer 14

• measures aspects of impairment, function and participation
• track progress for pt’s in a coma through community integration phase

Question 15

areas on the DRS

Answer 15

• consciousness (eye opening, verbal, motor)
• cognitive ability (feeding, toileting, grooming)
• independence/dependence level of function
• employability

Question 16

high scores represent what on the DRS

Answer 16

high level of disability

Question 17

scores from the DRS can predict what

Answer 17

predict return to work potential (88% accurate)

Question 18

negative prognostic indicators for TBI

Answer 18

morbidity and fxn

• older age
• female
• GCS score
• length of PTA
• acquired injury
• lower ed level
• delayed or inability to use neurostimulants
• presence of pre-injury psychological issues or substance abuse
• GOS: level 1-3
• initial GCS: 3-8

Question 19

severe prognostic factors

Answer 19

morbidity and mortality

• older age
• absence of light reflex
• presence of extensive subarachnoid hemorrhage
• sustained elevated intracranial pressure
• • midline shift

Question 20

what residual impairment are present that you need to consider before community re-integration

Answer 20

• decreased social inhibitions
• impaired motor control
• impaired attention, memory, sequencing & high level problem solving
• perseveration or word finding issues
• impaired speech
• impaired writing or calculating ability
• vision impairments
• topographic routing issues
• balance issues, incoordination