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Results of scoping review do not support mild traumatic brain injury being associated with a high incidence of chronic cognitive impairment: Commentary on McInnes et al. 2017


Autoři: Grant L. Iverson aff001;  Justin E. Karr aff005;  Andrew J. Gardner aff006;  Noah D. Silverberg aff007;  Douglas P. Terry aff001
Působiště autorů: Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts, United States of America aff001;  Spaulding Rehabilitation Hospital and Spaulding Research Institute, Charlestown, Massachusetts, United States of America aff002;  MassGeneral Hospital Children Sports Concussion Program, Boston, Massachusetts, United States of America aff003;  Home Base, A Red Sox Foundation and Massachusetts General Hospital Program, Charlestown, Massachusetts, United States of America aff004;  Department of Psychology, University of Victoria, Victoria, British Columbia, Canada aff005;  Hunter New England Local Health District Sports Concussion Program and Centre for Stroke and Brain Injury, School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia aff006;  Division of Physical Medicine & Rehabilitation, University of British Columbia, Vancouver, British Columbia, Canada aff007;  Rehabilitation Research Program, Vancouver Coastal Health Research Institute, Vancouver, British Columbia, Canada aff008
Vyšlo v časopise: PLoS ONE 14(9)
Kategorie: Formal Comment
doi: https://doi.org/10.1371/journal.pone.0218997

Souhrn

A recently published review of 45 studies concluded that approximately half of individuals who sustain a single mild traumatic brain injury (MTBI) experience long-term cognitive impairment (McInnes et al. Mild Traumatic Brain Injury (mTBI) and chronic cognitive impairment: A scoping review. PLoS ONE 2017;12:e0174847). Stratified by age, they reported that 50% of children and 58% of adults showed some form of cognitive impairment. We contend that the McInnes et al. review used a definition of “cognitive impairment” that was idiosyncratic, not applicable to individual patients or subjects, inconsistent with how cognitive impairment is defined in clinical practice and research, and resulted in a large number of false positive cases of cognitive impairment. For example, if a study reported a statistically significant difference on a single cognitive test, the authors concluded that every subject with a MTBI in that study was cognitively impaired–an approach that cannot be justified statistically or psychometrically. The authors concluded that impairment was present in various cognitive domains, such as attention, memory, and executive functioning, but they did not analyze or report the results from any of these specific cognitive domains. Moreover, their analyses and conclusions regarding many published studies contradicted the interpretations provided by the original authors of those studies. We re-reviewed all 45 studies and extracted the main conclusions from each. We conclude that a single MTBI is not associated with a high incidence of chronic cognitive impairment.

Klíčová slova:

Biology and life sciences – Neuroscience – Cognitive science – Cognitive neuroscience – Cognitive psychology – Cognition – Memory – Learning and memory – Neuropsychology – Psychology – Medicine and health sciences – Neurology – Cognitive neurology – Cognitive impairment – Critical care and emergency medicine – Trauma medicine – Traumatic injury – Head injury – Social sciences – Research and analysis methods – Research assessment – Systematic reviews


Zdroje

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