Other assessments brain injury association of america. Use of the westmead pta scale to monitor recovery of memory after mild head injury. Scale provides an early and efficient assessment of posttraumatic amnesia for patients with mild traumatic. To measure pta, allied health staff used the westmead pta scale 20. 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. Data from amateur sports players in livematch conditions. Meares etal 2011 validation of the abbreviated westmead post traumatic amnesia scale. In addition to the individual losing consciousness and various other symptoms of a brain injury, they also may experience posttraumatic amnaesia pta. The abbreviated westmead post traumatic amnesia scale and pocket concussion recognition tool. The rehabilitation team at rch use the westmead pta scale. Introduction of the abbreviated westmead posttraumatic. The abbreviated westmead posttraumatic amnesia scale and pocket concussion recognition tool. Despite the lack of a consistent definition, pta is widely used as a construct in neurosurgical practice to guide decisionmaking and prognosis. Administer both tests at hourly intervals to gauge.
Welcome to this presentation on the administration of the abbreviated westmead post traumatic amnesia scale, or the awptas, as we shall refer to it. Posttraumatic amnesia an overview sciencedirect topics. Aug 28, 2016 when an accident occurs and there is an impact to an individuals head, their brain tissue can be damaged resulting in a brain injury mauk 2012. Patients had to have emerged from post traumatic amnesia pta and be deemed by a medical professional suitable to be able to provide informed consent. Pdf the abbreviated westmead posttraumatic amnesia scale. Use of the westmead pta scale to monitor recovery of. Guidelines for using the westmead posttraumatic amnesia pta scale. Reliability of the abbreviated westmead post traumatic amnesia scale in children.
During testing, the person is not allowed to write down the memory items, and they are not allowed to be practiced between testing. Only for patients with current gcs of 15 post injury with impact to the head resulting in confusion, disorientation, anterograde or retrograde amnesia, or brief loc. Westmead posttraumatic amnesia pta scale galveston orientation and amnesia test goat the orientation log olog rancho levels of cognitive functioning scale royal college of physicians guidelines. Abbreviated westmead pta scale awptas incorporating glasgow coma scale gcs mrn sticker here show. Reliability and validity of the abbreviated westmead pst. The authors include psychologists, an occupational therapist and a consultant in rehabilitation. The diagnostic accuracy of the revised westmead pta scale. The westmead posttraumatic amnesia scale wptas and its abbreviated form the awptas are also valid measures for determining the length of pta. The goat assesses posttraumatic amnesia pta and retrograde amnesia ra in patients who have had a severe traumatic brain injury tbi. Pdf introduction of the abbreviated westmead posttraumatic. Scale 64kb pdf it is over 10 years since the publication of the first article on the westmead pta scale by doctors shores, marosszeky, sandanam and batchelor in 1986.
The westmead posttraumatic amnesia scale queensland health. Introduction of the abbreviated westmead post traumatic. Comparison of the westmead pta scale and the glasgow coma. Of those assessed with the abbreviated westmead post traumatic amnesia scale, 56% had a shorter length of stay than had they been assessed with the modified oxford post traumatic scale, resulting in 295 beddays saved. Nov 11, 2015 this study aimed to determine the reliability of the abbreviated westmead post. Provides information on reporting, interpretation and special patients. 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 wptas measures the length of post traumatic amnesia in patients who have sustained a brain injury. Racgp concussive head injury in children and adolescents. It is suitable for patients with moderate to severe traumatic brain injury. 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. The abbreviated westmead post traumatic amnesia scale was used in 91% of patient cases and the modified oxford post traumatic scale in 7%, and of those assessed with the abbreviated westmead post traumatic amnesia scale. As a general rule, people will stay in hospital until their symptoms of pta resolve. The westmead posttraumatic amnesia scale for children.
To assess the validity of the westmead pta scale in patients treated with opiate analgesia. Pdf use of the westmead pta scale to monitor recovery of. Recovery from tbi can be described in three progressive phases. The westmead pta scale for children wptasc comprises 2 orientation and 4 memory questions, including 2 items involving remembering. Retrospective assessment of pta duration is arguably unreliable. Only for patients with current gcs of 15 m n e sia t e st g o at question error score notes what is your name. This assessment monitors improvements and emergence from pta. Duration of posttraumatic amnesia pta is an important index of severity of head injury. Patients had to have emerged from posttraumatic amnesia pta and be deemed by a medical professional suitable to be able to provide informed consent. Concussive head injury in children and adolescents racgp.
