Rose Sean C, Fischer Anastasia N, Heyer Geoffrey L
Departments of Pediatrics and Neurology and.
Brain Inj. 2015;29(7-8):798-803. doi: 10.3109/02699052.2015.1004756. Epub 2015 Apr 14.
BACKGROUND/AIM: A standard definition of Post-concussion Syndrome (PCS) does not exist. The objective was to determine consensus regarding the definition of PCS among physician members of the American College of Sports Medicine (ACSM).
Physician members of the ACSM were sent an electronic survey to determine opinions regarding the PCS diagnosis.
Five hundred and ninety-seven physicians completed the survey. When asked the minimum duration of symptoms required to diagnose PCS, respondents answered: <2 weeks (26.6%), 2 weeks to 1 month (20.4%), 1-3 months (33%) and >3 months (11.1%). Physicians who see ≥10% concussion patients in their practise, as well as physicians whose concussion population consists of >50% paediatric patients, were more likely to require >1 month of symptoms (p < 0.001). When asked the minimum number of symptoms required to diagnose PCS, responses varied: one symptom (55.9%), two symptoms (17.6%), three symptoms (14.6%) and four or more symptoms (3.2%). Respondents from the US were more likely than non-US respondents to require only one symptom for the PCS diagnosis (p = 0.01).
There is a lack of consensus regarding the definition of PCS among physician members of the ACSM. A standard definition would improve consistency in concussion research and in clinical practise.
背景/目的：目前尚无脑震荡后综合征（PCS）的标准定义。本研究旨在确定美国运动医学学会（ACSM）医师成员对PCS定义的共识。
向ACSM的医师成员发送电子调查问卷，以了解他们对PCS诊断的看法。
597名医师完成了调查。当被问及诊断PCS所需症状的最短持续时间时，受访者回答：<2周（26.6%）、2周至1个月（20.4%）、1 - 3个月（33%）和>3个月（11.1%）。在其执业中诊治≥10%脑震荡患者的医师，以及脑震荡患者中>50%为儿科患者的医师，更有可能要求症状持续>1个月（p < 0.001）。当被问及诊断PCS所需的最少症状数量时，回答各不相同：一种症状（55.9%）、两种症状（17.6%）、三种症状（14.6%）和四种或更多症状（3.2%）。来自美国的受访者比非美国受访者更有可能仅要求一种症状即可诊断PCS（p = 0.01）。
ACSM医师成员对PCS的定义缺乏共识。标准定义将提高脑震荡研究和临床实践的一致性。
