CDE Detailed Report
Disease: Sport Related Concussion
Subdomain Name: Post-Concussive / Mild TBI-Related Symptoms
CRF: Post-Concussion Symptom Inventory for Children (PCSI-C) Version 5-7 Years Pre and Post-Injury (Interview Form)
Displaying 1 - 14 of 14
Subdomain Name: Post-Concussive / Mild TBI-Related Symptoms
CRF: Post-Concussion Symptom Inventory for Children (PCSI-C) Version 5-7 Years Pre and Post-Injury (Interview Form)
Displaying 1 - 14 of 14
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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. I am going to ask you to tell me about your symptom at two points in time - Before the Injury and Yesterday / Today. Interviewer: Please circle only one answer. |
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 5-7 Years Pre and Post-Injury (Interview Form) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| 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? (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. I am going to ask you to tell me about your symptom at two points in time - Before the Injury and Yesterday / Today. Interviewer: Please circle only one answer. |
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 5-7 Years Pre and Post-Injury (Interview Form) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| 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. I am going to ask you to tell me about your symptom at two points in time - Before the Injury and Yesterday / Today. Interviewer: Please circle only one answer. |
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 5-7 Years Pre and Post-Injury (Interview Form) | 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 for Children (PCSI-C) Version 5-7 Years Pre and Post-Injury (Interview Form) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
793 | ||||||||||
| 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. Interviewer: Please circle only one answer. |
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 5-7 Years Pre and Post-Injury (Interview Form) | 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 for Children (PCSI-C) Version 5-7 Years Pre and Post-Injury (Interview Form) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
0 | 1800 | month | ||||||||
| 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 5-7 Years Pre and Post-Injury (Interview Form) | 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 for Children (PCSI-C) Version 5-7 Years Pre and Post-Injury (Interview Form) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
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| 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. |
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 5-7 Years Pre and Post-Injury (Interview Form) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
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| C21117 | Subject name | SubjectName | Name of subject/participant | Name of subject/participan | 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 5-7 Years Pre and Post-Injury (Interview Form) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points | 255 |
Free-Form Entry |
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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 for Children (PCSI-C) Version 5-7 Years Pre and Post-Injury (Interview Form) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points | 25 |
Free-Form Entry |
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| 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. I am going to ask you to tell me about your symptom at two points in time - Before the Injury and Yesterday / Today. Interviewer: Please circle only one answer. |
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 5-7 Years Pre and Post-Injury (Interview Form) | 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 questions 1-5, calculated at two points in time - Before the Injury and Yesterday / 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 5-7 Years Pre and Post-Injury (Interview Form) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
0 | 120 | ||||||||
| 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 like you were going to throw up? | 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. I am going to ask you to tell me about your symptom at two points in time - Before the Injury and Yesterday / Today. Interviewer: Please circle only one answer. |
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 5-7 Years Pre and Post-Injury (Interview Form) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
