Posttraumatic amnesia an overview sciencedirect topics. This article details a version of the westmead pta scale, which was adapted for use with children aged 4 and 5 years, and an evaluation of this scale. The purpose of this study was to assess the agreement between raters in scoring items of the westmead post. T2 guidelines for using the westmead posttraumatic amnesia pta scale.
Use of the westmead pta scale to monitor recovery of memory after mild head injury. Abbreviated westmead post traumatic amnesia scale awptas inc. Disorders of consciousness brain injury guidelines. Pdf comparison of the westmead pta scale and the glasgow. Our aim was to develop and externally validate a short, examiner independent and practical pta scale, by selecting the most discriminative items from existing scales and using a threeword memory test. The westmead scale was developed in the 1980s to fill a gap in the assessment tools used to determine the presence of pta in patients shores et al. Comparison of the westmead pta scale and the glasgow coma. Address location ward abbrevi a ted westme a d post t r a um a tic a mnesi a s c a le awp t a. The westmead posttraumatic amnesia scale for children. The only other reason to stop pta testing is on the advice of the clinical neuropsychologist. The westmead posttraumatic amnesia scale wptas is commonly used in australia and new zealand. Pta testing stops when the patient has reached the westmead pta scales operational definition for being out of pta i.
Use of the westmead pta scale to monitor recovery of memory. Gcs the awptas combined with a standardised gcs assessment is an objective measure of post traumatic amnesia pta. Existing pta scales including the galveston orientation and amnesia test goat 17, the modified oxford pta scale moptas 18, the westmead pta scale wptas 19 and the revisedwptas 2004, ponsford version 20 use standardized assessment formats table 1. Abbreviated westmead posttraumatic amnesia scale 357 conclusion. The scale is essentially an extended version of the glasgow coma scale gcs and was developed so that a wide variety of health professionals can more accurately assess the duration of pta in patients. Recovery from tbi can be described in three progressive phases. To measure the duration of posttraumatic amnesia pta in patients following a mild traumatic brain injury with a glasgow comma scale gcs 15. The abbreviated westmead posttraumatic amnesia scale was used in 91% of patient cases and the modified oxford posttraumatic scale in 7%, and of those assessed with the abbreviated westmead posttraumatic amnesia scale, 94% cleared posttraumatic amnesia testing within 4 h. Standard procedures the westmead pta scale is a very simple and straightforward test. Pdf on feb 1, 1989, e a shores and others published comparison of the westmead pta scale and the glasgow coma scale as predictors of neuropsychological outcome following extremely severe blunt. The awptas was developed as a method of measuring the duration of posttraumatic amnesia pta because this is a useful way of identifying the extent of brain damage. In a randomised design, two related pta procedures were compared, one purportedly more difficult westmead pta scale, wptas than the other modified oxford pta scale, moptas.
A revised version of the westmead pta scale was developed for assessing patients with mhi in the emergency department ed at hourly intervals. Westmead pta scale for children childrens orientation and amnesia test ewingcobbs et al. Pdf introduction of the abbreviated westmead posttraumatic. The abbreviated scale is based on the original westmead pta scale. Pdf use of the westmead pta scale to monitor recovery of. Abbreviated westmead post traumatic amnesia scale awptas.
To assess the validity of the westmead pta scale in patients treated with opiate analgesia. Pdf manual free pdf file portable document page 46. The westmead posttraumatic amnesia scale for children wptas. Pdf the diagnostic accuracy of the revised westmead pta. Accurate assessment of pta is imperative in guiding clinical decision making. Pdf duration of posttraumatic amnesia pta is an important index of severity of head injury. Validation of the abbreviated westmead posttraumatic amnesia.
Development and external validation of a new pta assessment scale. Awptas state form explanatory notes nsw agency for. Preliminary validation of a clinical scale for measuring the duration of posttraumatic amnesia. Awptas department of psychology, macquarie university. The westmead posttraumatic amnesia scale queensland health. Post traumatic amnesia pta is the period of time during which a person is disorientated or confused and unable to recall new information following a head injury. It consists of twelve questions that assess orientation to person, place and time, and ability to consistently retain new information from one day to another. Only for patients withcurrent gcs of 15 traumatic amnesia scale,4 and the orientation log. Glasgow coma scale gcs and abbreviated westmead pta scale. These explanatory notes for the abbreviated westmead post traumatic amnesia scale awptas state form are to be used in conjunction with the awptas education package provided. In australia, the most common way to assess pta is by using the westmead pta scale khan et al. Meares s1, shores ea, taylor aj, lammel a, batchelor j. Introduction of the abbreviated westmead posttraumatic amnesia scale and impact on length of stay.
Below is a suite of resources for sites to use to support the implementation, utilisation and evaluation of the form. Retrospective assessment of pta duration is arguably. Pta testing stops when the patient has reached the westmead pta scale s operational definition for being out of pta i. Development and external validation of a new pta assessment. Sample version of the abbreviated westmead pta scale. Guidelines for using the westmead posttraumatic amnesia pta scale. Macquarie university the pta protocol guidelines and. The diagnostic accuracy of the revised westmead pta scale as. The westmead pta scale for children wptasc comprises 2 orientation and 4 memory questions, including 2 items involving remembering pictures of familiar objects.
Research article open access development and external. The westmead posttraumatic amnesia scale wptas and its abbreviated form the awptas are also valid measures for determining the length of pta. This article details a version of the westmead pta scale, which was adapted for use with children aged 4 and 5 years, and an evaluation of this scale with typically developing children. Crsr is observed in a person with disorders of consciousness. The abbreviated westmead posttraumatic amnesia scale provides an effective and timely assessment of posttraumatic amnesia for patients presenting to the emergency department with mild traumatic brain injury compared with the previously used assessment tool. Further data supporting the concurrent validity of the westmead pta scale is presented the initial concurrent validation data on the westmead pta scale study was based on two separate groups of traumatic brain injury patients in order to ensure that the results of that study were not due to sampling differences between the groups related to. The objective of this study was the field testing of this scale in eds and assessment of validity and reliability of test items. Pta testing, the westmead post traumatic amnesia scale and opiate. Further concurrent validity data on the westmead pta scale. Comparison of the westmead pta scale and the glasgow coma scale as predictors of neuropsychological outcome following extremely severe blunt head injury. Validation of the abbreviated westmead posttraumatic amnesia scale. The westmead pta scale is a standardised assessment tool designed to provide an objective prospective measure of pta.
Introduction of the abbreviated westmead posttraumatic. The westmead pta scale for children wptasc comprises 2 orientation and 4 memory questions, including 2 items involving remembering. T he g a l ve s to n o r i e nt at i on a n d a m n e sia t e st g o at question error score notes what is your name. The westmead posttraumatic amnesia scale for children assbi. The westmead posttraumatic amnesia scale wptas scope and objectives of clinical task this cti will enable the allied health assistant aha to. Two raters viewed 20 episodes of the westmead pta scale in clinical use. Limitations associated with these scales refer to imperfect accuracy. The westmead posttraumatic amnesia scale wptas is a brief bedside standardised test that. Jul 20, 2017 awptas the eci together with the institute of trauma and injury management itim have developed a statewide abbreviated westmead post traumatic amnesia scale awptas form. It questions twelve questions that examine orientation to person, place and time, in addition to the ability to consistently remember new information from one day to the next. Provides information on reporting, interpretation and special patients.
408 923 423 1303 1285 1407 981 845 1408 1518 758 107 843 345 632 266 1487 234 1326 1 72 378 191 624 520 1565 1027 884 708 1624 870 1269 778 1431 1443 942 574 678 166 1180 840