Abstract

Executive dysfunction (EF) is a common feature of adult traumatic brain injury (TBI), especially in moderate to severe cases. Assessing EF usually requires the administration of an extensive neuropsychological battery, which is time consuming and expensive. The INECO frontal screening (IFS) is a brief, easy-to-administer screening test which has previously shown to be useful in the detection of executive deficits in different psychiatric and neurological populations. The aim of the present study was to assess the usefulness of the IFS in the detection of executive dysfunction in TBI patients. Twenty-eight TBI patients and thirty-two healthy controls were assessed with a battery that included classical executive tests and the IFS. Our results indicated that with a cutoff score of 26.25 points, the IFS showed good sensitivity and specificity in the detection of executive impairments in TBI patients. It also showed good positive and negative predicted values. Our results suggest that the IFS can be considered a useful tool for identifying executive dysfunction in patients with TBI.

摘要

执行功能障碍 (EF) 是成人创伤性脑损伤 (TBI) 的常见特征，尤其是在中度至重度病例中。评估 EF 通常需要管理大量的神经心理电池，这既耗时又昂贵。INECO 额叶筛查 (IFS) 是一种简短、易于管理的筛查测试，之前已证明可用于检测不同精神病学和神经学人群的执行缺陷。本研究的目的是评估 IFS 在检测 TBI 患者执行功能障碍方面的有用性。28 名 TBI 患者和 32 名健康对照者接受了包括经典执行测试和 IFS 的组合评估。我们的结果表明，截止分数为 26.25 分，IFS 在检测 TBI 患者的执行障碍方面显示出良好的敏感性和特异性。它还显示出良好的正预测值和负预测值。我们的结果表明，IFS 可以被认为是识别 TBI 患者执行功能障碍的有用工具。