Department of Psychology, University of Missouri - Kansas, Kansas City, Missouri, USA.
Concussion Care Clinic, University Orthopedic Centre, State College, Pennsylvania, USA.
Br J Sports Med. 2017 Jun;51(11):895-901. doi: 10.1136/bjsports-2016-097466.
Several iterations of the Sport Concussion Assessment Tool (SCAT) have been published over the past 16 years. Our goal was to systematically review the literature related to the SCAT and provide recommendations for improving the tool. To achieve this goal, five separate but related searches were conducted and presented herein.
Systematic literature review.
Medline, Embase, PsycINFO, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Cochrane Central Register of Controlled Trials, SPORTDiscus and PubMed.
Original, empirical, peer-reviewed findings published in English and included sports-related concussion (SRC). Review papers, case studies, editorials and conference proceedings/abstracts were excluded. The age range for the ChildSCAT was 5-12 years and for the Adult SCAT was 13 years and above.
Out of 2961 articles screened, a total of 96 articles were included across the five searches. Searches were not mutually exclusive. The final number of articles included in the qualitative synthesis for each search was 21 on Adult SCAT, 32 on ChildSCAT, 21 on sideline, 8 on video/observation and 14 on oculomotor.
SUMMARY/CONCLUSIONS: The SCAT is the most widely accepted and deployable sport concussion assessment and screening tool currently available. There is some degree of support for using the SCAT2/SCAT3 and ChildSCAT3 in the evaluation of SRC, with and without baseline data. The addition of an oculomotor examination seems indicated, although the most valid method for assessing oculomotor function is not clear. Video-observable signs of concussion show promise, but there is insufficient evidence to warrant widespread use at this time.
过去 16 年来，已经发布了多个版本的运动性脑震荡评估工具（SCAT）。我们的目标是系统地回顾与 SCAT 相关的文献，并为改进该工具提供建议。为了实现这一目标，我们进行了五项独立但相关的搜索，并在此处呈现。
系统文献综述。
Medline、Embase、PsycINFO、护理学及相关健康文献累积索引（CINAHL）、Cochrane 对照试验中心注册库、SPORTDiscus 和 PubMed。
以英文发表的、与运动性脑震荡（SRC）相关的原始、实证、同行评审发现。综述论文、案例研究、社论和会议论文/摘要被排除在外。儿童 SCAT 的年龄范围为 5-12 岁，成人 SCAT 的年龄范围为 13 岁及以上。
在筛选出的 2961 篇文章中，共有 96 篇文章符合五项搜索的纳入标准。搜索并非相互排斥。每个搜索的定性综合纳入的文章总数为成人 SCAT 21 篇、儿童 SCAT 32 篇、场外 21 篇、视频/观察 8 篇和眼动 14 篇。
总结/结论：SCAT 是目前最广泛接受和可部署的运动性脑震荡评估和筛查工具。在没有或有基线数据的情况下，使用 SCAT2/SCAT3 和儿童 SCAT3 评估 SRC 有一定程度的支持。似乎需要增加眼动检查，尽管评估眼动功能的最有效方法尚不清楚。视频观察到的脑震荡迹象显示出一定的潜力，但目前还没有足够的证据支持广泛使用。
