CDE Detailed Report
Subdomain Name: Post-Concussive / Mild TBI-Related Symptoms
CRF: Sport Concussion Assessment Tool - 3rd Edition (SCAT3)
Displaying 1 - 50 of 114
CDE ID | CDE Name | Variable Name | Definition | Short Description | Question Text | Permissible Values | Description | Data Type | Disease Specific Instructions | Disease Specific Reference | Population | Classification (e.g., Core) | Version Number | Version Date | CRF Name (CRF Module / Guidance) | Subdomain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
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C52511 | Standardized Assessment of Concussion (SAC) - Concentration month reverse order score | SACConcMoRevOrderScore | The score the subject received on the Concentration: Month in Reverse Order section of the Standardized Assessment of Concussion (SAC) | The score the subject received on the Concentration: Month in Reverse Order section of the Standardized Assessment of Concussion (SAC | Dec-Nov-Oct-Sept-Aug-Jul-Jun-May-Apr-Mar-Feb-Jan | 0;1 | 0;1 | Numeric Values |
Now tell me the months of the year in reverse order. Start with the last month and go |
1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52447 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Hospitalized medical imaging head injury indicator | SCAT3HosMedImgngHeadInjInd | The indicator relating to whether or not the subject has ever been hospitalized or had medical imaging done for a head injury, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | The indicator relating to whether or not the subject has ever been hospitalized or had medical imaging done for a head injury, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 | Have you ever been hospitalized or hd medical imaging done for a head injury? | Y;N | Yes;No | Alphanumeric | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-18 15:13:32.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52479 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation rating type | SCAT3SymptmEvalRatTyp | Type representing how the Symptom Evaluation was rated and who rated it, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Type representing how the Symptom Evaluation was rated and who rated it, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 | Rater | self rated;self rated and clinician monitored;self rated with parent input;clinician interview | self rated;self rated and clinician monitored;self rated with parent input;clinician interview | Alphanumeric | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C01002 | Glasgow Coma Scale (GCS) - verbal response scale | GCSVerbalRspnsScale | Score that describes the participant's verbal response according to the Glasgow Coma Scale (GCS) | Score that describes the participant's verbal response according to the Glasgow Coma Scale (GCS) | Best verbal response (V) | 1;2;3;4;5 | No verbal response/sounds;Incomprehensible sound;Inappropriate words;Confused;Oriented | Numeric Values |
GCS should be recoded for all athletes in case of subsequent deterioration |
1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
C124726 | |||||||
C50680 | Examiner name | ExaminerName | The name of the person performing the exam | The name of the person performing the exa | Examiner | Alphanumeric | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2016-12-12 00:00:00.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points | 255 |
Free-Form Entry |
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C52528 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Mechanism of injury text | SCAT3MechInjTxt | Text describing the mechanism of the subject's injury (i.e., what happened), as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Text describing the mechanism of the subject's injury (i.e., what happened), as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 | Notes: Mechanism of Injury ("tell me what happened"?) | Alphanumeric | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points | 4000 |
Free-Form Entry |
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C52458 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation blurred vision score | SCAT3SymptmEvalBlurVisScore | The score pertaining to how much the subject has blurred vision, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | The score pertaining to how much the subject has blurred vision, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 | Blurred vision | 0;1;2;3;4;5;6 | None;Mild;mild;Moderate;Moderate;Severe;Severe | Numeric Values |
You should score yourself on the following symptoms, based on how you feel now. |
1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52490 | Standardized Assessment of Concussion (SAC) - Immediate memory Trial 1 Item 4 score | SACImmMemT1Item4Score | The score the subject received on Item 4 (default saddle) of Trial 1 of the Immediate section of the Standardized Assessment of Concussion (SAC) | The score the subject received on Item 4 (default saddle) of Trial 1 of the Immediate section of the Standardized Assessment of Concussion (SAC | saddle Trial 1 | 0;1 | 0;1 | Numeric Values |
I am going to test your memory. I will read you a list of words and when I am done, repeat back as many words as you can remember, in any order. |
1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52501 | Standardized Assessment of Concussion (SAC) - Immediate memory Trial 3 Item 5 score | SACImmMemT3Item5Score | The score the subject received on Item 5 (default bubble) of Trial 3 of the Immediate section of the Standardized Assessment of Concussion (SAC) | The score the subject received on Item 5 (default bubble) of Trial 3 of the Immediate section of the Standardized Assessment of Concussion (SAC | bubble Trial 3 | 0;1 | 0;1 | Numeric Values |
I am going to repeat the same list again. Repeat back as many words as you can remember in any order, even if you said the word before. |
