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

被引:12
作者
Bin Zahid, Abdullah [1 ,2 ,3 ]
Hubbard, Molly E. [1 ,3 ]
Dammavalam, Vikalpa M. [1 ,2 ]
Balser, David Y. [1 ,2 ]
Pierre, Gritz [4 ]
Kim, Amie [5 ]
Kolecki, Radek [6 ]
Mehmood, Talha [5 ]
Wall, Stephen P. [7 ]
Frangos, Spiros G. [8 ]
Huang, Paul P. [4 ,9 ]
Tupper, David E. [10 ]
Barr, William [11 ,12 ]
Samadani, Uzma [1 ,2 ,3 ]
机构
[1] Hennepin Cty Med Ctr, Div Neurosurg, Minneapolis, MN 55415 USA
[2] Minneapolis VA Hlth Care Syst, Div Neurosurg, Minneapolis, MN USA
[3] Univ Minnesota, Dept Neurosurg, Minneapolis, MN 55455 USA
[4] NYU, Dept Neurosurg, Sch Med, 550 1St Ave, New York, NY 10016 USA
[5] Westchester Med Ctr, Dept Surg, Valhallah, NY USA
[6] Oculogica Inc, New York, NY USA
[7] NYU, Sch Med, Ronald O Perelman Dept Emergency Med, New York, NY USA
[8] NYU, Dept Surg, Sch Med, New York, NY 10016 USA
[9] Bellevue Hosp Ctr, Dept Neurosurg, New York, NY 10016 USA
[10] Hennepin Cty Med Ctr, Neuropsychol Sect G8, Minneapolis, MN 55415 USA
[11] NYU, Dept Neurol, Sch Med, New York, NY 10016 USA
[12] NYU, Sch Med, Dept Psychiat, New York, NY USA
关键词
Brain concussion; diagnosis; emergency treatment; classification; humans; mild traumatic brain injury; neuropsychological Tests; statistics and numerical data; TRAUMATIC-BRAIN-INJURY; STANDARDIZED ASSESSMENT; POSTCONCUSSION SYNDROME; TEST-PERFORMANCE; SAC; SCAT2;
D O I
10.1080/23279095.2016.1248765
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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 SSS7 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 SSS7 and SAC22 (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 SSS7 but with a SAC22 within 48-hours of an injury should undergo further testing.
引用
收藏
页码:110 / 119
页数:10
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