CDE Detailed Report

Disease: Sport Related Concussion
Sub-Domain: Post-Concussive / Mild TBI-Related Symptoms
CRF: Post-Concussion Symptom Inventory for Children (PCSI-C) Version 8 to 12

Displaying 1 - 30 of 30
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 / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C52746 Post-Concussion Symptom Inventory for Children (PCSI-C) - Fatigue scale PCSICFatigueScl Scale to which the subject has fatigue, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Scale to which the subject has fatigue, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Have you felt more tired than usual? 0;1;2 No;A little;A lot Numeric Values

We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Current Symptoms/Yesterday and Today.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.

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 for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52764 Post-Concussion Symptom Inventory for Children (PCSI-C) - Difficult remember scale PCSICDiffRememberScl Scale to which the subject had difficulty remembering, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Scale to which the subject had difficulty remembering, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Has it been hard for you to remember things? (like things you heard or saw, or places you have gone) 0;1;2 No;A little;A lot Numeric Values

We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Current Symptoms/Yesterday and Today.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.

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 for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

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 applicable. 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 for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points 25

Free-Form Entry

C52747 Post-Concussion Symptom Inventory for Children (PCSI-C) - Drowsiness scale PCSICDrowsinessScl Scale to which the subject experiences drowsiness, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Scale to which the subject experiences drowsiness, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Have you felt more drowsy or sleepy than usual? 0;1;2 No;A little;A lot Numeric Values

We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Current Symptoms/Yesterday and Today.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.

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 for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52765 Post-Concussion Symptom Inventory for Children (PCSI-C) - Visual problems scale PCSICVisualProbScl Scale to which the subject expressed visual problems (blurry, double vision), as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Scale to which the subject expressed visual problems (blurry, double vision), as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Have things looked blurry? 0;1;2 No;A little;A lot Numeric Values

We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Current Symptoms/Yesterday and Today.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.

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 for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52713 Post-Concussion Symptom Inventory for Children (PCSI-C) - Headache scale PCSICHeadacheScl Scale to which the subject complained of headaches, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Scale to which the subject complained of headaches, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Have you had headaches? Has your head hurt? 0;1;2 No;A little;A lot Numeric Values

We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Current Symptoms/Yesterday and Today.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.

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 for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52748 Post-Concussion Symptom Inventory for Children (PCSI-C) - Sensitive to light scale PCSICSensitiveToLightScl Scale to which the subject was sensitive to light, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Scale to which the subject was sensitive to light, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Have bright lights bothered you more than usual? (like when you were in the sunlight, when you looked at lights, or watched TV) 0;1;2 No;A little;A lot Numeric Values

We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Current Symptoms/Yesterday and Today.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.

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 for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52766 Post-Concussion Symptom Inventory for Children (PCSI-C) - Feel different than usual scale PCSICFeelDifferentThanUsualScl Scale to which the subject feels differently than usual, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Scale to which the subject feels differently than usual, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Do you feel "different" than usual? 0;1;2 No;A little;A lot Numeric Values

Please rate the symptom for Current Symptoms/Yesterday and Today time point only.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.

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 for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

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 for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

0 120
C52749 Post-Concussion Symptom Inventory for Children (PCSI-C) - Sensitive to noise scale PCSICSensitiveToNoiseScl Scale to which the subject was sensitive to noise, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Scale to which the subject was sensitive to noise, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Have loud noises bothered you more than usual? (like when people were talking, when you heard sounds, watched TV, or listened to loud music) 0;1;2 No;A little;A lot Numeric Values

We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Current Symptoms/Yesterday and Today.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.

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 for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C53688 Post-Concussion Symptom Inventory for Children (PCSI-C) ? Assessment number PCSICAssessmentNum Number of assessments, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Number of assessments, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Post-Concussion Assessment 1;2;3;4;5;6 ;;;;; 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 1.00 2017-02-09 16:24:51.0 Post-Concussion Symptom Inventory for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

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 1-4,7,8,12,17), 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 for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

0 48
C52750 Post-Concussion Symptom Inventory for Children (PCSI-C) - Irritability scale PCSICIrritabilityScl Scale to which the subject expressed irritability, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Scale to which the subject expressed irritability, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Have you felt grumpy or irritable? (like you were in a bad mood) 0;1;2 No;A little;A lot Numeric Values

We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Current Symptoms/Yesterday and Today.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.

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 for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

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 for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

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), 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 for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

0 18
C52751 Post-Concussion Symptom Inventory for Children (PCSI-C) - Sadness scale PCSICSadnessScl Scale to which the subject expressed sadness, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Scale to which the subject expressed sadness, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Have you felt sad? 0;1;2 No;A little;A lot Numeric Values

We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Current Symptoms/Yesterday and Today.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.