1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52437 | Maddocks Score - Venue today score | MaddocksVenueTodayScore | The score the subject received on first question (venue today question) of the Maddocks Score | The score the subject received on first question (venue today question) of the Maddocks Scor | What venue are we at today? | 0;1 | 0;1 | Numeric Values |
I am going to ask you a few questions, please listen carefully and give your best effort. |
1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-18 14:31:26.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
3 | 15 | ||||||
C52469 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation drowsiness score | SCAT3SymptmEvalDrowScore | The score pertaining to how much the subject feels drowsiness, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | The score pertaining to how much the subject feels drowsiness, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 | Drowsiness | 0;1;2;3;4;5;6 | None;Mild;mild;Moderate;Moderate;Severe;Severe | Numeric Values |
You should score yourself on the following symptoms, based on how you feel now |
1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52512 | Standardized Assessment of Concussion (SAC) - Concentration total score | SACConcTotalScore | The total score the subject received on the Concentration section of the Standardized Assessment of Concussion (SAC) | The total score the subject received on the Concentration section of the Standardized Assessment of Concussion (SAC | Concentration score | Numeric Values | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
0 | 5 | |||||||||
C52448 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Learning disability dyslexia ADD ADHD indicator | SCAT3LearnDisDysADDADHDInd | The indicator relating to whether or not the subject has a learning disability, dyslexia, or ADD/ADHD, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | The indicator relating to whether or not the subject has a learning disability, dyslexia, or ADD/ADHD, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 | Do you have a learning disability, dyslexia, or ADD/ADHD? | Y;N | Yes;No | Alphanumeric | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-18 15:13:32.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52480 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation overall rating status | SCAT3SymptmEvalOverRatStat | The status of the subject, compared before and after the injury in the eyes of the rater, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | The status of the subject, compared before and after the injury in the eyes of the rater, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 | Overall rating: If you know the athlete well prior to the injury, how different is the athlete acting compared to his/her usual self? | No different;Very different;Unsure;N/A | No different;Very different;Unsure;N/A | Alphanumeric | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C01016 | Glasgow Coma Scale (GCS) - total score | GCSTotalScore | Glasgow Coma Scale (GCS) - Total Score. The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response. The total score is the sum of the scores for the three response types. (3-15) | Glasgow Coma Scale (GCS) - Total Score. The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response. The total score is the sum of the scores for the three response types. (3-15 | Galsgow Coma score (E + V + M) | 3;4;5;6;7;8;9;10;11;12;13;14;15;Untestable;Unknown | 3;4;5;6;7;8;9;10;11;12;13;14;15;Untestable;Unknown | Numeric Values |
GCS should be recoded for all athletes in case of subsequent deterioration |
1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
C124727 | |||||||
C51670 | School name | SchoolName | The name of the school that the subject currently attends, if applicable | The name of the school that the subject currently attends, if applicabl | Sport/team/school | Alphanumeric | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2016-12-12 00:00:00.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points | 255 |
Free-Form Entry |
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C52459 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation balance problem score | SCAT3SymptmEvalBalProbScore | The score pertaining to how much the subject has balance problems, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | The score pertaining to how much the subject has balance problems, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 | Balance problems | 0;1;2;3;4;5;6 | None;Mild;mild;Moderate;Moderate;Severe;Severe | Numeric Values |
You should score yourself on the following symptoms, based on how you feel now |
1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52491 | Standardized Assessment of Concussion (SAC) - Immediate memory Trial 1 Item 5 score | SACImmMemT1Item5Score | The score the subject received on Item 5 (default bubble) of Trial 1 of the Immediate section of the Standardized Assessment of Concussion (SAC) | The score the subject received on Item 5 (default bubble) of Trial 1 of the Immediate section of the Standardized Assessment of Concussion (SAC | bubble Trial 1 | 0;1 | 0;1 | Numeric Values |
I am going to test your memory. I will read you a list of words and when I am done, repeat back as many words as you can remember, in any order. |
1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52502 | Standardized Assessment of Concussion (SAC) - Immediate memory Trial 1 total score | SACImmMemT1TotalScore | The total score the subject received on Trial 1 of the Immediate section of the Standardized Assessment of Concussion (SAC) | The total score the subject received on Trial 1 of the Immediate section of the Standardized Assessment of Concussion (SAC | Trial 1 Total | Numeric Values | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
0 | 5 | |||||||||
C52438 | Maddocks Score - Half game score | MaddocksHalfGameScore | The score the subject received on second question (half of game question) of the Maddocks Score | The score the subject received on second question (half of game question) of the Maddocks Scor | Which half is it now? | 0;1 | 0;1 | Numeric Values |
