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Protocol - History of Head Trauma

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Description

The Ohio State University Traumatic Brain Injury Identification Method Short Form (OSU TBI-ID) is an interviewer-administered questionnaire that captures the lifetime history of traumatic brain injury (TBI). The OSU TBI-ID gives data for calculating summary indices that reflect the likelihood that consequences have resulted from lifetime exposure to TBI.

Specific Instructions

This can be administered to children under 18 by a proxy.

Availability

Available

Protocol

I would like to ask you about injuries to your head or neck that you may have had at anytime in your life. Interviewer instruction: Record cause and any details provided spontaneously in the box at the bottom of the page. DO NOT query further about LOC or other details at this stage.

1. Have you ever been hospitalized or treated in an emergency room following an injury to your head or neck? Think about any childhood injuries you remember or were told about.

[ ] Yes - Record cause(s) in table below

[ ] No

2. Have you ever injured your head or neck in a car accident or from some other moving vehicle accident (e.g. motorcycle, ATV)?

[ ] Yes - Record cause(s) in table below

[ ] No

3. Have you ever injured your head or neck in a fall or from being hit by something (e.g. falling from a bike, horse, or rollerblades, falling on ice, being hit by a rock)? Have you ever injured your head or neck playing sports or on the playground?

[ ] Yes - Record cause(s) in table below

[ ] No

4. Have you ever injured your head or neck in a fight, from being hit by someone, or from being shaken violently? Have you ever been shot in the head?

[ ] Yes - Record cause(s) in table below

[ ] No

5. Have you ever been nearby when an explosion or a blast occurred? If you served in the military, think about any combat- or training-related incidents.

[ ] Yes - Record cause(s) in table below

[ ] No

6. If all above are "no" then proceed to question 7. If answered "yes" to any of the questions above, ask the following for each injury: Were you knocked out or did you lose consciousness (LOC)? If yes, how long? If no, were you dazed or did you have a gap in your memory from the injury? How old were you? (age is only needed if there was LOC)

Cause

Loss of consciousness (LOC)/knocked out

Dazed/Memory Gap

Age

No LOC

< 30 min

30 min-24 hrs

> 24 hrs.

Yes

No

 
               
               
               
               
               
               
               
               
               

If more injuries with LOC:

How many more? ___

Longest knocked out?___

How many ≥ 30 mins.?___

Youngest age? ___

7. Have you ever lost consciousness from a drug overdose or being choked?

____# overdose
____# choked

SCORING

______ # TBI-LOC (number of TBIs with loss of consciousness from #6a)

______ # TBI-LOC ≥ 30 (number of TBIs with loss of consciousness ≥ 30 minutes from #6a)

______ age at first TBI-LOC (youngest age from #6a)

_____ TBI-LOC before age 15 (if youngest age from #7B < 15 then =1, if ≥ 15 then = 0)

_____ Worst Injury (1-5):

If responses to #1-5 are "no" classify as 1 "improbable TBI".

If in response to #6a and 6b reports never having LOC, being dazed or having memory lapses classify as 1 "improbable TBI".

If in response to #6b reports being dazed or having a memory lapse classify as 2 "possible TBI".

If in response to #6a loss of consciousness (LOC) does not exceed 30 minutes for any injury classify as 3 "mild TBI".

If in response to #6a LOC for any one injury is between 30 minutes and 24 hours classify as 4 "moderate TBI".

If in response to #6a LOC for any one injury exceeds 24 hours classify as 5 "severe TBI".

_______ # anoxic injuries (sum of incidents reported in #7)

This protocol was adapted with permission from the Ohio State University TBI Identification Method

© reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation

Personnel and Training Required

The interviewer must be trained to conduct personal interviews with individuals from the general population. The interviewer must be trained and found to be competent (i.e., tested by an expert) at the completion of personal interviews.

Equipment Needs

Either a pencil-and-paper or computer-assisted instrument may be used. If a computer-assisted instrument is used, computer software may be necessary to develop the instrument. The interviewer will require a laptop computer/handheld computer to administer a computer-assisted questionnaire.

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Interviewer-administered questionnaire

Lifestage

Adult, Senior

Participants

Adult, aged 18 or older.

Selection Rationale

The Ohio State University Traumatic Brain Injury Identification Method Short Form (OSU TBI-ID) was vetted against several similar protocols and selected because it is a short, validated instrument that is based on recommendations from the Centers for Disease Control and Prevention and can be used to capture traumatic brain injury among military and civilian populations.

Language

English

Standards
StandardNameIDSource
Logical Observation Identifiers Names and Codes (LOINC) Head trauma proto 62767-9 LOINC
Human Phenotype Ontology Exacerbated by head trauma HP:0025315 HPO
caDSR Form PhenX PX130601 - History Of Head Trauma 6168904 caDSR Form
Derived Variables

None

Process and Review

Expert Review Panel 4 (ERP 4) reviewed the measures in the Neurology, Psychiatric, and Psychosocial domains.

Guidance from ERP 4 included the following:

· No changes

Protocol Name from Source

The Ohio State University Traumatic Brain Injury Identification Method Short Form (OSU TBI-ID)

Source

Corrigan, J. D., & Bogner, J. A. (2007), Initial reliability and validity of the OSU TBI identification method. Journal of Head Trauma Rehabilitation, 22(6), 318-329.

