CDE Detailed Report
Subdomain Name: Post-Concussive / Mild TBI-Related Symptoms
CRF: welcome
Displaying 1 - 34 of 34
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C52328 | Post-Concussion Symptom Inventory (PCSI) - Nervousness scale | PCSINervousnessScl | Scale to which the subject expressed nervousness, as part of the Post-Concussion Symptom Inventory (PCSI) | Scale to which the subject expressed nervousness, as part of the Post-Concussion Symptom Inventory (PCSI | Acts nervous | 0;1;2;3;4;5;6 | Not a problem;1;2;Moderate problem;4;5;Severe problem | Numeric Values |
We would like to know if your child had problems with these symptoms before their injury. Next, we would like to know if these symptoms have changed after the injury. Please rate the problem at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2016-12-29 16:24:33.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52715 | Post-Concussion Symptom Inventory (PCSI) - Total score | PCSITotalScore | Total score, as a part of the Post-Concussion Symptom Inventory (PCSI) | Total score, as a part of the Post-Concussion Symptom Inventory (PCSI | Total PCSI Score | Numeric Values |
This is the total score of the all the subscales in the instrument, calculated at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2017-01-30 10:14:16.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
0 | 120 | ||||||||
| C52318 | Post-Concussion Symptom Inventory (PCSI) - Headache scale | PCSIHeadacheScl | Scale to which the subject complained of headaches, as part of the Post-Concussion Symptom Inventory (PCSI) | Scale to which the subject complained of headaches, as part of the Post-Concussion Symptom Inventory (PCSI | Complains of headaches | 0;1;2;3;4;5;6 | Not a problem;1;2;Moderate problem;4;5;Severe problem | Numeric Values |
We would like to know if your child had problems with these symptoms before their injury. Next, we would like to know if these symptoms have changed after the injury. Please rate the problem at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2016-12-29 15:20:57.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52329 | Post-Concussion Symptom Inventory (PCSI) - Feeling more emotional scale | PCSIFeelMoreEmotionalScl | Scale to which the subject was feeling more emotional, as part of the Post-Concussion Symptom Inventory (PCSI) | Scale to which the subject was feeling more emotional, as part of the Post-Concussion Symptom Inventory (PCSI | Acts more emotional | 0;1;2;3;4;5;6 | Not a problem;1;2;Moderate problem;4;5;Severe problem | Numeric Values |
We would like to know if your child had problems with these symptoms before their injury. Next, we would like to know if these symptoms have changed after the injury. Please rate the problem at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2016-12-29 16:26:54.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52717 | Post-Concussion Symptom Inventory (PCSI) - Physical factor subscale score | PCSIPhysicalFactorSubsclScore | Score of the physical content-based factor subscale, as a part of the Post-Concussion Symptom Inventory (PCSI) | Score of the physical content-based factor subscale, as a part of the Post-Concussion Symptom Inventory (PCSI | Physical Factor | Numeric Values |
This is the sum score of the questions in the physical content-based factor subscale (questions 1-4,7,8,16,19), calculated at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2017-01-30 10:30:19.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
0 | 48 | ||||||||
| C52319 | Post-Concussion Symptom Inventory (PCSI) - Nausea scale | PCSINauseaScl | Scale to which the subject complained of nausea, as part of the Post-Concussion Symptom Inventory (PCSI) | Scale to which the subject complained of nausea, as part of the Post-Concussion Symptom Inventory (PCSI | Complains of nausea | 0;1;2;3;4;5;6 | Not a problem;1;2;Moderate problem;4;5;Severe problem | Numeric Values |
We would like to know if your child had problems with these symptoms before their injury. Next, we would like to know if these symptoms have changed after the injury. Please rate the problem at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2016-12-29 15:54:39.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52331 | Post-Concussion Symptom Inventory (PCSI) - Feeling mentally foggy scale | PCSIMentallyFoggyScl | Scale to which the subject was feeling mentally foggy, as part of the Post-Concussion Symptom Inventory (PCSI) | Scale to which the subject was feeling mentally foggy, as part of the Post-Concussion Symptom Inventory (PCSI | Acts or appears mentally "foggy" | 0;1;2;3;4;5;6 | Not a problem;1;2;Moderate problem;4;5;Severe problem | Numeric Values |
