Evaluation of the Balance Error Scoring System (BESS) in the diagnosis of acute mountain sickness at 4380 m

High Altitude Medicine and Biology

Volumn 13, Issue 2, 2012, Pages 93-97

  MacInnis, Martin J ^a   Rupert, Jim L ^a   Koehle, Michael S ^a  

^a UNIVERSITY OF BRITISH COLUMBIA   (Canada)

Author keywords

acute mountain sickness; altitude illness; ataxia; balance; balance error scoring system; hypobaria; hypoxia

Indexed keywords

ACUTE DISEASE; ADULT; ALTITUDE DISEASE; ARTICLE; BALANCE ERROR SCORING SYSTEM; BLOOD PRESSURE MEASUREMENT; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; DISEASE SEVERITY; FEMALE; HEART RATE; HUMAN; MAJOR CLINICAL STUDY; MALE; OXYGEN SATURATION; PRIORITY JOURNAL; PULSE OXIMETRY; QUESTIONNAIRE; SCORING SYSTEM; SPHYGMOMANOMETRY;

ADOLESCENT; ADULT; ALTITUDE SICKNESS; AREA UNDER CURVE; ATAXIA; BLOOD PRESSURE; FEMALE; HEART RATE; HUMANS; MALE; OXIMETRY; POSTURAL BALANCE; PREDICTIVE VALUE OF TESTS; ROC CURVE; YOUNG ADULT;

EID: 84862875602     PISSN: 15270297     EISSN: 15578682     Source Type: Journal    
DOI: 10.1089/ham.2011.1085     Document Type: Article

References (23)

