The Sport Concussion Assessment Tool (SCAT2) for evaluating civilian mild traumatic brain injury. A pilot normative study
Rădoi, Andreea (Universitat Autònoma de Barcelona)
Poca Pastor, María Antonia (Universitat Autònoma de Barcelona)
Gándara, Dario F. (Hospital Universitari Vall d'Hebron)
Castro, Lidia (Universitat Autònoma de Barcelona)
Cevallos, Mauricio (Hospital Universitari Vall d'Hebron)
Pacios, María E. (Hospital Universitari Vall d'Hebron)
Sahuquillo Barris, Juan (Universitat Autònoma de Barcelona)
Universitat Autònoma de Barcelona

Data:	2019
Resum:	Self-report measures, particularly symptom inventories, are critical tools for identifying patients with persistent post-concussion symptoms and their follow-up. Unlike in military or sports-related assessment, in general civilian settings pre-injury levels of concussion-like symptoms are lacking. Normative data are available in adolescent and college populations, but no reference data exist to guide clinical adult explorations. The purpose of this study was to use the second edition of the Sport Concussion Assessment Tool (SCAT2) to profile a cohort of 60 healthy community volunteers who had not sustained a head injury. Participating volunteers underwent MRI scanning and were evaluated with the Hospital Anxiety and Depression Scale (HADS). Participants reported a median of 3 concussion-like symptoms and the 97. 5 percentile score was found at 10. 5 symptoms, out of a total of 22. The median severity score was 4. 9 points, and 28. 9 was the upper limit of the reference interval. Only 10 participants (16. 7%) did not endorse any symptom. The most frequently endorsed symptom was feeling difficulty in concentrating, with 41. 7% of the sample reporting it. Age, sex and general distress, anxiety and depressive symptoms were not associated with concussion-like symptoms. Our data yielded elevated cut-offs scores for both the number of symptoms and the symptom severity. In conclusion, postconcussive-like symptoms are frequent in the general non-concussed adult population and it should be taken into account in any future models developed for screening patients at risk of developing physical, cognitive, and psychological complaints following mild traumatic injury.
Ajuts:	Agència de Gestió d'Ajuts Universitaris i de Recerca 2014/SGR-844 Ministerio de Ciencia e Innovación PI11/00700 Ministerio de Economía y Competitividad PI13/02397
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Adolescent ; Adult ; Athletic Injuries ; Brain ; Brain Concussion ; Cohort Studies ; Female ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Pilot Projects ; Post-Concussion Syndrome ; Sports ; Young Adult
Publicat a:	PloS one, Vol. 14 Núm. 2 (february 2019) , p. e0212541, ISSN 1932-6203

DOI: 10.1371/journal.pone.0212541
PMID: 30785950

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