Evidence map›Paper›PMID 35962887›Full record

ArticleSports medicine - open2022

The Clinical Utility of the Child SCAT5 for Acute Concussion Assessment.

Nicholas K Erdman, Patricia M Kelshaw, Samantha L Hacherl, Shane V Caswell

Open access · goldAbstract read
In one paragraph

Article in Sports medicine - open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 85% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Nicholas K ErdmanSports Medicine Assessment Research & Testing (SMART) Laboratory, Athletic Training Education Program, School of Kinesiology, George Mason University, 10890 George Mason Circle, Katherine Johnson Hall 221, MSN 4E5, Manassas, VA, 20110, USA.ORCID http://orcid.org/0000-0001-8109-7585
Patricia M KelshawVirginia Concussion Initiative, George Mason University, Manassas, VA, USA.ORCID http://orcid.org/0000-0002-0523-0281
Samantha L HacherlSports Medicine Assessment Research & Testing (SMART) Laboratory, Athletic Training Education Program, School of Kinesiology, George Mason University, 10890 George Mason Circle, Katherine Johnson Hall 221, MSN 4E5, Manassas, VA, 20110, USA.ORCID http://orcid.org/0000-0003-3887-6094
Shane V CaswellSports Medicine Assessment Research & Testing (SMART) Laboratory, Athletic Training Education Program, School of Kinesiology, George Mason University, 10890 George Mason Circle, Katherine Johnson Hall 221, MSN 4E5, Manassas, VA, 20110, USA. scaswell@gmu.edu.ORCID http://orcid.org/0000-0002-8775-2971
George Mason University · USUniversity of New Hampshire · US

Funding

CDC HHS NU17CE924832Virginia Department of Health 709I832700
6 · The paper itself

Abstract

backgroundThe Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5) was developed to evaluate children between 5 and 12 years of age for a suspected concussion. However, limited empirical evidence exists demonstrating the value of the Child SCAT5 for acute concussion assessment. Therefore, the purpose of our study was to examine differences and assess the diagnostic properties of Child SCAT5 scores among concussed and non-concussed middle school children on the same day as a suspected concussion.

methodsOur participants included 34 concussed (21 boys, 13 girls; age = 12.8 ± 0.86 years) and 44 non-concussed (31 boys, 13 girls; age = 12.4 ± 0.76 years) middle school children who were administered the Child SCAT5 upon suspicion of a concussion. Child SCAT5 scores were calculated from the symptom evaluation (total symptoms, total severity), child version of the Standardized Assessment of Concussion (SAC-C), and modified Balance Error Scoring System (mBESS). The Child SCAT5 scores were compared between the concussed and non-concussed groups. Non-parametric effect sizes ([Formula: see text]) were calculated to assess the magnitude of difference for each comparison. The diagnostic properties (sensitivity, specificity, diagnostic accuracy, predictive values, likelihood ratios, and diagnostic odds ratio) of each Child SCAT5 score were also calculated.

resultsConcussed children endorsed more symptoms (p < 0.001, [Formula: see text]=0.45), higher symptom severity (p < 0.001, [Formula: see text]=0.44), and had higher double leg (p = 0.046, [Formula: see text]=0.23), single leg (p = 0.035, [Formula: see text]=0.24), and total scores (p = 0.022, [Formula: see text]=0.26) for the mBESS than the non-concussed children. No significant differences were observed for the SAC-C scores (p's ≥ 0.542). The quantity and severity of endorsed symptoms had the best diagnostic accuracy (AUC = 0.76-0.77), negative predictive values (NPV = 0.84-0.88), and negative likelihood ratios (-LR = 0.22-0.31) of the Child SCAT5 scores.

conclusionsClinicians should prioritize interpretation of the symptom evaluation form of the Child SCAT5 as it was the most effective component for differentiating between concussed and non-concussed middle school children on the same day as a suspected concussion.

Indexed as

BalanceChildrenDiagnostic accuracyNeurocognitiveSymptomology

Identifiers

PMID35962887
PMCPMC9375738
OpenAlexW4291190065

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.