CDE Detailed Report

Disease: Sport-Related Concussion
Subdomain Name: Post-Concussive / Mild TBI-Related Symptoms
CRF: Rivermead Post-Concussive Symptoms Questionnaire (RPQ)

Displaying 1 - 25 of 25
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
C19500 Assessment performed date AssessmentPerformedDate The date of assessment of the examination being performed The date of assessment of the examination being performed Date Date or Date & Time King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2014-06-18 08:10:12.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

C52368 The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Second other difficulty text RPQOthr2DiffcltyTxt The free-text field related to 'The Rivermead Post-Concussion Symptoms Questionnaire (RPQ)- Second other difficulty scale' specifying the second other difficulty text The free-text field related to 'The Rivermead Post-Concussion Symptoms Questionnaire (RPQ)- Second other difficulty scale' specifying the second other difficulty tex Compared with before the accident, are you experiencing any other difficulties? Please specify, and rate as above. Alphanumeric

Enter free-text related to 'The Rivermead Post-Concussion Symptoms Questionnaire (RPQ)- Second other difficulty scale' specifying the second other difficulty.

King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2017-01-17 11:46:16.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points 255

Free-Form Entry

C52379 The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Light sensitivity scale RPQLightSensScale Scale that rates the severity of how the subject now suffers from light sensitivity and easily upset by bright light as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) Scale that rates the severity of how the subject now suffers from light sensitivity and easily upset by bright light as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ Compared with before the accident, do you now suffer from: light sensitivity (easily upset by bright light)? 0;1;2;3;4 Not experienced at all;No more of a problem;A mild problem;A moderate problem;A severe problem Numeric Values

For each symptom listed in the questionnaire, have the subjects compare themselves now with before the accident and choose the response that most closely represents their answer. Typically, the evaluation interval for RPQ is the past 24 hours.

King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2017-01-17 11:58:00.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) 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/participan Name Alphanumeric King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2015-06-12 15:16:39.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points 255

Free-Form Entry

C52369 The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Longer to think scale RPQLongToThinkScale Scale that rates the severity of how the subject now suffers from taking longer to think as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) Scale that rates the severity of how the subject now suffers from taking longer to think as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) Compared with before the accident, do you now suffer from: taking longer to think? 0;1;2;3;4 Not experienced at all;No more of a problem;A mild problem;A moderate problem;A severe problem Numeric Values

For each symptom listed in the questionnaire, have the subjects compare themselves now with before the accident and choose the response that most closely represents their answer. Typically, the evaluation interval for RPQ is the past 24 hours.

King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2017-01-17 11:47:06.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52380 The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Irritable scale RPQIrritableScale Scale that rates the severity of how the subject now suffers from being irritable, easily angered as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) Scale that rates the severity of how the subject now suffers from being irritable, easily angered as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ Compared with before the accident, do you now suffer from: being irritable, easily angered? 0;1;2;3;4 Not experienced at all;No more of a problem;A mild problem;A moderate problem;A severe problem Numeric Values

For each symptom listed in the questionnaire, have the subjects compare themselves now with before the accident and choose the response that most closely represents their answer. Typically, the evaluation interval for RPQ is the past 24 hours.

King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2017-01-17 11:59:06.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52359 The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Double vision scale RPQDblVisionScale Scale that rates the severity of how the subject now suffers from double vision as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) Scale that rates the severity of how the subject now suffers from double vision as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) Compared with before the accident, do you now suffer from: double vision? 0;1;2;3;4 Not experienced at all;No more of a problem;A mild problem;A moderate problem;A severe problem Numeric Values

For each symptom listed in the questionnaire, have the subjects compare themselves now with before the accident and choose the response that most closely represents their answer. Typically, the evaluation interval for RPQ is the past 24 hours.