We would like to know if your child had problems with these symptoms before their injury. Next, we would like to know if these symptoms have changed after the injury. Please rate the problem at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2016-12-29 16:31:56.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52719 | Post-Concussion Symptom Inventory (PCSI) - Fatigue factor subscale score | PCSIFatigueFactorSubsclScore | Score of the fatigue content-based factor subscale, as a part of the Post-Concussion Symptom Inventory (PCSI) | Score of the fatigue content-based factor subscale, as a part of the Post-Concussion Symptom Inventory (PCSI | Fatigue Factor | Numeric Values |
This is the sum score of the questions in the fatigue/sleep content-based factor subscale (questions 5,6,17), at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2017-01-30 10:30:19.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
0 | 18 | ||||||||
| C52320 | Post-Concussion Symptom Inventory (PCSI) - Balance problem scale | PCSIBalanceProbScl | Scale to which the subject experienced balance problems, as part of the Post-Concussion Symptom Inventory (PCSI) | Scale to which the subject experienced balance problems, as part of the Post-Concussion Symptom Inventory (PCSI | Has balance problems | 0;1;2;3;4;5;6 | Not a problem;1;2;Moderate problem;4;5;Severe problem | Numeric Values |
We would like to know if your child had problems with these symptoms before their injury. Next, we would like to know if these symptoms have changed after the injury. Please rate the problem at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2016-12-29 15:57:37.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52332 | Post-Concussion Symptom Inventory (PCSI) - Difficulty concentrating scale | PCSIDiffConcentrateScl | Scale to which the subject had difficulty concentrating, as part of the Post-Concussion Symptom Inventory (PCSI) | Scale to which the subject had difficulty concentrating, as part of the Post-Concussion Symptom Inventory (PCSI | Has difficulty concentrating | 0;1;2;3;4;5;6 | Not a problem;1;2;Moderate problem;4;5;Severe problem | Numeric Values |
We would like to know if your child had problems with these symptoms before their injury. Next, we would like to know if these symptoms have changed after the injury. Please rate the problem at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2016-12-29 16:34:44.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52720 | Post-Concussion Symptom Inventory (PCSI) - Emotional factor subscale score | PCSIEmotionalFactorSubsclScore | Score of the emotional content-based factor subscale, as a part of the Post-Concussion Symptom Inventory (PCSI) | Score of the emotional content-based factor subscale, as a part of the Post-Concussion Symptom Inventory (PCSI | Emotional Factor | Numeric Values |
This is the sum score of the questions in the emotional content-based factor subscale (questions 9-12), calculated at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2017-01-30 10:30:19.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
0 | 24 | ||||||||
| C52321 | Post-Concussion Symptom Inventory (PCSI) - Dizziness scale | PCSIDizzinessScl | Scale to which the subject appeared or complained of dizziness, as part of the Post-Concussion Symptom Inventory (PCSI) | Scale to which the subject appeared or complained of dizziness, as part of the Post-Concussion Symptom Inventory (PCSI | Appears or complains of dizziness | 0;1;2;3;4;5;6 | Not a problem;1;2;Moderate problem;4;5;Severe problem | Numeric Values |
We would like to know if your child had problems with these symptoms before their injury. Next, we would like to know if these symptoms have changed after the injury. Please rate the problem at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2016-12-29 16:00:33.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52333 | Post-Concussion Symptom Inventory (PCSI) - Difficult remembering scale | PCSIDiffRememberScl | Scale to which the subject had difficulty remembering, as part of the Post-Concussion Symptom Inventory (PCSI) | Scale to which the subject had difficulty remembering, as part of the Post-Concussion Symptom Inventory (PCSI | Has difficulty remembering | 0;1;2;3;4;5;6 | Not a problem;1;2;Moderate problem;4;5;Severe problem | Numeric Values |
