title: PROMIS Computer Adaptive Tests Compared With Time to Brake in Patients With Complex Lower Extremity Trauma.
abstract: OBJECTIVE
  To compare the PROMIS Physical Function and Pain Interference Computer Adaptive Tests (PROMIS PF CAT and PROMIS PI CAT) with time to brake (TTB) in patients with complex lower extremity traumas for evaluating whether patients can safely return to driving.
  
  
  METHODS
  Prospective.
  
  
  METHODS
  Level-1 trauma center.
  
  
  METHODS
  Sixty-three patients with lower extremity injuries to the pelvis, acetabulum, hip, femur, knee, tibia/fibula, ankle, and foot within 15 weeks of treatment.
  
  
  METHODS
  The TTB of patients with complex lower extremity trauma were tested at various time points postoperatively on a computerized driving simulator. Patients concurrently completed PROMIS PF CAT and PROMIS PI CAT.
  
  
  METHODS
  Correlations between TTB, PROMIS PF CAT, and PROMIS PI CAT.
  
  
  RESULTS
  The mean TTB for the healthy control group was 0.61 seconds. There was a statistically significant correlation between time since treatment and TTB (B = -0.008 s/d; P = 0.041) for right-sided lower extremity injuries below the knee (tibia/fibula, ankle, foot). TTB for right-sided injuries below the knee also significantly correlated with PROMIS PI CAT (B = 0.022; P = 0.029). The PROMIS PI CAT value was 43 when the healthy control group TTB was equal to 0.61 seconds.
  
  
  CONCLUSIONS
  This study suggests that the PROMIS PI CAT can be used as an adjunct to the TTB in assessing whether a patient can safely return to driving.
authors.affiliation: Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, CT.
authors.forename: Chang-Yeon
authors.initials: CY
authors.lastname: Kim
authors.forename: Daniel H
authors.initials: DH
authors.lastname: Wiznia
authors.forename: Leon
authors.initials: L
authors.lastname: Averbukh
authors.forename: Andrea
authors.initials: A
authors.lastname: Torres
authors.forename: Edward
authors.initials: E
authors.lastname: Kong
authors.forename: Seewan
authors.initials: S
authors.lastname: Kim
authors.forename: Michael P
authors.initials: MP
authors.lastname: Leslie
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001333:Automobile Driver Examination; D001334:Automobile Driving; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D007869:Leg Injuries / Q000175:diagnosis / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D011930:Reaction Time; D015203:Reproducibility of Results; D012647:Self-Assessment; D012680:Sensitivity and Specificity; D013647:Task Performance and Analysis; D055815:Young Adult