I am going to ask you a few questions, please listen carefully and give your best effort. |
1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-18 14:31:26.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52470 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation trouble falling asleep score | SCAT3SymptmEvalTroFallAslScore | The score pertaining to how much the subject has trouble falling asleep, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | The score pertaining to how much the subject has trouble falling asleep, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 | Trouble falling asleep | 0;1;2;3;4;5;6 | None;Mild;mild;Moderate;Moderate;Severe;Severe | Numeric Values |
You should score yourself on the following symptoms, based on how you feel now |
1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52513 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Neck Examination type | SCAT3NeckExamTyp | The type of neck examination the subject received, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | The type of neck examination the subject received, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 | Neck Examination | Range of motion;Tenderness;Upper and lower limb sensation & strength | Range of motion;Tenderness;Upper and lower limb sensation & strength | Alphanumeric | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52449 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Psychiatric disorder diagnosis indicator | SCAT3PsychDisDiagnosInd | The indicator relating to whether or not the subject has ever been diagnosed with depression, anxiety, or another psychiatric disorder, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | The indicator relating to whether or not the subject has ever been diagnosed with depression, anxiety, or another psychiatric disorder, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 | Have you ever been diagnosed with depression, anxiety, or other psychiatric disorder? | Y;N | Yes;No | Alphanumeric | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-18 15:13:32.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52481 | Standardized Assessment of Concussion (SAC) - Orientation month score | SACOrientMnthScore | The score of the first question (month question) of the Orientation section of the Standardized Assessment of Concussion (SAC) | The score of the first question (month question) of the Orientation section of the Standardized Assessment of Concussion (SAC | What month is it? | 0;1 | 0;1 | Numeric Values | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C05400 | Injury date time | InjDateTime | Date (and time, if applicable and known) of injury | Date (and time, if applicable and known) of injury | Date/Time of Injury | Date or Date & Time | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
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C52423 | Sport Concussion Assessment Tool (SCAT) - Loss consciousness indicator | SCATLossConcsnInd | Indicator of whether or not the individual reports loss of consciousness , as part of the Sport Concussion Assessment Tool (SCAT) | Indicator of whether or not the individual reports loss of consciousness , as part of the Sport Concussion Assessment Tool (SCAT) | Any loss of consciousness? | No;Yes | No;Yes | Alphanumeric | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52460 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation sensitivity to light score | SCAT3SymptmEvalSensLightScore | The score pertaining to how sensitive the subject is to light, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | The score pertaining to how sensitive the subject is to light, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 | Sensitivity to light | 0;1;2;3;4;5;6 | None;Mild;mild;Moderate;Moderate;Severe;Severe | Numeric Values |
You should score yourself on the following symptoms, based on how you feel now |
1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52492 | Standardized Assessment of Concussion (SAC) - Immediate memory Trial 2 Item 1 score | SACImmMemT2Item1Score | The score the subject received on Item 1 (default elbow) of Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC) | The score the subject received on Item 1 (default elbow) of Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC | elbow Trial 2 | 0;1 | 0;1 | Numeric Values |
I am going to repeat the same list again. Repeat back as many words as you can remember in any order, even if you said the word before. |
1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52503 | Standardized Assessment of Concussion (SAC) - Immediate memory Trial 2 total score | SACImmMemT2TotalScore | The total score the subject received on Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC) | The total score the subject received on Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC | Trial 2 Total | Numeric Values | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
0 | 5 | |||||||||
C52439 | Maddocks Score - Last match score | MaddocksMatchScore | The score the subject received on third question (last match question) of the Maddocks Score | The score the subject received on third question (last match question) of the Maddocks Scor | Who scored last in this match? | 0;1 | 0;1 | Numeric Values |
I am going to ask you a few questions, please listen carefully and give your best effort. |
1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-18 14:31:26.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52471 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation more emotional score | SCAT3SymptmEvalMoreEmoScore | The score pertaining to how much the subject feels like he/she has been more emotional, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | The score pertaining to how much the subject feels like he/she has been more emotional, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 | More emotional | 0;1;2;3;4;5;6 | None;Mild;mild;Moderate;Moderate;Severe;Severe | Numeric Values |