King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2017-01-17 11:32:30.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52370 The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Dizziness scale RPQDizzinessScale Scale that rates the severity of how the subject now suffers from dizziness as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) Scale that rates the severity of how the subject now suffers from dizziness as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) Compared with before the accident, do you now suffer from: dizziness? 0;1;2;3;4 Not experienced at all;No more of a problem;A mild problem;A moderate problem;A severe problem Numeric Values

For each symptom listed in the questionnaire, have the subjects compare themselves now with before the accident and choose the response that most closely represents their answer. Typically, the evaluation interval for RPQ is the past 24 hours.

King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2017-01-17 11:47:51.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52381 The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - First other difficulty scale RPQOthr1DiffcltyScale Scale that rates the severity of how the subject now suffers from other difficulties as compared with before the accident. Rate the first other difficulty Scale that rates the severity of how the subject now suffers from other difficulties as compared with before the accident. Rate the first other difficult Compared with before the accident, are you experiencing any other difficulties? Please specify the first other difficulty and rate as above. 0;1;2;3;4 Not experienced at all;No more of a problem;A mild problem;A moderate problem;A severe problem Numeric Values

Scale that rates the severity of how the subject now suffers from other difficulties as compared with before the accident. Refer to the first other difficulty. Have the subjects compare themselves now with before the accident and choose the response that most closely represents their answer.

King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2017-01-17 12:00:00.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52360 The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Forgetfulness scale RPQForgetfulScale Scale that rates the severity of how the subject now suffers from forgetfulness/poor memory as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) Scale that rates the severity of how the subject now suffers from forgetfulness/poor memory as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) Compared with before the accident, do you now suffer from: forgetfulness, poor memory? 0;1;2;3;4 Not experienced at all;No more of a problem;A mild problem;A moderate problem;A severe problem Numeric Values

For each symptom listed in the questionnaire, have the subjects compare themselves now with before the accident and choose the response that most closely represents their answer. Typically, the evaluation interval for RPQ is the past 24 hours.

King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2017-01-17 11:35:33.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52371 The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Sum of the ratings for the 13 items (4-16) excluding ratings of 1 RPQ13Score Sum of the ratings for the 13 items (4-16) of the Rivermead Post-Concussion Symptoms Questionnaire (RPQ) excluding ratings of 1 Sum of the ratings for the 13 items (4-16) of the Rivermead Post-Concussion Symptoms Questionnaire (RPQ) excluding ratings of RPQ-13 (total for next 13 items) Numeric Values

Sum the total of 13 items (questions 4-16) of the Rivermead Post-Concussion Symptoms Questionnaire (RPQ). Exclude ratings of 1.

King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2017-01-17 11:48:56.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

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C52361 The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Sum of the ratings for the first 3 items excluding ratings of 1 RPQ3Score Sum of the ratings for the first three items of the Rivermead Post-Concussion Symptoms Questionnaire (RPQ) excluding ratings of 1 Sum of the ratings for the first three items of the Rivermead Post-Concussion Symptoms Questionnaire (RPQ) excluding ratings of RPQ-3 (total for first three items). Numeric Values

Sum the total of the first three items of the Rivermead Post-Concussion Symptoms Questionnaire (RPQ). Exclude ratings of 1.

King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2017-01-17 11:37:38.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

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C52372 The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Blurred vision scale RPQBlurredVisionScale Scale that rates the severity of how the subject now suffers from blurred vision as compared with before the accident, as part of The Rivermead Post-Concusion Symptoms Questionnaire (RPQ) Scale that rates the severity of how the subject now suffers from blurred vision as compared with before the accident, as part of The Rivermead Post-Concusion Symptoms Questionnaire (RPQ Compared with before the accident, do you now suffer from: blurred vision? 0;1;2;3;4 Not experienced at all;No more of a problem;A mild problem;A moderate problem;A severe problem Numeric Values

For each symptom listed in the questionnaire, have the subjects compare themselves now with before the accident and choose the response that most closely represents their answer. Typically, the evaluation interval for RPQ is the past 24 hours.

