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Int J Sports Med 2022; 43(03): 278-285
DOI: 10.1055/a-1533-1700
Clinical Sciences

Accuracy of Components of the SCAT5 and ChildSCAT5 to Identify Children with Concussion

Franz E. Babl
1   Department of Clinical Sciences, Murdoch Childrens Research Institute, Parkville, Australia
2   Department of Paediatrics, The University of Melbourne Department of Paediatrics, Parkville, Australia
3   Emergency Department, The Royal Childrenʼs Hospital, Parkville, Australia
,
Vicki Anderson
1   Department of Clinical Sciences, Murdoch Childrens Research Institute, Parkville, Australia
4   Department of School of Psychological Sciences, The University of Melbourne, Parkville, Australia
5   Department of Psychology Service, The Royal Childrenʼs Hospital, Parkville, Australia
,
Vanessa C. Rausa
1   Department of Clinical Sciences, Murdoch Childrens Research Institute, Parkville, Australia
,
Nicholas Anderson
1   Department of Clinical Sciences, Murdoch Childrens Research Institute, Parkville, Australia
,
Remy Pugh
1   Department of Clinical Sciences, Murdoch Childrens Research Institute, Parkville, Australia
,
Tracey Chau
1   Department of Clinical Sciences, Murdoch Childrens Research Institute, Parkville, Australia
,
Cathriona Clarke
1   Department of Clinical Sciences, Murdoch Childrens Research Institute, Parkville, Australia
,
Fabian Fabiano
1   Department of Clinical Sciences, Murdoch Childrens Research Institute, Parkville, Australia
,
Feiven Fan
1   Department of Clinical Sciences, Murdoch Childrens Research Institute, Parkville, Australia
,
Stephen Hearps
1   Department of Clinical Sciences, Murdoch Childrens Research Institute, Parkville, Australia
,
Georgia Parkin
1   Department of Clinical Sciences, Murdoch Childrens Research Institute, Parkville, Australia
,
Michael Takagi
1   Department of Clinical Sciences, Murdoch Childrens Research Institute, Parkville, Australia
4   Department of School of Psychological Sciences, The University of Melbourne, Parkville, Australia
,
Gavin Davis
1   Department of Clinical Sciences, Murdoch Childrens Research Institute, Parkville, Australia
6   Department of Neurosurgery, Austin Hospital, Heidelberg, Australia
7   Department of Neurosurgery, Cabrini Hospital, Malvern, Australia
› Institutsangaben Funding source: Franz Babl has been in part funded by a National Health and Medical Research Council Practitioner Fellowship, Canberra, Australia, and the Royal Children’s Hospital Foundation, Melbourne, Australia.Conflict of InterestDr. Davis is an honorary member of the AFL Concussion Working Group Scientific Committee, and has attended meetings organised by sporting organisations including the NFL, NRL, IIHF and FIFA; however has not received any payment, research funding, or other monies from these groups other than for travel costs; Dr. Davis is also a shareholder in 9 Lives. All other authors have no conflicts of interest relevant to this article to disclose. Ethical approval: This study has been approved by the Human Research Ethics Committee of the Royal Children’s Hospital Melbourne.
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Abstract

The Sport Concussion Assessment Tool 5th Edition (SCAT5) is a standardized measure of concussion. In this prospective observational study, the ability of the SCAT5 and ChildSCAT5 to differentiate between children with and without a concussion was examined. Concussed children (n=91) and controls (n=106) were recruited from an emergency department in three equal-sized age bands (5–8/9–12/13–16 years). Analysis of covariance models (adjusting for participant age) were used to analyze group differences on components of the SCAT5. On the SCAT5 and ChildSCAT5, respectively, youth with concussion reported a greater number (d=1.47; d=0.52) and severity (d=1.27; d=0.72) of symptoms than controls (all p<0.001). ChildSCAT5 parent-rated number (d=0.98) and severity (d=1.04) of symptoms were greater for the concussion group (all p<0.001). Acceptable levels of between-group discrimination were identified for SCAT5 symptom number (AUC=0.86) and severity (AUC=0.84) and ChildSCAT5 parent-rated symptom number (AUC=0.76) and severity (AUC=0.78). Our findings support the utility of the SCAT5 and ChildSCAT5 to accurately distinguish between children with and without a concussion.

Key words

pediatric - concussion - assessment - diagnosis

Supplementary Material



Publikationsverlauf

Eingereicht: 14. Februar 2021

Angenommen: 07. Juni 2021

Artikel online veröffentlicht:
16. August 2021

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