Abstract

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.

Highlights

  • The retrospective diagnosis of concus- histological research by Bennet Omalu[1,2] Analyses, Preparation of the manuscript; PI, sion is often missed by clinicians

  • The scale correlates with post-accic dent insomnia (r=0.28), depression r (r=0.29), and with Rivermead measure e of the chronic post-concussion syndrome (r=0.34)

  • The immediate concussion symptoms (ICS) scale could be used as a m starting point in longitudinal research with brain imaging procedures to evaluate the m stages of recovery from the initial concuso sion

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Summary

Introduction

The retrospective diagnosis of concus- histological research by Bennet Omalu[1,2] Analyses, Preparation of the manuscript; PI, sion is often missed by clinicians. We pre- and of Mez et al.[3] documented that cerebral Preparation of the data set, Conceptual analysent 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. The ICS scale could be used as a m starting point in longitudinal research with brain imaging procedures to evaluate the m stages of recovery from the initial concuso sion. We designed a scale to retrospectively measure the immediate symptoms of cerebral concussion

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