The Utility of the INECO Frontal Screening (IFS) in the Detection of Executive Dysfunction in Patients with Traumatic Brain Injury (TBI) (P07.194)

Abstract

Objective: The aim of our research was to investigate the sensitivity and specificity of this tool in the detection of executive dysfunction in patients with Traumatic Brain Injury (TBI). Background The INECO Frontal Screening (IFS) is a brief screening tool which has demonstrated high sensitivity and specificity in detecting executive dysfunction in patients with dementia. Design/Methods: A group of 23 patients with TBI and a group of 19 controls were evaluated with the IFS and a classic executive test battery. We analyzed the sensitivity and specificity of different cut-off scores for the IFS in detecting executive impairment in patients with TBI group. Patients were considered having executive impairment when they scored 1.5 SD below the mean of a matched control group in at least one executive test. Results: TBI patients with and without executive deficits differed significantly on the total score of the IFS. Of the total of patients evaluated, 20% showed executive dysfunction. With a cutoff score of 21/30, sensitivity of the tool was 91.7% while its specificity was 63.3%. Conclusions: The IFS is a tool able to detect deficits in executive functions in patients with head injury, showing a high sensitivity with moderate specificity. Disclosure: Dr. Marenco has nothing to disclose. Dr. Roca has nothing to disclose. Dr. Gleichgerrcht has nothing to disclose. Dr. Manes has nothing to disclose. Dr. Torralva has nothing to disclose.