1. Basnyat, B., Subedi, D., Sleggs, J., Lemaster, J., Bhasyal, G., Aryal, B., and Subedi, N. (2000). Disoriented and ataxic pilgrims: an epidemiological study of acute mountain sickness and high-altitude cerebral edema at a sacred lake at 4300m in the Nepal Himalayas. Wilderness and Environ. Med. 11:89-93. (Pubitemid 30437378)
2. Basnyat, B. and Murdoch, D.R. (2003). High-altitude illness. Lancet. 361:1967-1974. (Pubitemid 36694589)
3. Baumgartner, R., Eichenberger, U., and Bärtsch, P. (2002). Postural ataxia at high altitude is not related to mild to moderate acute mountain sickness. Eur. J. Appl. Physiol. 86:322-326. (Pubitemid 41399068)
4. Baumgartner, R.W. and Bartsch, P. (2002). Ataxia in acute mountain sickness does not improve with short-term oxygen inhalation. High Alt. Med. Biol. 3:283-287.
5. Calandriello, L., Veneziano, L., Francia, A., Sabbadini, G., Colonnese, C., Mantuano, E., Jodice, C., Trettel, F., Viviani, P., Manfredi, M., and Frontali, M. (1997). Acetazolamideresponsive episodic ataxia in an Italian family refines gene mapping on chromosome 19p13. Brain. 120:805-812. (Pubitemid 27222985)
6. Conkin, J. and Wessel, J. (2008). Critique of the Equivalent Air Altitude Model. Aviat. Space, and Environ. Med. 79: 975-982.
7. Cymerman, A., Muza, S.R., Beidleman, B.A., Ditzler, D.T., and Fulco, C.S. (2001). Postural instability and acute mountain sickness during exposure to 24 hours of simulated altitude (4300 m). High Alt. Med. Biol. 2:509-514. (Pubitemid 34065537)
8. Denier, C., Ducros, A., Vahedi, K., Joutel, A., Thierry, P., Ritz, A., Castelnovo, G., Deonna, T., Gérard, P., Devoize, J.L., Gayou, A., Perrouty, B., Soisson, T., Autret, A., Warter, J.M., Vighetto, A., Van Bogaert, P., Alamowitch, S., Roullet, E., and Tournier-Lasserve, E. (1999). High prevalence of CACNA1A truncations and broader clinical spectrum in episodic ataxia type 2. Neurology. 52:1816-1821. (Pubitemid 29260894)
9. Dellasanta, P., Gaillard, S., Loutan, L., and Kayser, B. (2007). Comparing questionnaires for the assessment of acute mountain sickness. High Alt. Med. Biol. 8: 184-191. (Pubitemid 47403501)
10. DeLong, E.R., DeLong, D.M., and Clarke-Pearson, D.L. (1988). Comparing the areas under two or more correlated receiver operating characteristic curves: a nonparametric approach. Biometrics. 44: 837-845.
11. Eng, J. (2007). ROC analysis: web-based calculator for ROC curves. Retrieved October 31, 2010 from http://www.jrocfit.org.
12. Guskiewicz, K.M. (2001). Postural stability assessment following concussion: one piece of the puzzle. Clin. J. SportMed. 11:182-189. (Pubitemid 32667131)
13. Hackett, P.H. and Roach, R.C. (2001). High-altitude illness. New Engl. J. Med. 345:107-114. (Pubitemid 32634570)
14. Hoshikawa, M., Hashimoto, S., Kawahara, T., and Ide, R. (2010). Postural instability at a simulated altitude of 5,000m before and after an expedition to Mt. Cho-Oyu (8,201 m). Eur. J. Appl. Physiol. 110:539-547.
15. Iverson, G.L., Kaarto, M.L., and Koehle, M.S. (2008). Normative data for the balance error scoring system: Implications for brain injury evaluations. Brain Injury. 22:147-152. (Pubitemid 351233923)
16. Johnson, B.G., Simmons, J., Wright, A.D., Hillenbrand, P., Beazley, M.E., Sutton, I., Imray, C.H.E., Birmingham Medical Research Expeditionary Society. (2005). Ataxia at altitude measured on a wobble board. Wilderness and Environ. Med. 16:42-46. (Pubitemid 40411604)
17. Johnson, B.G., Wright, A.D., Beazley, M.F., Harvey, T.C., Hillenbrand, P., Imray, C.H.E., Birmingham Medical Research Expeditionary Society. (2005). The sharpened Romberg test for assessing ataxia in mild acute mountain sickness. Wilderness and Environ. Med. 16:62-66. (Pubitemid 40807692)
18. Riemann, B.L. and Guskiewicz, K.M. (2000). Effects of mild head injury on postural stability as measured through clinical balance testing. J. Athl. Train. 35:19-25.
19. Roach, R.C., Bärtsch, P., Oelz, O., and Hackett, P. (1993). Lake Louise AMS Scoring Consensus Committee: The Lake Louise acute mountain sickness scoring system. In: Hypoxia and Molecular Medicine. Sutton J.R., Houston C.S., and Coates G., eds. Queen City Printers, Vermont; pp. 272-274.
20. Sampson, J.B., Cymerman, A., Burse, R.L., Maher, J.T., and Rock, P.B. (1983). Procedures for the measurement of acute mountain sickness. Aviat. Space Environ. Med. 54:1063-1073. (Pubitemid 14182329)
21. Valovich McLeod, T.C., Perrin, D.H., Guskiewicz, K.M., Shultz, S.J., Diamond, R., and Gansneder, B.M. (2004). Serial administration of clinical concussion assessments and learning effects in healthy young athletes. Clin. J. Sport Med. 14:287-295. (Pubitemid 39313484)
22. Valovich, T.C., Perrin, D.H., and Gansneder, B.M. (2003). Repeat administration elicits a practice effect with the balance error ccoring cystem but not with the standardized assessment of concussion in high school athletes. J. Athl. Train. 38:51-56. (Pubitemid 36389841)
23. Wang, S.-H., Chen, Y.-C., Kao, W.-F., Lin, Y.-J., Chen, J.-C., Chiu, T.-F., Hsu, T.-Y., Chen, H.-C., and Liu, S.-W. (2010). Epidemiology of acute mountain sickness on Jade Mountain, Taiwan: an annual prospective observational study. High Alt. Med. Biol. 11:43-49.