Pdf duration of posttraumatic amnesia pta is an important index of severity of head injury. Recovery from tbi can be described in three progressive phases. The purpose of this study was to assess the agreement between raters in scoring items of the westmead post. Comparison of the westmead pta scale and the glasgow coma. Validation of the abbreviated westmead posttraumatic amnesia scale. Posttraumatic amnesia an overview sciencedirect topics. Sample version of the abbreviated westmead pta scale. Development and external validation of a new pta assessment scale. Macquarie university the pta protocol guidelines and. The diagnostic accuracy of the revised westmead pta scale as an adjunct to the glasgow coma scale in the early identification of cognitive impairment in patients with.
Use of the westmead pta scale to monitor recovery of memory. The westmead pta scale for children wptasc comprises 2 orientation and 4 memory questions, including 2 items involving remembering. Preliminary validation of a clinical scale for measuring the duration of posttraumatic amnesia. Pdf introduction of the abbreviated westmead posttraumatic. Development and external validation of a new pta assessment. Provides information on reporting, interpretation and special patients. Awptas department of psychology, macquarie university. Posttraumatic amnesia pta is a key symptom of traumatic brain injury tbi. 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 pta scale is a standardised assessment tool designed to provide an objective prospective measure of pta. Pta testing stops when the patient has reached the westmead pta scale s operational definition for being out of pta i. 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.
A revised version of the westmead pta scale was developed for assessing patients with mhi in the emergency department ed at hourly intervals. 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. Introduction of the abbreviated westmead posttraumatic amnesia scale and impact on length of stay. 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.
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 westmead posttraumatic amnesia scale for children assbi. Pdf use of the westmead pta scale to monitor recovery of. Disorders of consciousness brain injury guidelines. Crsr is observed in a person with disorders of consciousness. Use of the westmead pta scale to monitor recovery of memory after mild head injury. Gcs the awptas combined with a standardised gcs assessment is an objective measure of post traumatic amnesia pta. Research article open access development and external.
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. Pta testing, the westmead post traumatic amnesia scale and opiate. 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. To measure the duration of posttraumatic amnesia pta in patients following a mild traumatic brain injury with a glasgow comma scale gcs 15.
Guidelines for using the westmead posttraumatic amnesia pta scale. Abbreviated westmead post traumatic amnesia scale awptas. 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 posttraumatic amnesia scale for children wptas.
Below is a suite of resources for sites to use to support the implementation, utilisation and evaluation of the form. The westmead posttraumatic amnesia scale wptas and its abbreviated form the awptas are also valid measures for determining the length of pta. Accurate assessment of pta is imperative in guiding clinical decision making. 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. Only for patients withcurrent gcs of 15 traumatic amnesia scale,4 and the orientation log. To assess the validity of the westmead pta scale in patients treated with opiate analgesia. The westmead posttraumatic amnesia scale queensland health. Sample version of the abbreviated westmead pta scale awptas.
The awptas combined with a standardised gcs assessment is an objective measure of post traumatic amnesia pta. Comparison of the westmead pta scale and the glasgow coma scale as predictors of neuropsychological outcome following extremely severe blunt head injury. T2 guidelines for using the westmead posttraumatic amnesia pta scale. Validation of the abbreviated westmead posttraumatic amnesia. 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. 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 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. 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. 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. Standard procedures the westmead pta scale is a very simple and straightforward test. The objective of this study was the field testing of this scale in eds and assessment of validity and reliability of test items. Abbreviated westmead posttraumatic amnesia scale 357 conclusion. Meares s1, shores ea, taylor aj, lammel a, batchelor j.
Introduction of the abbreviated westmead posttraumatic. The diagnostic accuracy of the revised westmead pta scale as. The westmead posttraumatic amnesia scale wptas is commonly used in australia and new zealand. The westmead posttraumatic amnesia scale wptas scope and objectives of clinical task this cti will enable the allied health assistant aha to. Pdf manual free pdf file portable document page 46. The westmead posttraumatic amnesia scale wptas is a brief bedside standardised test that.
Pta testing stops when the patient has reached the westmead pta scales operational definition for being out of pta i. Retrospective assessment of pta duration is arguably. The abbreviated scale is based on the original westmead pta scale. Pdf comparison of the westmead pta scale and the glasgow. In australia, the most common way to assess pta is by using the westmead pta scale khan et al. Two raters viewed 20 episodes of the westmead pta scale in clinical use. Abbreviated westmead post traumatic amnesia scale awptas inc. 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. Limitations associated with these scales refer to imperfect accuracy. Glasgow coma scale gcs and abbreviated westmead pta scale. 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 only other reason to stop pta testing is on the advice of the clinical neuropsychologist.
The westmead posttraumatic amnesia scale wptas is a brief bedside standardised test that measures length of posttraumatic amnesia pta in people with traumatic brain injury. Awptas state form explanatory notes nsw agency for. 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. 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. Westmead pta scale for children childrens orientation and amnesia test ewingcobbs et al. The westmead pta scale for children wptasc comprises 2 orientation and 4 memory questions, including 2 items involving remembering pictures of familiar objects. 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 westmead posttraumatic amnesia scale for children. This is of relevance as new learning has been demonstrated to be one of the best predictors of outcome after tbi. Further concurrent validity data on the westmead pta scale. Pdf the diagnostic accuracy of the revised westmead 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.