You should score yourself on the following symptoms, based on how you feel now |
1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C19500 | Assessment performed date | AssessmentPerformedDate | The date of assessment of the examination being performed | The date of assessment of the examination being performed | Date of Assessment | Date or Date & Time | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2014-06-18 08:10:12.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
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C52514 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Neck Examination finding text | SCAT3NeckExamFindTxt | Text describing the findings from the subject's neck examination, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Text describing the findings from the subject's neck examination, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 | Findings: | Alphanumeric | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points | 2000 |
Free-Form Entry |
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C52450 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Family diagnosis indicator | SCAT3FmlyDiagnosInd | The indicator relating to whether or not the subject's family has ever been diagnosed with any of the aforementioned problems, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | The indicator relating to whether or not the subject's family has ever been diagnosed with any of the aforementioned problems, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 | Has anyone in your family ever been diagnosed wiith any of these problems? | Y;N | Yes;No | Alphanumeric | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-18 15:13:32.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52482 | Standardized Assessment of Concussion (SAC) - Orientation date score | SACOrientDateScore | The score of the second question (date question) of the Orientation section of the Standardized Assessment of Concussion (SAC) | The score of the second question (date question) of the Orientation section of the Standardized Assessment of Concussion (SAC | What is the date today? | 0;1 | 0;1 | Numeric Values | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52424 | Sport Concussion Assessment Tool (SCAT) - Loss consciousness time duration | SCATLossConcsnTmDur | Duration of incidents where the subject reports losing consciousness, as part of the Sport Concussion Assessment Tool (SCAT) | Duration of incidents where the subject reports losing consciousness, as part of the Sport Concussion Assessment Tool (SCAT | "If so, how long?" | Numeric Values | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-20 10:21:25.65 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
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C52461 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation sensitivity to noise score | SCAT3SymptmEvalSensNoiseScore | The score pertaining to how sensitive the subject is to noise, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | The score pertaining to how sensitive the subject is to noise, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 | Sensitivity to noise | 0;1;2;3;4;5;6 | None;Mild;mild;Moderate;Moderate;Severe;Severe | Numeric Values |
You should score yourself on the following symptoms, based on how you feel now. |
1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52493 | Standardized Assessment of Concussion (SAC) - Immediate memory Trial 2 Item 2 score | SACImmMemT2Item2Score | The score the subject received on Item 2 (default apple) of Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC) | The score the subject received on Item 2 (default apple) of Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC | apple Trial 2 | 0;1 | 0;1 | Numeric Values |
I am going to repeat the same list again. Repeat back as many words as you can remember in any order, even if you said the word before. |
1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52504 | Standardized Assessment of Concussion (SAC) - Immediate memory Trial 3 total score | SACImmMemT3TotalScore | The total score the subject received on Trial 3 of the Immediate section of the Standardized Assessment of Concussion (SAC) | The total score the subject received on Trial 3 of the Immediate section of the Standardized Assessment of Concussion (SAC | Trial 3 Total | Numeric Values | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
0 | 5 | |||||||||
C52440 | Maddocks Score - Team play last game score | MaddocksTeamPlayLastGameScore | The score the subject received on fourth question (team play of last game question) of the Maddocks Score | The score the subject received on fourth question (team play of last game question) of the Maddocks Scor | What team did you play last week/game? | 0;1 | 0;1 | Numeric Values |
I am going to ask you a few questions, please listen carefully and give your best effort. |
1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-18 14:31:26.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52472 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation irritability score | SCAT3SymptmEvalIrriScore | The score pertaining to how much the subject feels irritable, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | The score pertaining to how much the subject feels irritable, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 | Irritability | 0;1;2;3;4;5;6 | None;Mild;mild;Moderate;Moderate;Severe;Severe | Numeric Values |
You should score yourself on the following symptoms, based on how you feel now |
1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C20795 | Balance Error Scoring System (BESS) - Double leg stance firm surface error count | BESSDblLegFirmErrorCt | Number of errors during double leg stance with feet together on firm surface, as part of Balance Error Scoring System (BESS) | Number of errors during double leg stance with feet together on firm surface, as part of Balance Error Scoring System (BESS | Double leg stance | Numeric Values | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2015-05-21 08:51:27.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
