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Scale for retrospective assessment of immediate concussion symptoms

The retrospective diagnosis of concussion is often missed by clinicians. We present a brief scale for retrospective assessment of the immediate concussion symptoms (ICS) to facilitate the diagnosis of patients without visible head injury or full loss of consciousness. We administered the scale to 90...

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Autores principales: Cernovsky, Zack Zdenek, Istasy, Paul Victor Fayez, Bureau, Yves, Chiu, Simon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications, Pavia, Italy 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342027/
https://www.ncbi.nlm.nih.gov/pubmed/30746059
http://dx.doi.org/10.4081/mi.2018.7901
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author Cernovsky, Zack Zdenek
Istasy, Paul Victor Fayez
Bureau, Yves
Chiu, Simon
author_facet Cernovsky, Zack Zdenek
Istasy, Paul Victor Fayez
Bureau, Yves
Chiu, Simon
author_sort Cernovsky, Zack Zdenek
collection PubMed
description The retrospective diagnosis of concussion is often missed by clinicians. We present a brief scale for retrospective assessment of the immediate concussion symptoms (ICS) to facilitate the diagnosis of patients without visible head injury or full loss of consciousness. We administered the scale to 90 survivors of car accidents (mean age 42.0, SD=13.6; 33 males, 57 females) at 2 to 33 months after their accident. Our scale consists of 6 items and these were endorsed by the following % of our respondents: feeling dazed (64.4% of our 90 respondents), stunned (73.3%), confused (70.0%), disoriented (62.2%), dizzy (57.8%), and loss of consciousness (22.2%). The statistical properties of the scale are satisfactory (Cronbach alpha = 0.74). The scale correlates with post-accident insomnia (r=0.28), depression (r=0.29), and also with Rivermead measure of the chronic post-concussion syndrome (r=0.34). The ICS scale could be used as a starting point in longitudinal research with brain imaging procedures to evaluate the stages of recovery from the initial concussion. Attached are the English, Spanish, French, German, Italian, Russian, and Czech versions of our scale.
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spelling pubmed-63420272019-02-11 Scale for retrospective assessment of immediate concussion symptoms Cernovsky, Zack Zdenek Istasy, Paul Victor Fayez Bureau, Yves Chiu, Simon Ment Illn Article The retrospective diagnosis of concussion is often missed by clinicians. We present a brief scale for retrospective assessment of the immediate concussion symptoms (ICS) to facilitate the diagnosis of patients without visible head injury or full loss of consciousness. We administered the scale to 90 survivors of car accidents (mean age 42.0, SD=13.6; 33 males, 57 females) at 2 to 33 months after their accident. Our scale consists of 6 items and these were endorsed by the following % of our respondents: feeling dazed (64.4% of our 90 respondents), stunned (73.3%), confused (70.0%), disoriented (62.2%), dizzy (57.8%), and loss of consciousness (22.2%). The statistical properties of the scale are satisfactory (Cronbach alpha = 0.74). The scale correlates with post-accident insomnia (r=0.28), depression (r=0.29), and also with Rivermead measure of the chronic post-concussion syndrome (r=0.34). The ICS scale could be used as a starting point in longitudinal research with brain imaging procedures to evaluate the stages of recovery from the initial concussion. Attached are the English, Spanish, French, German, Italian, Russian, and Czech versions of our scale. PAGEPress Publications, Pavia, Italy 2018-12-20 /pmc/articles/PMC6342027/ /pubmed/30746059 http://dx.doi.org/10.4081/mi.2018.7901 Text en ©Copyright Z.Z. Cernovsky et al., 2018 http://creativecommons.org/licenses/by-nc/4.0/ This work is licensed under a Creative Commons Attribution NonCommercial 4.0 License (CC BY-NC 4.0).
spellingShingle Article
Cernovsky, Zack Zdenek
Istasy, Paul Victor Fayez
Bureau, Yves
Chiu, Simon
Scale for retrospective assessment of immediate concussion symptoms
title Scale for retrospective assessment of immediate concussion symptoms
title_full Scale for retrospective assessment of immediate concussion symptoms
title_fullStr Scale for retrospective assessment of immediate concussion symptoms
title_full_unstemmed Scale for retrospective assessment of immediate concussion symptoms
title_short Scale for retrospective assessment of immediate concussion symptoms
title_sort scale for retrospective assessment of immediate concussion symptoms
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342027/
https://www.ncbi.nlm.nih.gov/pubmed/30746059
http://dx.doi.org/10.4081/mi.2018.7901
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