Kristin M Galetta, Mengling Liu, Danielle F Leong, Rachel E Ventura, Steven L Galetta, Laura J Balcer
{"title":"King-Devick快速数字命名测试用于脑震荡检测:文献荟萃分析和系统回顾。","authors":"Kristin M Galetta, Mengling Liu, Danielle F Leong, Rachel E Ventura, Steven L Galetta, Laura J Balcer","doi":"10.2217/cnc.15.8","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Vision encompasses a large component of the brain's pathways, yet is not represented in current sideline testing.</p><p><strong>Objectives: </strong>We performed a meta-analysis of published data for a vision-based test of rapid number naming (King-Devick [K-D] test).</p><p><strong>Studies & methods: </strong>Pooled and meta-analysis of 15 studies estimated preseason baseline K-D scores and sensitivity/specificity for identifying concussed versus nonconcussed control athletes.</p><p><strong>Result: </strong>Baseline K-D (n = 1419) showed a weighted estimate of 43.8 s (95% CI: 40.2, 47.5; <i>I</i><sup>2</sup> = 0.0%; p=0.85 - indicating very little heterogeneity). Sensitivity was 86% (96/112 concussed athletes had K-D worsening; 95% CI: 78%, 92%); specificity was 90% (181/202 controls had no worsening; 95% CI: 85%, 93%).</p><p><strong>Conclusion: </strong>Rapid number naming adds to sideline assessment and contributes a critical dimension of vision to sports-related concussion testing.</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":"1 2","pages":"CNC8"},"PeriodicalIF":0.0000,"publicationDate":"2015-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/cnc.15.8","citationCount":"149","resultStr":"{\"title\":\"The King-Devick test of rapid number naming for concussion detection: meta-analysis and systematic review of the literature.\",\"authors\":\"Kristin M Galetta, Mengling Liu, Danielle F Leong, Rachel E Ventura, Steven L Galetta, Laura J Balcer\",\"doi\":\"10.2217/cnc.15.8\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Vision encompasses a large component of the brain's pathways, yet is not represented in current sideline testing.</p><p><strong>Objectives: </strong>We performed a meta-analysis of published data for a vision-based test of rapid number naming (King-Devick [K-D] test).</p><p><strong>Studies & methods: </strong>Pooled and meta-analysis of 15 studies estimated preseason baseline K-D scores and sensitivity/specificity for identifying concussed versus nonconcussed control athletes.</p><p><strong>Result: </strong>Baseline K-D (n = 1419) showed a weighted estimate of 43.8 s (95% CI: 40.2, 47.5; <i>I</i><sup>2</sup> = 0.0%; p=0.85 - indicating very little heterogeneity). Sensitivity was 86% (96/112 concussed athletes had K-D worsening; 95% CI: 78%, 92%); specificity was 90% (181/202 controls had no worsening; 95% CI: 85%, 93%).</p><p><strong>Conclusion: </strong>Rapid number naming adds to sideline assessment and contributes a critical dimension of vision to sports-related concussion testing.</p>\",\"PeriodicalId\":37006,\"journal\":{\"name\":\"Concussion\",\"volume\":\"1 2\",\"pages\":\"CNC8\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2015-09-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.2217/cnc.15.8\",\"citationCount\":\"149\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Concussion\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2217/cnc.15.8\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2016/3/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Concussion","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2217/cnc.15.8","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2016/3/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
The King-Devick test of rapid number naming for concussion detection: meta-analysis and systematic review of the literature.
Background: Vision encompasses a large component of the brain's pathways, yet is not represented in current sideline testing.
Objectives: We performed a meta-analysis of published data for a vision-based test of rapid number naming (King-Devick [K-D] test).
Studies & methods: Pooled and meta-analysis of 15 studies estimated preseason baseline K-D scores and sensitivity/specificity for identifying concussed versus nonconcussed control athletes.
Result: Baseline K-D (n = 1419) showed a weighted estimate of 43.8 s (95% CI: 40.2, 47.5; I2 = 0.0%; p=0.85 - indicating very little heterogeneity). Sensitivity was 86% (96/112 concussed athletes had K-D worsening; 95% CI: 78%, 92%); specificity was 90% (181/202 controls had no worsening; 95% CI: 85%, 93%).
Conclusion: Rapid number naming adds to sideline assessment and contributes a critical dimension of vision to sports-related concussion testing.
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