Association between cognitive ability and functional outcomes following traumatic brain injury- using a computer-based neurocognitive battery

December 18, 2019

Authors: Sareh Zarshenas, Nora Cullen

Journal: Brain Injury

DOI: 10.1080/02699052.2018.1517223

Year Published: 2018

Objective

To investigate the contribution of the Cogstate Brief Battery (CBB TM) in the explanation of variation of functional outcomes.

Design

Secondary analysis of the practice-based evidence data set.

Setting

Inpatient rehabilitation setting.

Participants

Patients (≥ 18 years of age) with traumatic brain injury who were consecutively admitted to the Toronto Rehabilitation Institute between 2008 and 2011 (n = 65).

Interventions

Not applicable Main outcome measure: Cognitive and motor components of the Functional Independence Measure.

Results

The addition of the CBB TM components resulted in a significantly better model for predicting outcomes than a basic model using demographics and clinical factors. Among all CBB TM components, speed and variation in the identification task and accuracy in the one card learning task were significantly associated with cognitive functional outcomes after controlling for demographic and clinical factors. Rehabilitation length of stay was the only significant clinical factor that was correlated with both cognitive and motor outcomes.

Conclusions

Findings of this study suggest the importance of considering visual attention and visual memory in predication of cognitive outcome and provide valuable information for researchers to consider the specific cognitive abilities in functional outcome model in future studies in addition to more traditional factors.

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