King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2017-01-17 11:49:41.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52362 The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Poor concentration scale RPQPoorConcScale Scale that rates the severity of how the subject now suffers from poor concentration as compared with before the accident, as part of the Rivermead Post-Concussion Symptoms Questionnaire (RPQ) Scale that rates the severity of how the subject now suffers from poor concentration as compared with before the accident, as part of the Rivermead Post-Concussion Symptoms Questionnaire (RPQ Compared with before the accident, do you now suffer from: poor concentration? 0;1;2;3;4 Not experienced at all;No more of a problem;A mild problem;A moderate problem;A severe problem Numeric Values

For each symptom listed in the questionnaire, have the subjects compare themselves now with before the accident and choose the response that most closely represents their answer. Typically, the evaluation interval for RPQ is the past 24 hours.

King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2017-01-17 11:38:26.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52373 The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - First other difficulty text RPQOthr1DiffcltyTxt The free-text field related to 'The Rivermead Post-Concussion Symptoms Questionnaire (RPQ)- First other difficulty scale' specifying the first other difficulty text The free-text field related to 'The Rivermead Post-Concussion Symptoms Questionnaire (RPQ)- First other difficulty scale' specifying the first other difficulty tex Compared with before the accident, are you experiencing any other difficulties? Please specify, and rate as above. Alphanumeric

Enter free-text related to 'The Rivermead Post-Concussion Symptoms Questionnaire (RPQ)- First other difficulty scale' specifying the first other difficulty.

King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2017-01-17 11:52:00.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points 255

Free-Form Entry

C52363 The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Nausea scale RPQNauseaScale Scale that rates the severity of how the subject now suffers from nausea and/or vomiting as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) Scale that rates the severity of how the subject now suffers from nausea and/or vomiting as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ Compared with before the accident, do you now suffer from: nausea and/or vomiting? 0;1;2;3;4 Not experienced at all;No more of a problem;A mild problem;A moderate problem;A severe problem Numeric Values

For each symptom listed in the questionnaire, have the subjects compare themselves now with before the accident and choose the response that most closely represents their answer. Typically, the evaluation interval for RPQ is the past 24 hours.

King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2017-01-17 11:40:44.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52374 The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Frustrated scale RPQFrustratedScale Scale that rates the severity of how the subject now suffers from feeling frustrated or impatient as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) Scale that rates the severity of how the subject now suffers from feeling frustrated or impatient as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ Compared with before the accident, do you now suffer from: feeling frustrated or impatient? 0;1;2;3;4 Not experienced at all;No more of a problem;A mild problem;A moderate problem;A severe problem Numeric Values

For each symptom listed in the questionnaire, have the subjects compare themselves now with before the accident and choose the response that most closely represents their answer. Typically, the evaluation interval for RPQ is the past 24 hours.

King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2017-01-17 11:52:51.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52364 The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Headaches scale RPQHeadachesScale Scale that rates the severity of how the subject now suffers from headaches as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) Scale that rates the severity of how the subject now suffers from headaches as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ Compared with before the accident, do you now suffer from: headaches? 0;1;2;3;4 Not experienced at all;No more of a problem;A mild problem;A moderate problem;A severe problem Numeric Values

For each symptom listed in the questionnaire, have the subjects compare themselves now with before the accident and choose the response that most closely represents their answer. Typically, the evaluation interval for RPQ is the past 24 hours.

King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2017-01-17 11:41:51.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52375 The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Depression scale RPQDepressedScale Scale that rates the severity of how the subject now suffers from feeling depressed or tearful as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) Scale that rates the severity of how the subject now suffers from feeling depressed or tearful as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ Compared with before the accident, do you now suffer from: feeling depressed or tearful? 0;1;2;3;4 Not experienced at all;No more of a problem;A mild problem;A moderate problem;A severe problem Numeric Values

For each symptom listed in the questionnaire, have the subjects compare themselves now with before the accident and choose the response that most closely represents their answer. Typically, the evaluation interval for RPQ is the past 24 hours.