We would like to know if your child had problems with these symptoms before their injury. Next, we would like to know if these symptoms have changed after the injury. Please rate the problem at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2016-12-29 16:39:34.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52721 | Post-Concussion Symptom Inventory (PCSI) - Cognitive factor subscale score | PCSICognitiveFactorSubsclScore | Score of the cognitive content-based factor subscale, as a part of the Post-Concussion Symptom Inventory (PCSI) | Score of the cognitive content-based factor subscale, as a part of the Post-Concussion Symptom Inventory (PCSI | Cognitive Factor | Numeric Values |
This is the sum score of the questions in the cognitive content-based factor subscale (questions 13-15,18,20), calculated at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2017-01-30 10:30:19.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
0 | 36 | ||||||||
| C52322 | Post-Concussion Symptom Inventory (PCSI) - Fatigue scale | PCSIFatigueScl | Scale to which the subject has fatigue, as part of the Post-Concussion Symptom Inventory (PCSI) | Scale to which the subject has fatigue, as part of the Post-Concussion Symptom Inventory (PCSI | Appears more tired or fatigued | 0;1;2;3;4;5;6 | Not a problem;1;2;Moderate problem;4;5;Severe problem | Numeric Values |
We would like to know if your child had problems with these symptoms before their injury. Next, we would like to know if these symptoms have changed after the injury. Please rate the problem at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2016-12-29 16:02:54.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52334 | Post-Concussion Symptom Inventory (PCSI) - Visual problems scale | PCSIVisualProbScl | Scale to which the subject expressed visual problems (blurry, double vision), as part of the Post-Concussion Symptom Inventory (PCSI) | Scale to which the subject expressed visual problems (blurry, double vision), as part of the Post-Concussion Symptom Inventory (PCSI |
Has or complains of visual problems (blurry, double vision) |
0;1;2;3;4;5;6 | Not a problem;1;2;Moderate problem;4;5;Severe problem | Numeric Values |
We would like to know if your child had problems with these symptoms before their injury. Next, we would like to know if these symptoms have changed after the injury. Please rate the problem at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2016-12-29 16:42:39.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C00007 | Birth date | BirthDate | Date (and time, if applicable and known) the participant was born | Date (and time, if applicable and known) the participant was born | Birthdate: | Date or Date & Time | Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 3.1 | 10/16/2024 8:51:14 AM | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
793 | ||||||||||
| C54072 | Post-Concussion Symptom Inventory (PCSI) - Change value | PCSIChangeVal | Value related to change in score, as part of the Post-Concussion Symptom Inventory (PCSI) | Value related to change in score, as part of the Post-Concussion Symptom Inventory (PCSI | Change | Numeric Values |
Change in value is calculated for total score as well as each factor subscale score. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2017-02-13 11:44:59.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
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| C52323 | Post-Concussion Symptom Inventory (PCSI) - Drowsiness scale | PCSIDrowsinessScl | Scale to which the subject experiences drowsiness, as part of the Post-Concussion Symptom Inventory (PCSI) | Scale to which the subject experiences drowsiness, as part of the Post-Concussion Symptom Inventory (PCSI | Appears drowsy | 0;1;2;3;4;5;6 | Not a problem;1;2;Moderate problem;4;5;Severe problem | Numeric Values |
We would like to know if your child had problems with these symptoms before their injury. Next, we would like to know if these symptoms have changed after the injury. Please rate the problem at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2016-12-29 16:06:47.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52335 | Post-Concussion Symptom Inventory (PCSI) - Get confused with directions or tasks scale | PCSIConfuWthDirctnsScl | Scale to which the subject expressed getting confused with directions or tasks, as part of the Post-Concussion Symptom Inventory (PCSI) | Scale to which the subject expressed getting confused with directions or tasks, as part of the Post-Concussion Symptom Inventory (PCSI | Becomes confused with directions or tasks | 0;1;2;3;4;5;6 | Not a problem;1;2;Moderate problem;4;5;Severe problem | Numeric Values |
