Table 5

Proportion of patients with neurocognitive test scores 1 or more standard deviation worse than the normative mean, stratified by corticosteroid randomization

Domain and instrument/scaleDexamethasone (%)Prednisone (%)P*
Intelligence    
    WISC-IV    
    Full scale IQ 4/51 (7.8) 2/41 (4.9) .69 
Academic achievement    
    WIAT-IIA    
    Word reading 5/51 (9.8) 2/41 (4.9) .46 
    Numeric operations 8/51 (15.7) 7/41 (17.1) .86 
    Spelling 4/51 (7.8) 2/41 (4.9) .69 
Processing speed    
    WISC-IV    
    Processing speed index 13/51 (25.5) 7/41 (17.1) .31 
Attention-concentration    
    CPT-II    
    Omissions 0/46 (0.0) 0/36 (0.0) NA 
    Commissions 19/46 (41.3) 9/36 (25.0) .12 
    Reaction time 14/46 (30.4) 9/36 (25.0) .59 
    Variability T-score 15/46 (32.6) 11/36 (30.6) .84 
Memory    
    CMS    
    Visual immediate index 2/46 (4.3) 2/38 (5.3) .999 
    Verbal immediate index 4/46 (8.7) 4/38 (10.5) .78 
    General memory index 2/46 (4.3) 3/38 (7.9) .65 
Working memory    
    WISC-IV    
    Working memory 6/51 (11.8) 2/41 (4.9) .29 
Visual motor integration    
    Beery    
    Visual motor integration 11/51 (21.6) 5/41 (12.0) .24 
Domain and instrument/scaleDexamethasone (%)Prednisone (%)P*
Intelligence    
    WISC-IV    
    Full scale IQ 4/51 (7.8) 2/41 (4.9) .69 
Academic achievement    
    WIAT-IIA    
    Word reading 5/51 (9.8) 2/41 (4.9) .46 
    Numeric operations 8/51 (15.7) 7/41 (17.1) .86 
    Spelling 4/51 (7.8) 2/41 (4.9) .69 
Processing speed    
    WISC-IV    
    Processing speed index 13/51 (25.5) 7/41 (17.1) .31 
Attention-concentration    
    CPT-II    
    Omissions 0/46 (0.0) 0/36 (0.0) NA 
    Commissions 19/46 (41.3) 9/36 (25.0) .12 
    Reaction time 14/46 (30.4) 9/36 (25.0) .59 
    Variability T-score 15/46 (32.6) 11/36 (30.6) .84 
Memory    
    CMS    
    Visual immediate index 2/46 (4.3) 2/38 (5.3) .999 
    Verbal immediate index 4/46 (8.7) 4/38 (10.5) .78 
    General memory index 2/46 (4.3) 3/38 (7.9) .65 
Working memory    
    WISC-IV    
    Working memory 6/51 (11.8) 2/41 (4.9) .29 
Visual motor integration    
    Beery    
    Visual motor integration 11/51 (21.6) 5/41 (12.0) .24 
*

Comparison between dexamethasone and prednisone groups.

Ten patients (5 in dexamethasone, 5 in prednisone) did not complete the CPT-II. Eight patients (5 in dexamethasone, 3 in prednisone) did not complete the CMS. However the rates of completion were similar between the 2 groups for each of the instruments.

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