Representation of concussion subtypes in common postconcussion symptom-rating scales.

Q3 Medicine Concussion Pub Date : 2019-11-01 DOI:10.2217/cnc-2019-0005

Angela Lumba-Brown, Jamshid Ghajar, Jordan Cornwell, O Josh Bloom, James Chesnutt, James R Clugston, Raina Kolluri, John J Leddy, Masaru Teramoto, Gerard Gioia

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Abstract

Aim: Postconcussion symptom-rating scales are frequently used concussion assessment tools that do not align directly with new expert, consensus-based concussion subtype classification systems. This may result in delays in concussion diagnosis, subspecialty referral and rehabilitative strategies.

Objective: To determine the representation of subtype-directed symptomatology in common postconcussion symptom-rating scales.

Methods: Literature review and expert consensus were used to compile commonly used concussion symptom-rating scales. Statistics were generated to describe the degree of representation of the consensus symptom set.

Results: The percentage of symptoms representing each subtype/associated condition is low overall (15-26%). The ocular-motor (11%) and vestibular subtypes (19%) and cervical strain (5%)-associated condition were the most under-represented and also had the greatest unmet needs.

Conclusion: Concussion subtypes do not have equal representation on commonly used concussion symptom-rating scales. There is a need for a subtype-directed symptom assessment to allow for increased accuracy of diagnosis and to guide management.

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脑震荡亚型在常见脑震荡后症状评分量表中的代表性。

目的：脑震荡后症状评分量表是经常使用的脑震荡评估工具，但与新的专家共识脑震荡亚型分类系统并不直接一致。这可能会导致脑震荡诊断、亚专科转诊和康复策略的延误：目的：确定常见脑震荡后症状评分量表中亚型定向症状的代表性：方法：利用文献综述和专家共识编制常用脑震荡症状评分量表。方法：通过文献综述和专家共识，编制出常用的脑震荡症状评分量表，并进行统计，以描述共识症状集的代表性程度：结果：代表各亚型/相关症状的百分比总体较低（15-26%）。眼球运动亚型（11%）和前庭亚型（19%）以及颈椎劳损（5%）相关症状的代表性最弱，未满足的需求也最大：结论：在常用的脑震荡症状评分量表中，脑震荡亚型的代表性不尽相同。有必要针对亚型进行症状评估，以提高诊断的准确性并指导治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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