0 | 10 | |||||||||
C52521 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Balance ExaminationCondition tandem gait time value | SCAT3BalExamCondTanGaitTimeVal | The value of the time, in seconds, that it the subject clocked in at on his/her tandem gait assessment on the Condition section of the Balance Examination section, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | The value of the time, in seconds, that it the subject clocked in at on his/her tandem gait assessment on the Condition section of the Balance Examination section, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 | Time (best of 4 trials) | Numeric Values |
Participants are instructed to stand with their feet together behind a starting line (the test is best done with footwear removed). Then, they walk in a forward direction as quickly and as accurately as possible along a 38mm wide (sports tape), 3 meter line with an alternate foot heel-to-toe gait ensuring that they approximate their heel and toe on each step. Once they cross the end of the 3m line, they turn 180 degrees and return to the tarting point using the same gait. A total of 4 trials are done and the best time is retained. Athletes should complete the test in 14 seconds. Athletes fail the test if they step off the line, have a separation between their heel and toe, or if they touch or grab the examiner or an object. In this case, the time is not recorded and the trial repeated, if appropriate. |
1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
second | |||||||||
C52451 | Sport Concussion Assessment Tool (SCAT) - Medication indicator | SCATMediactionInd | The indicator relating to whether or not the subject is currently on any medications, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | The indicator relating to whether or not the subject is currently on any medications, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 | Are you on any medications? | Y;N | Yes;No | Alphanumeric | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-18 15:13:32.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52483 | Standardized Assessment of Concussion (SAC) - Orientation day score | SACOrientDayScore | The score of the third question (day question) of the Orientation section of the Standardized Assessment of Concussion (SAC) | The score of the third question (day question) of the Orientation section of the Standardized Assessment of Concussion (SAC | What is the day of the week? | 0;1 | 0;1 | Numeric Values | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52425 | Sport Concussion Assessment Tool (SCAT) - Balance motor incoordination indicator | SCATBalMotorIncoordInd | The indicator relating to whether or not the subject has balance or motor incoordination, as part of the Sport Concussion Assessment Tool (SCAT) | The indicator relating to whether or not the subject has balance or motor incoordination, as part of the Sport Concussion Assessment Tool (SCAT | Balance or motor incoordination (stumbles, slow/laboured movements,etc.)? | Y;N | Yes;No | Alphanumeric | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-18 14:14:31.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52462 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation feeling slowed down score | SCAT3SymptmEvalFeelSlowDnScore | The score pertaining to how much the subject feels slowed down, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | The score pertaining to how much the subject feels slowed down, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 | Feeling slowed down | 0;1;2;3;4;5;6 | None;Mild;mild;Moderate;Moderate;Severe;Severe | Numeric Values |
You should score yourself on the following symptoms, based on how you feel now |
1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52494 | Standardized Assessment of Concussion (SAC) - Immediate memory Trial 2 Item 3 score | SACImmMemT2Item3Score | The score the subject received on Item 3 (default carpet) of Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC) | The score the subject received on Item 3 (default carpet) of Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC | carpet Trial 2 | 0;1 | 0;1 | Numeric Values |
I am going to repeat the same list again. Repeat back as many words as you can remember in any order, even if you said the word before. |
1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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C52505 | Standardized Assessment of Concussion (SAC) - Immediate memory total score | SACImmMemTotalScore | The total score the subject received on the Immediate memory section of the Standardized Assessment of Concussion (SAC) | The total score the subject received on the Immediate memory section of the Standardized Assessment of Concussion (SAC | Immediate memory score total | Numeric Values | 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-19 08:45:04.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
0 | 15 | |||||||||
C52441 | Maddocks Score - Team win last game score | MaddocksTeamWinLastGameScore | The score the subject received on fifth question (team win last game question) of the Maddocks Score | The score the subject received on fifth question (team win last game question) of the Maddocks Scor | Did your team win the last game? | 0;1 | 0;1 | Numeric Values |
I am going to ask you a few questions, please listen carefully and give your best effort. |
1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, KvarnstrÖm J, Olsson M, YdÉn T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. | Adult;Pediatric | Supplemental | 1.00 | 2017-01-18 14:31:26.0 | Sport Concussion Assessment Tool - 3rd Edition (SCAT3) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |