{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:51:01Z","timestamp":1777449061555,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,4,9]],"date-time":"2024-04-09T00:00:00Z","timestamp":1712620800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There lacks rapid standardized bedside testing to screen cognitive deficits following mild traumatic brain injury (mTBI). Immediate Post-Concussion Assessment &amp; Cognitive Testing-Quick Test (ImPACT-QT) is an abbreviated-iPad form of computerized cognitive testing. The aim of this study is to test ImPACT-QT utility in inpatient settings. We hypothesize ImPACT-QT is feasible in the acute trauma setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Trauma patients ages 12-70 were administered ImPACT-QT (09\/2022-09\/2023). Encephalopathic\/medically unstable patients were excluded. Mild traumatic brain injury was defined as documented-head trauma with loss-of-consciousness &lt;30 minutes and arrival Glasgow Coma Scale 13-15. Patients answered Likert-scale surveys. Bivariate analyses compared demographics, attention, motor speed, and memory scores between mTBI and non-TBI controls. Multivariable logistic regression assessed memory score as a predictor of mTBI diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 233 patients evaluated (36 years [IQR 23-50], 71% [166\/233] female), 179 (76%) were mTBI patients. For all patients, mean test-time was 9.3 \u00b1 2 minutes with 93% (73\/76) finding the test \u201ceasy to understand.\u201d Mild traumatic brain injury patients than non-TBI control had lower memory scores (25 [IQR 7-100] vs 43 [26-100], P = .001) while attention (5 [1-23] vs 11 [1-32]) and motor score (14 [3-28] vs 13 [4-32]) showed no significant differences. Multivariable-regression (adjustment: age, sex, race, education level, ISS, and time to test) demonstrated memory score predicted mTBI positive status (OR .96, CI .94-.98, P = .004).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Immediate Post-Concussion Assessment &amp; Cognitive Testing-Quick Test is feasible in trauma patients. Preliminary findings suggest acute mTBIs have lower memory but not attention\/motor scores vs non-TBI trauma controls.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348241246168","type":"journal-article","created":{"date-parts":[[2024,4,9]],"date-time":"2024-04-09T10:24:21Z","timestamp":1712658261000},"page":"1570-1576","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["iPad-Based Neurocognitive Testing (ImPACT-QT) in Acute Adult Mild Traumatic Brain Injury\/Concussion: Study on Practicality and Bedside Cognitive Scores in a Level-1 Trauma Center"],"prefix":"10.1177","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4505-964X","authenticated-orcid":false,"given":"Patrick M.","family":"Chen","sequence":"first","affiliation":[{"name":"Neurology Traumatic Brain Injury & Concussion (NTBIC) Program, Department of Neurology, University of California Irvine, Orange, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Lee","sequence":"additional","affiliation":[{"name":"Neurology Traumatic Brain Injury & Concussion (NTBIC) Program, Department of Neurology, University of California Irvine, Orange, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lillian D.","family":"Cruz","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of California Irvine, Orange, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Lopez","sequence":"additional","affiliation":[{"name":"Neurology Traumatic Brain Injury & Concussion (NTBIC) Program, Department of Neurology, University of California Irvine, Orange, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron","family":"Thomas","sequence":"additional","affiliation":[{"name":"Neurology Traumatic Brain Injury & Concussion (NTBIC) Program, Department of Neurology, University of California Irvine, Orange, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0624-6864","authenticated-orcid":false,"given":"Jefferson W.","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of California Irvine, Orange, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Areg","family":"Grigorian","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of California Irvine, Orange, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffry","family":"Nahmias","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of California Irvine, Orange, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Lekawa","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of California Irvine, Orange, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,4,9]]},"reference":[{"key":"bibr1-00031348241246168","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.9478"},{"key":"bibr2-00031348241246168","doi-asserted-by":"publisher","DOI":"10.1201\/b18959"},{"key":"bibr3-00031348241246168","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.19444"},{"key":"bibr4-00031348241246168","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2022.0185"},{"key":"bibr5-00031348241246168","doi-asserted-by":"publisher","DOI":"10.1186\/s40364-021-00325-5"},{"key":"bibr6-00031348241246168","doi-asserted-by":"publisher","DOI":"10.1097\/ta.0000000000002641"},{"key":"bibr7-00031348241246168","doi-asserted-by":"publisher","DOI":"10.1097\/ta.0000000000000161"},{"key":"bibr8-00031348241246168","volume-title":"ImPACT Quick Test Administration and Scoring Manual","author":"Inc 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