Wptas in children by examining the impact of age on a. Existing objective measures of pta duration are designed for use over a 24hour timeframe and, therefore, are not useful for assessing pta following mild head injury mhi. The westmead posttraumatic amnesia scale wptas scope and objectives of clinical task this cti will enable the allied health assistant aha to. 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. The diagnostic accuracy of the revised westmead pta scale as. Only for patients with current gcs of 15 post injury with impact to the head resulting in confusion, disorientation, anterograde or retrograde amnesia, or brief. Post traumatic amnesia pta assessment of a person with traumatic brain injury should be performed on a serial basis using a validated tool, until resolution of the pta.
The westmead post traumatic amnesia scale wptas is a brief bedside standardised test that measures length of post traumatic amnesia pta in people with traumatic brain injury. Shortfold version abbrvtd westmead post traumatic amnesia scale awptas dd 1. Data from amateur sports players in livematch conditions christopher hayter, susanne meares, and e. 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. Commence assessment for amnesia prospectively ie, before it has resolved, to increase accuracy. Introduction of the abbreviated westmead posttraumatic amnesia. There are several ways to measure the length of post traumatic amnesia. To validate the use of the abbreviated westmead posttraumatic amnesia scale awptas in the assessment of acute cognitive impairment in mild traumatic brain injury mtbi. It consists of twelve questions that assess orientation and ability to consistently retain new information from one day to another.
Designed to measure the period of posttraumatic amnesia. Use of the westmead pta scale to monitor recovery of memory. Preliminary validation of a clinical scale for measuring the duration of posttraumatic amnesia. The abbreviated westmead post traumatic amnesia scale was used in 91% of patient cases and the modified oxford post traumatic scale in 7%, and of those assessed with the abbreviated westmead post traumatic amnesia scale, 94% cleared post traumatic amnesia testing within 4 h.
What it is the purpose of this business rule is to provide evidence based guidelines. Westmead posttraumatic amnesia scale wptas consider the westmead posttraumatic amnesia scale wptas, which is a simple test, taking less than 1 minute in the acute setting and correlated with more detailed neuropsychologic testing. Pdf validation of the abbreviated westmead posttraumatic. N2 guidelines for using the westmead post traumatic amnesia pta scale, for clinicians and researchers. The abbreviated scale is based on the original westmead pta scale.
An abbreviated version has been developed to assess patients with mild traumatic brain injury, the abbreviated westmead pta scale awptas. The westmead posttraumatic amnesia scale for children wptas. The abbreviated westmead post traumatic amnesia scoring is a widely used tool in the major trauma centres and emergency departments around nsw, it is a valid scale and has been tested in many studies involving both adults and children. To measure pta, allied health staff used the westmead pta scale. A brief measure to identify acute cognitive impairment in mild traumatic brain injury. Participants n 127 completed the abbreviated westmead post traumatic amnesia scale awptas and the pocket concussion recognition tool pocket crt, which contains the maddocks questions assessing orientation and recent memory and the postconcussion symptom scale pcss. A multicentre, randomised trial examining the effect of. Australias first peoples, aboriginal and torres strait islander indigenous people, have an incident rate of tbi that is at least twice as high as. Meares etal 2011 validation of the abbreviated westmead posttraumatic amnesia scale. The westmead posttraumatic amnesia scale wptas is a brief bedside standardised test that measures length of posttraumatic amnesia pta in people with. Methods participants were typically developing patients with minor illnesses or injuries andor accompanying siblings aged 510 years, attending a childrens. Below is a suite of resources for sites to use to support the implementation, utilisation and evaluation of the form. Pdf the abbreviated westmead posttraumatic amnesia. The person may be unable to state their name, where they are, and what time it is.