We would like to know if your child had problems with these symptoms before their injury. Next, we would like to know if these symptoms have changed after the injury. Please rate the problem at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2016-12-29 16:45:34.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C00008 | Age value | AgeVal | Value for participant's age, calculated as elapsed time since the birth of the participant | Value for participant's age, calculated as elapsed time since the birth of the participant | Age | Numeric Values | Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 3.10 | 2024-02-29 15:47:28.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
0 | 1800 | month | ||||||||
| C54076 | Post-Concussion Symptom Inventory (PCSI) - Informant participant relationship type | PCSIInformantPartcpntRelateTyp | The relationship of the informant to participant/subject, as part of the Post-Concussion Symptom Inventory (PCSI) | The relationship of the informant to participant/subject, as part of the Post-Concussion Symptom Inventory (PCSI) | Relation: | Father;Mother;Other | Father;Mother;Other | Alphanumeric |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 3.00 | 2013-08-30 17:06:52.8 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52324 | Post-Concussion Symptom Inventory (PCSI) - Sensitive to light scale | PCSISensitiveToLightScl | Scale to which the subject was sensitive to light, as part of the Post-Concussion Symptom Inventory (PCSI) | Scale to which the subject was sensitive to light, as part of the Post-Concussion Symptom Inventory (PCSI | Sensitivity to light | 0;1;2;3;4;5;6 | Not a problem;1;2;Moderate problem;4;5;Severe problem | Numeric Values |
We would like to know if your child had problems with these symptoms before their injury. Next, we would like to know if these symptoms have changed after the injury. Please rate the problem at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2016-12-29 16:09:09.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52336 | Post-Concussion Symptom Inventory (PCSI) - Clumsy scale | PCSIClumsyScl | Scale to which the subject appeared to move in a clumsy manner, as part of the Post-Concussion Symptom Inventory (PCSI) | Scale to which the subject appeared to move in a clumsy manner, as part of the Post-Concussion Symptom Inventory (PCSI | Appears to move in a clumsy manner | 0;1;2;3;4;5;6 | Not a problem;1;2;Moderate problem;4;5;Severe problem | Numeric Values |
We would like to know if your child had problems with these symptoms before their injury. Next, we would like to know if these symptoms have changed after the injury. Please rate the problem at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2016-12-29 16:48:25.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C06005 | Data collected date and time | DataCollDateTime | Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performed | Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performe | Today's date: | Date or Date & Time | Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 3.00 | 2013-07-24 21:00:23.88 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
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| C52325 | Post-Concussion Symptom Inventory (PCSI) - Sensitive to noise scale | PCSISensitiveToNoiseScl | Scale to which the subject was sensitive to noise, as part of the Post-Concussion Symptom Inventory (PCSI) | Scale to which the subject was sensitive to noise, as part of the Post-Concussion Symptom Inventory (PCSI | Sensitivity to noise | 0;1;2;3;4;5;6 | Not a problem;1;2;Moderate problem;4;5;Severe problem | Numeric Values |
We would like to know if your child had problems with these symptoms before their injury. Next, we would like to know if these symptoms have changed after the injury. Please rate the problem at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2016-12-29 16:11:30.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52337 | Post-Concussion Symptom Inventory (PCSI) - Answer slowly scale | PCSIAnswerSlowlyScl | Scale to which the subject answered questions more slowly than usual, as part of the Post-Concussion Symptom Inventory (PCSI) | Scale to which the subject answered questions more slowly than usual, as part of the Post-Concussion Symptom Inventory (PCSI | Answer questions more slowly than usual | 0;1;2;3;4;5;6 | Not a problem;1;2;Moderate problem;4;5;Severe problem | Numeric Values |
