Evaluation of the Military Acute Concussion Evaluation for use in combat operations more than 12 hours after injury.

Abstract:

:The diagnosis and management of concussion can be difficult in a combat environment, especially in the absence of loss of consciousness or post-traumatic amnesia. As no validated test exists to diagnose or grade neurocognitive impairment from a concussion, the military currently employs the Military Acute Concussion Evaluation (MACE) in Iraq. This is a two-part test, which incorporates the standardized assessment of concussion (SAC) as its objective score, although it has not been shown to be valid unless administered shortly after injury. A research team deployed to Iraq between January and April 2009 to examine the validity of several tests of neurocognitive function following a concussion, including the MACE. When administered more than 12 hours after the concussive injury, the MACE lacked sufficient sensitivity and specificity to be clinically useful.

journal_name

Mil Med

journal_title

Military medicine

authors

Coldren RL,Kelly MP,Parish RV,Dretsch M,Russell ML

doi

10.7205/milmed-d-09-00258

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

477-81

issue

7

eissn

0026-4075

issn

1930-613X

journal_volume

175

pub_type

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