Journal: International Journal of Clinical and Health Psychology : IJCHP
Article Title: Optimizing pediatric “Mild” traumatic brain injury assessments: A multi-domain random forest analysis of diagnosis and outcomes
doi: 10.1016/j.ijchp.2025.100600
Figure Lengend Snippet: Results from the Random Forest analyses for the final outcome models at each Visit (V) for classifying pediatric “mild” traumatic brain injury patients with poor versus favorable outcomes. The top row shows receiver operating characteristics (ROC) results including area under the curve (AUC), balanced accuracy (BA), sensitivity, and specificity for each visit. The bottom row displays the variable importance (VIMP) score for each variable in the final models. Feature selection for the final model occurred based on whether the lower bound of the 90 % VIMP confidence interval was greater than 0 % (selected = blue; not selected = red). Across all three visits, current clinical-ratings, in particular somatic complaints (headache and sleep) and emotional distress, together with neurosensory symptom provocation measures, predominated for feature selection. In contrast, injury severity characteristics and performance-based cognitive measures tended to be eliminated in the final models. The following abbreviations are included in the figure: Post-Concussive Symptoms (PCS), Quality of Life (QoL), Retrospective (R), Symptom Provocation (SP), Tandem Gait (TG), Visual Motion Sensitivity (VMS), Monocular Accommodative amplitude (MA), Horizontal and Vertical Vestibular Ocular Reflex (H VOR; V VOR), King-Devick (KD), Error (Er), Horizontal and Vertical Saccades (H Sac; V Sac), Double Dorsal Foot Stretch (DDFS), Smooth Pursuit (Sm Pur), Near Point Convergence (NPC), Number of Previous Injuries (NumPrevInj), Stroop Inhibition (Stroop I), Identification (IDN), One-card Learning (OCL), Detection (DET), Reaction Time (RT), Accuracy (ac), Loss of Consciousness/Posttraumatic Amnesia (LOC/PTA).
Article Snippet: Current self-reported clinical-ratings (except depression) and all self-reported retrospective-ratings, and performance on tests of immediate and delayed recall (HVLT-R), inhibition (Stroop), and rapid number naming (King-Devick), were retained for the final model. Somatic symptoms (pain, headache, PCS, sleep) were among the best predictors.
Techniques: Selection, Inhibition