General References

None

Protocol ID

130601

Variables
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX130601_Explosion_Head_Injury
PX130601050000 Have you ever been nearby when an explosion more
or a blast occurred? If you served in the military, think about any combat- or training-related incidents. show less
N/A
PX130601_Explosion_Head_Injury_Age
PX130601050400 How old were you? N/A
PX130601_Explosion_Head_Injury_Cause
PX130601050100 Cause of injury reported in question 5 N/A
PX130601_Explosion_Head_Injury_LOC
PX130601050200 Were you knocked out or did you lose more
consciousness (LOC)? If yes, how long? show less
N/A
PX130601_Explosion_Head_Injury_Memory_Gap
PX130601050300 If no, were you dazed or did you have a gap more
in your memory from the injury? show less
N/A
PX130601_Fall_Head_Injury_Age
PX130601030400 How old were you? N/A
PX130601_Fall_Head_Injury_Cause
PX130601030100 Cause of injury reported in question 3 N/A
PX130601_Fall_Head_Injury_LOC
PX130601030200 Were you knocked out or did you lose more
consciousness (LOC)? If yes, how long? show less
N/A
PX130601_Fall_Head_Injury_Memory_Gap
PX130601030300 If no, were you dazed or did you have a gap more
in your memory from the injury? show less
N/A
PX130601_Fight_Head_Injury_Age
PX130601040400 How old were you? N/A
PX130601_Fight_Head_Injury_Cause
PX130601040100 Cause of injury reported in question 4 N/A
PX130601_Fight_Head_Injury_LOC
PX130601040200 Were you knocked out or did you lose more
consciousness (LOC)? If yes, how long? show less
N/A
PX130601_Fight_Head_Injury_Memory_Gap
PX130601040300 If no, were you dazed or did you have a gap more
in your memory from the injury? show less
N/A
PX130601_Head_Injury_Fall_Hit_Sports
PX130601030000 Have you ever injured your head or neck in a more
fall or from being hit by something (e.g. falling from a bike, horse, or rollerblades, falling on ice, being hit by a rock)? Have you ever injured your head or neck playing sports or on the playground? show less
N/A
PX130601_Head_Injury_Fight
PX130601040000 Have you ever injured your head or neck in a more
fight, from being hit by someone, or from being shaken violently? Have you ever been shot in the head? show less
N/A
PX130601_Head_Injury_Memory_Gap
PX130601010300 If no, were you dazed or did you have a gap more
in your memory from the injury? show less
N/A
PX130601_Head_Or_Neck_Injury_Age
PX130601010400 How old were you? N/A
PX130601_Head_Or_Neck_Injury_LOC
PX130601010200 Were you knocked out or did you lose more
consciousness (LOC)? If yes, how long? show less
N/A
PX130601_Hospitalized_Head_Injury
PX130601010000 Have you ever been hospitalized or treated more
in an emergency room following an injury to your head or neck? Think about any childhood injuries you remember or were told about. show less
N/A
PX130601_Hospitalized_Head_Injury Cause
PX130601010100 Cause of injury reported in question 1 N/A
PX130601_LOC_From_Being_Choked
PX130601070200 Have you ever lost consciousness from a drug more
overdose or being choked? show less
N/A
PX130601_LOC_From_Drug_Overdose
PX130601070100 Have you ever lost consciousness from a drug more
overdose or being choked? show less
N/A
PX130601_Moving_Vehicle_Head_Injury
PX130601020000 Have you ever injured your head or neck in a more
car accident or from some other moving vehicle accident (e.g. motorcycle, ATV)? show less
N/A
PX130601_Moving_Vehicle_Head_Injury_Age
PX130601020400 How old were you? N/A
PX130601_Moving_Vehicle_Head_Injury_Cause
PX130601020100 Cause of injury reported in question 2 N/A
PX130601_Moving_Vehicle_Head_Injury_LOC
PX130601020200 Were you knocked out or did you lose more
consciousness (LOC)? If yes, how long? show less
N/A
PX130601_Number_Other_Injuries_With_LOC
PX130601060100 If more injuries with LOC: How many more? N/A
PX130601_Number_Other_Injuries_With_LOC_>30Min
PX130601060300 If more injuries with LOC: How many > 30 mins.? N/A
PX130601_Number_Other_Injuries_With_LOC_Age
PX130601060400 If more injuries with LOC: Youngest age? N/A
PX130601_Other_Injuries_With_LOC_Longest
PX130601060200 If more injuries with LOC: Longest knocked out N/A
PX130601_Vehicular_Head_Injury_Memory_Gap
PX130601020300 If no, were you dazed or did you have a gap more
in your memory from the injury? show less
N/A
Neurology
Measure Name

History of Head Trauma

Release Date

May 12, 2010

Definition

A questionnaire to determine whether an individual has had a traumatic brain injury (TBI).

Purpose

This measure is used to screen an individual for a past traumatic brain injury (TBI). TBI can lead to a variety of psychiatric, cognitive, and physical problems.

Keywords

Neurology, spinal cord injury, traumatic brain injury, TBI

Measure Protocols
Protocol ID Protocol Name
130601 History of Head Trauma
Publications

There are no publications listed for this protocol.