Galveston Orientation and Amnesia Test

The Galveston Orientation and Amnesia Test (GOAT) is a measure of attention and orientation, especially to see if a patient has recovered from post-traumatic amnesia (PTA) after a traumatic brain injury.[1] This was the first measure created to test post-traumatic amnesia, and is still the most widely used test.[1] The test was created by Harvey S. Levin and colleagues (1979), and features ten questions that assess temporal and spatial orientation, biographical recall, and memory.[2] Points are awarded for responses to each question, with a 100 points possible. A score greater than 78 for three consecutive days is considered the threshold for emergence from post-traumatic amnesia.[3] This test is intended for patients aged 15 years or older. Younger patients are given a modified version of the test, known as the Children's Orientation and Attention Test (COAT).

Galveston Orientation and Amnesia Test
Purposemeasure of orientation/attention

The scores on this test have been found to relate to both the Glasgow Coma Scale and the Glasgow Outcome Scale.[4]

Modified versions

MOAT

A modified version of this test, known as MOAT or Modified GOAT, is a similar questionnaire that assesses memory, orientation, and attention. This modified version has multiple choice options for those who have expressive-language difficulties or who are intubated. Here, a score of greater than 60 for two consecutive days is considered emergence from PTA.[5]

COAT

The Children's Orientation and Attention Test (COAT) is a pediatric version of the test for ages 3–15.[6] This test assesses orientation by asking the child or adolescent to give their first and last names, their parents' names, and to identify their current location.[7]

References
  1. Nathan Zasler; Douglas Katz, MD; Ross D. Zafonte (2007). Brain Injury Medicine: Principles and Practice. Demos Medical Publishing. p. 289. ISBN 978-1-888799-93-4.
  2. Joel A. DeLisa; Bruce M. Gans; Nicholas E. Walsh (2005). Physical Medicine and Rehabilitation: Principles and Practice. Lippincott Williams & Wilkins. pp. 1012–. ISBN 978-0-7817-4130-9.
  3. David X. Cifu, MD; Deborah Caruso, MD (29 April 2010). Traumatic Brain Injury. Demos Medical Publishing. p. 26. ISBN 978-1-933864-61-7.
  4. Robert L. Mapou; Jack Spector (28 February 1995). Clinical Neuropsychological Assessment: A Cognitive Approach. Springer. pp. 188–. ISBN 978-0-306-44869-0.
  5. David X. Cifu, MD; Henry L. Lew (10 September 2013). Handbook of Polytrauma Care and Rehabilitation. Demos Medical Publishing. p. 224. ISBN 978-1-936287-55-0.
  6. Nathan D. Zasler MD; Douglas I. Katz MD; Ross D. Zafonte DO; David B. Arciniegas MD; M. Ross Bullock MD, PHD; Jeffrey S. Kreutzer PHD, ABPP (27 August 2012). Brain Injury Medicine, 2nd Edition: Principles and Practice. Demos Medical Publishing. p. 587. ISBN 978-1-61705-057-2.
  7. Andrew S. Davis PhD (25 October 2010). Handbook of Pediatric Neuropsychology. Springer Publishing Company. p. 613. ISBN 978-0-8261-5737-9.
This article is issued from Wikipedia. The text is licensed under Creative Commons - Attribution - Sharealike. Additional terms may apply for the media files.