We would like to know if your child had problems with these symptoms before their injury. Next, we would like to know if these symptoms have changed after the injury. Please rate the problem at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2016-12-29 16:51:40.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C17733 | Person completing form name | PrsnCompletingFormName | Name of person completing the form | Name of person completing the form | Person Completing Form: | Alphanumeric | Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 3.00 | 2013-08-30 17:06:52.8 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points | 255 |
Free-Form Entry |
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| C52326 | Post-Concussion Symptom Inventory (PCSI) - Irritability scale | PCSIIrritabilityScl | Scale to which the subject expressed irritability, as part of the Post-Concussion Symptom Inventory (PCSI) | Scale to which the subject expressed irritability, as part of the Post-Concussion Symptom Inventory (PCSI | Acts irritable | 0;1;2;3;4;5;6 | Not a problem;1;2;Moderate problem;4;5;Severe problem | Numeric Values |
We would like to know if your child had problems with these symptoms before their injury. Next, we would like to know if these symptoms have changed after the injury. Please rate the problem at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2016-12-29 16:14:44.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52338 | Post-Concussion Symptom Inventory (PCSI) - Generally different scale | PCSIGenerallyDifferentScale | Scale to which the subject generally seemed to be acting differently than before the injury, as part of the Post-Concussion Symptom Inventory (PCSI) | Scale to which the subject generally seemed to be acting differently than before the injury, as part of the Post-Concussion Symptom Inventory (PCSI | In general, to what degree is your child acting "differently" than before the injury (not acting like himself or herself)? | 0;1;2;3;4 | No Difference;1;2;3;Major Difference | Numeric Values |
Circle your rating with "0" indicating "Normal" (No Difference) and "4" indicating "Very Different" (Major Difference) |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2016-12-29 16:54:02.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C21117 | Subject name | SubjectName | Name of subject/participant | Name of subject/participan | Student's Name: | Alphanumeric | Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2015-06-12 15:16:39.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points | 255 |
Free-Form Entry |
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| C52327 | Post-Concussion Symptom Inventory (PCSI) - Sadness scale | PCSISadnessScl | Scale to which the subject expressed sadness, as part of the Post-Concussion Symptom Inventory (PCSI) | Scale to which the subject expressed sadness, as part of the Post-Concussion Symptom Inventory (PCSI | Appears sad | 0;1;2;3;4;5;6 | Not a problem;1;2;Moderate problem;4;5;Severe problem | Numeric Values |
We would like to know if your child had problems with these symptoms before their injury. Next, we would like to know if these symptoms have changed after the injury. Please rate the problem at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2016-12-29 16:19:54.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52705 | Post-Concussion Symptom Inventory (PCSI) - Sleep more than usual scale | PCSISleepMoreThanUsualScl | Scale to which the subject slept more than usual, as part of the Post-Concussion Symptom Inventory (PCSI) | Scale to which the subject slept more than usual, as part of the Post-Concussion Symptom Inventory (PCSI | Sleeping more than usual | 0;1;2;3;4;5;6 | Not a problem;1;2;Moderate problem;4;5;Severe problem | Numeric Values |
We would like to know if your child had problems with these symptoms before their injury. Next, we would like to know if these symptoms have changed after the injury. Please rate the problem at two points in time- Before the Injury/ Pre-Injury and Current Symptoms/ Yesterday and Today. |
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2016-12-29 15:20:57.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C51671 | Grade status | GradeStatus | The status of the subject's grade level in school, if applicable | The status of the subject's grade level in school, if applicabl | Grade | Alphanumeric | Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363. | Pediatric | Supplemental | 1.00 | 2016-12-12 00:00:00.0 | Post-Concussion Symptom Inventory (PCSI-P) Parent Assessment Form Pre and Post-Injury Report | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points | 25 |
Free-Form Entry |