The wptas is the most common post traumatic amnesia scale used in australia and new zealand. This is of relevance as new learning has been demonstrated to be one of the best predictors of outcome after tbi. N2 guidelines for using the westmead posttraumatic amnesia pta scale, for clinicians and researchers. Address location ward abbrevi a ted westme a d post t r a um a tic amnesi a s c a le awp t a. Westmead post traumatic amnesia scale wptas the westmead post traumatic amnesia scale wptas is a brief test that is often administered at the individuals bedside by a member of his or her treatment team. The eci together with the institute of trauma and injury management itim have developed a statewide abbreviated westmead post traumatic amnesia scale awptas form. Tesson, stephanie a nogajski, rebecca r macey, julieanne and paget, simon p 2016. Two raters viewed 20 episodes of the westmead pta scale in clinical use. Pdf duration of posttraumatic amnesia pta is an important index of severity of head injury. Posttraumatic amnesia pta assessment of a person with traumatic brain injury should be performed on a serial basis using a validated tool, until resolution of the pta.
Posttraumatic amnesia pta is a transitory state between coma and return of full consciousness defined as an interval during which the patient is confused, amnesic for ongoing events and likely to evidence behavioral disturbance. The westmead posttraumatic amnesia scale for children assbi. T2 guidelines for using the westmead post traumatic amnesia pta scale. The goat assesses post traumatic amnesia pta and retrograde amnesia ra in patients who have had a severe traumatic brain injury tbi. Post traumatic amnesia scale awptas testing in the emergency department protocol for abreviated westmead cross references including nsw health seslhd policy directives sgshhs clin 155 post traumatic amnesia pta testing protocol for 1. The scale was developed to be helpful in the early identification of cognitive impairment following mild traumatic brain injury mtbi. Glasgow coma scale gcs and abbreviated westmead pta scale.
Awptas department of psychology, macquarie university. When continuous memory returns, pta is considered to have resolved. To determine whether administering the revised westmead post traumatic amnesia pta scale rwptas in addition to the gcs would increase diagnostic accuracy in the early identification of cognitive impairment in patients with mtbi. Its called the westmead posttraumatic amnesia scale. Abbreviated westmead post traumatic amnesia scale awptas incorporating the glasgow coma scale gcs and picture recognition complete all details or affix patient label here family name mrn given name male female d. Attempts to date have failed to construct a scale where 4 to 6yearold children are able to achieve a full score when not in pta. The questions look at your orientation and memory of daily events. May be useful for people with a history of psychiatric illness, developmental or. According to the scale, which consists of memory and orientationrelated questions, an individ.
Assessment of posttraumatic amnesia pta in young children remains problematic. Traumatic brain injury tbi is a major cause of death and disability for indigenous people living in colonised nations including australia, new zealand, canada and the united states compared to their nonindigenous counterparts 1,2,3,4,5,6. A multicentre, randomised trial examining the effect of test. Keywords post traumatic amnesia, closed head injury 6. The abbreviated westmead posttraumatic amnesia scale and. Select and use one of the available validated posttraumatic amnesia measurement tools eg, modi. 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.
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. The scale is used for children seven years and over and consists of seven orientation questions and five memory items. The paediatric brain has different mechanical and compositional properties eg increased water content, decreased myelin, increased transition of accelerationdeceleration forces due to decreased neck strength. The purpose of this study was to assess the agreement between raters in scoring items of the westmead post. To validate the use of the abbreviated westmead post traumatic amnesia scale awptas in the assessment of acute cognitive impairment in mild traumatic brain injury mtbi.
Westmead post traumatic amnesia pta scale wptas marosszeky, et al. Retrospective assessment of pta duration is arguably. Pta testing, the westmead post traumatic amnesia scale and opiate. Of patients hospitalised for traumatic brain injury tbi, most pass through a state of altered consciousness known as posttraumatic amnesia pta.
When an accident occurs and there is an impact to an individuals head, their brain tissue can be damaged resulting in a brain injury mauk 2012. Posttraumatic amnesia pta is a state of confusion that occurs immediately following a traumatic brain injury tbi in which the injured person is disoriented and unable to remember events that occur after the injury. Sample version of the abbreviated westmead pta scale. The westmead pta scale is a standardised assessment tool designed to provide an objective prospective measure of pta. The westmead post traumatic amnesia scale wptas scope and objectives of clinical task this cti will enable the allied health assistant aha to. It will show your health care team how you are recovering and how we can best help you. This study aimed to determine the reliability of the abbreviated westmead post.