Centre for Health, Activity and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand.
The Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia.
Br J Sports Med. 2020 Aug;54(15):906-912. doi: 10.1136/bjsports-2018-100482. Epub 2019 Oct 11.
The Sport Concussion Assessment Tool (SCAT) and Child SCAT are the 'gold standard' assessment tools for a suspected sport-related concussion (SRC). A number of 'modifiers' (eg, previous history of concussion) of a SRC have been identified. These may influence how the SCAT/Child SCAT results should be interpreted.
To achieve consensus, via an international panel of SRC experts, on which athlete/player and parent/caregiver demographic variables should be considered for inclusion in future editions of the SCAT/Child SCAT respectively.
A two-round modified Delphi technique, overseen by a steering committee, invited 41 panellists to achieve expert consensus (≥80% agreement). The first round utilised open questions to generate demographic variables; the second round used a five-point ordinal item to rank the importance of including each variable in future editions of the SCAT/Child SCAT.
15 experts participated in at least one Delphi round. 29 athlete/player and eight parent/caregiver variables reached consensus for inclusion in the SCAT, whereas two parent/caregiver variables reached consensus for exclusion. 28 athlete/player and four parent/caregiver variables reached consensus for the Child SCAT, whereas two parent/caregiver variables reached consensus for exclusion. Key categories of variables included the following: concussion/sport details, personal medical conditions and family medical history.
This study provides a list of athlete/player and parent/caregiver demographic variables that should be considered in future revisions of the SCAT/Child SCAT. By considering (and ultimately likely including) a wider and standard set of additional demographic variables, the Concussion in Sport experts will be able to provide clinicians and researchers with data that may enhance interpretation of the individual's data and the building of larger datasets.
运动性脑震荡评估工具（SCAT）和儿童版运动性脑震荡评估工具（Child SCAT）是疑似与运动相关的脑震荡（SRC）的“金标准”评估工具。已经确定了 SRC 的一些“修饰符”（例如，既往脑震荡病史）。这些因素可能会影响 SCAT/Child SCAT 结果的解释。
通过 SRC 专家国际小组达成共识，确定哪些运动员/球员和家长/照顾者的人口统计学变量应分别纳入未来版的 SCAT/Child SCAT。
两轮修改后的德尔菲技术，由指导委员会监督，邀请 41 名小组成员达成专家共识（≥80%的一致性）。第一轮采用开放式问题生成人口统计学变量；第二轮使用五点定序项目来对将每个变量纳入未来版 SCAT/Child SCAT 的重要性进行排名。
15 名专家至少参加了一轮德尔菲调查。29 项运动员/球员和 8 项家长/照顾者变量在 SCAT 中达成共识纳入，而 2 项家长/照顾者变量达成共识排除。28 项运动员/球员和 4 项家长/照顾者变量在儿童版 SCAT 中达成共识纳入，而 2 项家长/照顾者变量达成共识排除。关键的变量类别包括以下内容：脑震荡/运动细节、个人医疗状况和家族医疗史。
本研究提供了未来修订 SCAT/Child SCAT 时应考虑的运动员/球员和家长/照顾者人口统计学变量的列表。通过考虑（并最终可能包括）更广泛和标准的其他人口统计学变量，运动性脑震荡专家将能够为临床医生和研究人员提供可能增强对个体数据解释和构建更大数据集的数据。
