Assessment of acute head injury in an emergency department population using sport concussion assessment tool - 3rd edition

Sport Concussion Assessment Tool version 3 (SCAT-3) is one of the most widely researched concussion assessment tools in athletes. Here normative data for SCAT3 in nonathletes are presented. The SCAT3 was administered to 98 nonathlete healthy controls, as well as 118 participants with head-injury and 46 participants with other body trauma (OI) presenting to the ED. Reference values were derived and classifier functions were built to assess the accuracy of SCAT3. The control population had a mean of 2.30 (SD = 3.62) symptoms, 4.38 (SD = 8.73) symptom severity score (SSS), and 26.02 (SD = 2.52) standardized assessment of concussion score (SAC). Participants were more likely to be diagnosed with a concussion (from among healthy controls) if the SSS > 7; or SSS ≤ 7 and SAC ≤22 (sensitivity = 96%, specificity = 77%). Identification of head injury patients from among both, healthy controls and body trauma was possible using rule SSS > 7 and headache or pressure in head present, or SSS ≤ 7 and SAC ≤ 22 (sensitivity = 87%, specificity = 80%). In this current study, the SCAT-3 provided high sensitivity to discriminate acute symptoms of TBI in the ED setting. Individuals with a SSS > 7 and headache or pressure in head, or SSS ≤ 7 but with a SAC ≤ 22 within 48-hours of an injury should undergo further testing.

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:25

Enthalten in:

Applied neuropsychology. Adult - 25(2018), 2 vom: 23. März, Seite 110-119

Sprache:

Englisch

Beteiligte Personen:

Bin Zahid, Abdullah [VerfasserIn]
Hubbard, Molly E [VerfasserIn]
Dammavalam, Vikalpa M [VerfasserIn]
Balser, David Y [VerfasserIn]
Pierre, Gritz [VerfasserIn]
Kim, Amie [VerfasserIn]
Kolecki, Radek [VerfasserIn]
Mehmood, Talha [VerfasserIn]
Wall, Stephen P [VerfasserIn]
Frangos, Spiros G [VerfasserIn]
Huang, Paul P [VerfasserIn]
Tupper, David E [VerfasserIn]
Barr, William [VerfasserIn]
Samadani, Uzma [VerfasserIn]

Links:

Volltext

Themen:

Brain concussion/diagnosis
Emergency treatment/ classification
Humans
Journal Article
Mild traumatic brain injury/diagnosis
Neuropsychological Tests/statistics and numerical data

Anmerkungen:

Date Completed 03.08.2018

Date Revised 21.03.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/23279095.2016.1248765

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM266263283