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Limited Agreement Between Criteria-Based Diagnoses of Postconcussional Syndrome

Received August 1, 2002; revised March 31, 2003; accepted August 15, 2003. From the Baylor College of Medicine/University of Texas-Houston Medical School Departments of Physical Medicine and Rehabilitation, Houston, Texas; the Departments of Neurosurgery, Psychiatry and Behavioral Sciences, Radiology, and Surgery, Baylor College of Medicine, Houston, Texas; the Global Biometry, Bayer Corporation. Address correspondence to Dr. Boake, TIRR, 1333 Moursund, Houston, TX 77030–3405; corwin.boake{at}uth.tmc.edu (E-mail.)

ABSTRACT

The objectives of this study were to compare diagnoses of postconcussional syndrome between the International Classification of Diseases, 10th revision (ICD-10) and Diagnostic and Statistical Manual of Mental Disorders, 4th ed. (DSM-IV). The patient sample was comprised of 178 adults with mild-moderate traumatic brain injury (TBI). The study design was inception cohort, and the main outcome measure was a structured interview 3 months after injury. The results were that, despite concordance of DSM-IV and ICD-10 symptom criteria (kappa=0.73), agreement between overall DSM-IV and ICD-10 diagnoses was slight (kappa=0.13) because fewer patients met the DSM-IV cognitive deficit and clinical significance criteria. Agreement between DSM-IV postconcussional disorder and ICD-10 postconcussional syndrome appears limited by different prevalences and thresholds.

Key Words: craniocerebral trauma • head injuries, closed • postconcussional syndrome

This article has been cited by other articles:

				S Meares, E A Shores, A J Taylor, J Batchelor, R A Bryant, I J Baguley, J Chapman, J Gurka, K Dawson, L Capon, et al. Mild traumatic brain injury does not predict acute postconcussion syndrome J. Neurol. Neurosurg. Psychiatry, March 1, 2008; 79(3): 300 - 306. [Abstract] [Full Text] [PDF]

				J. Carr Postconcussion syndrome: a review Trauma, January 1, 2007; 9(1): 21 - 27. [Abstract] [PDF]

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