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 for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

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 9-11), 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 for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

0 24
C52752 Post-Concussion Symptom Inventory for Children (PCSI-C) - Nervousness scale PCSICNervousnessScl Scale to which the subject expressed nervousness, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Scale to which the subject expressed nervousness, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Have you felt nervous or worried? 0;1;2 No;A little;A lot Numeric Values

We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Current Symptoms/Yesterday and Today.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.

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 for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

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 13-16), 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 for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

0 36
C52755 Post-Concussion Symptom Inventory for Children (PCSI-C) - Felt move more slow scale PCSICFeltMoveMoreSlowScl Scale to which the subject was feeling like they were moving more slowly, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Scale to which the subject was feeling like they were moving more slowly, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Have you felt like you are moving more slowly? 0;1;2 No;A little;A lot Numeric Values

We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Current Symptoms/Yesterday and Today.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.

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 15:55:40.0 Post-Concussion Symptom Inventory for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C00007 Birth date BirthDate Date (and time, if applicable and known) the participant/subject was born Date (and time, if applicable and known) the participant/subject 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 3.00 2013-07-25 08:54:08.2 Post-Concussion Symptom Inventory for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

793
C52727 Post-Concussion Symptom Inventory for Children (PCSI-C) - Nausea scale PCSICNauseaScl Scale to which the subject complained of nausea, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Scale to which the subject complained of nausea, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Have you felt sick to your stomach or nauseous? 0;1;2 No;A little;A lot Numeric Values

We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Current Symptoms/Yesterday and Today.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.

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 for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52757 Post-Concussion Symptom Inventory for Children (PCSI-C) - Felt think more slow scale PCSICFeltThinkMoreSlowScl Scale to which the subject was feeling like they were thinking more slowly, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Scale to which the subject was feeling like they were thinking more slowly, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Have you felt like you are thinking more slowly? 0;1;2 No;A little;A lot Numeric Values

We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Current Symptoms/Yesterday and Today.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.

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 15:55:40.0 Post-Concussion Symptom Inventory for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C00008 Age value AgeVal Value for participant/subject's age, calculated as elapsed time since the birth of the participant/subject. Value for participant/subject's age, calculated as elapsed time since the birth of the participant/subject. 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 3.00 2013-08-28 16:08:00.453 Post-Concussion Symptom Inventory for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

0 1800 month
C52731 Post-Concussion Symptom Inventory for Children (PCSI-C) - Balance problem scale PCSICBalanceProbScl Scale to which the subject experienced balance problems, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Scale to which the subject experienced balance problems, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Have you had any balance problems or have you felt like you might fall when you walk, run or stand? 0;1;2 No;A little;A lot Numeric Values

We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Current Symptoms/Yesterday and Today.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.

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 for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52760 Post-Concussion Symptom Inventory for Children (PCSI-C) - Hard clear think scale PCSICHardClearThinkScl Scale to which the subject felt that it has been hard to think clearly, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Scale to which the subject felt that it has been hard to think clearly, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Has it been hard to think clearly? 0;1;2 No;A little;A lot Numeric Values

We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Current Symptoms/Yesterday and Today.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.

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 15:55:40.0 Post-Concussion Symptom Inventory for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

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 performed. 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 for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

C52734 Post-Concussion Symptom Inventory for Children (PCSI-C) - Dizziness scale PCSICDizzinessScl Scale to which the subject appeared or complained of dizziness, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Scale to which the subject appeared or complained of dizziness, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Have you felt dizzy? (like things around you were spinning or moving) 0;1;2 No;A little;A lot Numeric Values

We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Current Symptoms/Yesterday and Today.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.

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 for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52763 Post-Concussion Symptom Inventory for Children (PCSI-C) - Hard pay attention scale PCSICHardPayAttentionScl Scale to which the subject expressed that it has been hard for them to pay attention to what they are doing, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Scale to which the subject expressed that it has been hard for them to pay attention to what they are doing, as part of the Post-Concussion Symptom Inventory for Children (PCSI-C). Has it been hard for you to pay attention to what you are doing? (like homework or chores, listening to someone, or playing a game) 0;1;2 No;A little;A lot Numeric Values

We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Current Symptoms/Yesterday and Today.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.

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 for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C21117 Subject name SubjectName Name of subject/participant. Name of subject/participant. 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 for Children (PCSI-C) Version 8 to 12 Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points 255

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