Post-traumatic headache: the use of the sport concussion assessment tool (SCAT-3) as a predictor of post-concussion recovery

被引:13
作者
de Dhaem, Olivia Begasse [1 ,2 ]
Barr, William B. [3 ]
Balcer, Laura J. [3 ]
Galetta, Steven L. [3 ]
Minen, Mia T. [3 ]
机构
[1] NYU, Langone Med Ctr, Dept Internal Med, New York, NY USA
[2] Columbia Univ, Dept Neurol, New York Presbyterian Hosp, New York, NY USA
[3] NYU, Langone Med Ctr, Dept Neurol, 240 East 38th St, New York, NY 10003 USA
基金
美国国家卫生研究院;
关键词
Evaluation; Post-traumatic headache; SCAT-3; Concussion screening; Symptom severity; Head injury; TRAUMATIC BRAIN-INJURY; STANDARDIZED ASSESSMENT; PROLONGED RECOVERY; FOOTBALL PLAYERS; EPIDEMIOLOGY; SOMATIZATION; HISTORY; SCALE; RATES; PAIN;
D O I
10.1186/s10194-017-0767-5
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Given that post-traumatic headache is one of the most prevalent and long-lasting post-concussion sequelae, causes significant morbidity, and might be associated with slower neurocognitive recovery, we sought to evaluate the use of concussion screening scores in a concussion clinic population to assess for post-traumatic headache. Methods: This is a retrospective cross-sectional study of 254 concussion patients from the New York University (NYU) Concussion Registry. Data on the headache characteristics, concussion mechanism, concussion screening scores were collected and analyzed. Results: 72% of the patients had post-traumatic headache. About half (56.3%) were women. The mean age was 35 (SD 16.2). 90 (35%) patients suffered from sport-related concussions (SRC). Daily post-traumatic headache patients had higher Sport Concussion Assessment Tool (SCAT)-3 symptom severity scores than the non-daily post-traumatic headache and the headache-free patients (50.2 [SD 28.2] vs. 33.1 [SD 27.5] vs. 21.6 SD23], p < 0.001). Patients with SRC had lower headache intensity (4.47 [SD 2.5] vs. 6.24 [SD 2.28], p < 0.001) and SCAT symptom severity scores (33.9 [SD 27.4] vs. 51.4 [SD 27.7], p < 0.001) than the other patients, but there were no differences in post-traumatic headache prevalence, frequency, and Standardized Assessment of Concussion (SAC) scores. Conclusion: The presence and frequency of post-traumatic headache are associated with the SCAT-3 symptom severity score, which is the most important predictor for post-concussion recovery. The SCAT-3 symptom severity score might be a useful tool to help characterize patients' post-traumatic headache.
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页数:9
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