Lumba-Brown Angela, Ghajar Jamshid, Cornwell Jordan, Bloom O Josh, Chesnutt James, Clugston James R, Kolluri Raina, Leddy John J, Teramoto Masaru, Gioia Gerard
Department of Emergency Medicine, Stanford University, Stanford, CA 94304, USA.
Department of Neurosurgery, Brain Performance Center, Stanford University, Stanford, CA 94304 USA.
Concussion. 2019 Nov 1;4(3):CNC65. doi: 10.2217/cnc-2019-0005.
Postconcussion symptom-rating scales are frequently used concussion assessment tools that do not align directly with new expert, consensus-based concussion subtype classification systems. This may result in delays in concussion diagnosis, subspecialty referral and rehabilitative strategies.
To determine the representation of subtype-directed symptomatology in common postconcussion symptom-rating scales.
Literature review and expert consensus were used to compile commonly used concussion symptom-rating scales. Statistics were generated to describe the degree of representation of the consensus symptom set.
The percentage of symptoms representing each subtype/associated condition is low overall (15-26%). The ocular-motor (11%) and vestibular subtypes (19%) and cervical strain (5%)-associated condition were the most under-represented and also had the greatest unmet needs.
Concussion subtypes do not have equal representation on commonly used concussion symptom-rating scales. There is a need for a subtype-directed symptom assessment to allow for increased accuracy of diagnosis and to guide management.
脑震荡后症状评定量表是常用的脑震荡评估工具，但与新的基于专家共识的脑震荡亚型分类系统并不直接匹配。这可能导致脑震荡诊断、专科转诊和康复策略的延迟。
确定常见脑震荡后症状评定量表中针对亚型的症状表现情况。
通过文献综述和专家共识来编制常用的脑震荡症状评定量表。生成统计数据以描述共识症状集的表现程度。
总体而言，代表每种亚型/相关病症的症状百分比很低（15%-26%）。眼动亚型（11%）、前庭亚型（19%）和颈部劳损相关病症（5%）的表现最不充分，未满足的需求也最大。
脑震荡亚型在常用的脑震荡症状评定量表中的表现并不相同。需要一种针对亚型的症状评估方法，以提高诊断准确性并指导治疗。