King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2017-01-17 11:53:57.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52365 The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Noise sensitivity scale RPQNoiseSensScale Scale that rates the severity of how the subject now suffers from noise sensitivity and easily upset by loud noise as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) Scale that rates the severity of how the subject now suffers from noise sensitivity and easily upset by loud noise as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ Compared with before the accident, do you now suffer from: noise sensitivity (easily upset by loud noise)? 0;1;2;3;4 Not experienced at all;No more of a problem;A mild problem;A moderate problem;A severe problem Numeric Values

For each symptom listed in the questionnaire, have the subjects compare themselves now with before the accident and choose the response that most closely represents their answer. Typically, the evaluation interval for RPQ is the past 24 hours.

King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2017-01-17 11:43:08.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52376 The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Fatigue scale RPQFatigueScale Scale that rates the severity of how the subject now suffers from fatigue and/or tiring more easily as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) Scale that rates the severity of how the subject now suffers from fatigue and/or tiring more easily as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ Compared with before the accident, do you now (i.e., over the last 24 hours) suffer from fatigue, tiring more easily? 0;1;2;3;4 Not experienced at all;No more of a problem;A mild problem;A moderate problem;A severe problem Numeric Values

For each symptom listed in the questionnaire, have the subjects compare themselves now with before the accident and choose the response that most closely represents their answer. Typically, the evaluation interval for RPQ is the past 24 hours.

King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2017-01-17 11:54:58.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52366 The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Sum of the ratings for items 1-16 excluding ratings of 1 RPQTotalScore Sum of the ratings for items 1-16 of the Rivermead Post-Concussion Symptoms Questionnaire (RPQ) excluding ratings of 1 Sum of the ratings for items 1-16 of the Rivermead Post-Concussion Symptoms Questionnaire (RPQ) excluding ratings of RPQ total score Numeric Values

Sum the total for items 1-16 of the Rivermead Post-Concussion Symptoms Questionnaire (RPQ). Do not include "Other difficulties" items. Exclude ratings of 1.

King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2017-01-17 11:44:43.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

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C52377 The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Sleep disturbance scale RPQSleepDistScale Scale that rates the severity of how the subject now suffers from sleep disturbance as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) Scale that rates the severity of how the subject now suffers from sleep disturbance as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ Compared with before the accident, do you now suffer from: sleep disturbance? 0;1;2;3;4 Not experienced at all;No more of a problem;A mild problem;A moderate problem;A severe problem Numeric Values

For each symptom listed in the questionnaire, have the subjects compare themselves now with before the accident and choose the response that most closely represents their answer. Typically, the evaluation interval for RPQ is the past 24 hours.

King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2017-01-17 11:55:59.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52367 The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Second other difficulty scale RPQOthr2DiffcltyScale Scale that rates the severity of how the subject now suffers from other difficulties as compared with before the accident. Rate the second other difficulty Scale that rates the severity of how the subject now suffers from other difficulties as compared with before the accident. Rate the second other difficult Compared with before the accident, are you experiencing any other difficulties? Please specify, and rate as above. 0;1;2;3;4 Not experienced at all;No more of a problem;A mild problem;A moderate problem;A severe problem Numeric Values

Scale that rates the severity of how the subject now suffers from other difficulties as compared with before the accident. Refer to the second other difficulty. Have the subjects compare themselves now with before the accident and choose the response that most closely represents their answer.

King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2017-01-17 11:45:24.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52378 The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Restlessness scale RPQRestlessScale Scale that rates the severity of how the subject now suffers from restlessness as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) Scale that rates the severity of how the subject now suffers from restlessness as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ Compared with before the accident, do you now suffer from: restlessness? 0;1;2;3;4 Not experienced at all;No more of a problem;A mild problem;A moderate problem;A severe problem Numeric Values

For each symptom listed in the questionnaire, have the subjects compare themselves now with before the accident and choose the response that most closely represents their answer. Typically, the evaluation interval for RPQ is the past 24 hours.

King NS, Crawford S, Wenden FJ, Moss NE, Wade DT (Sep 1995). "The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 242 (9): 587-92. http://www.ncbi.nlm.nih.gov/pubmed/8551320 Adult Supplemental-Highly Recommended 1.00 2017-01-17 11:56:59.0 Rivermead Post-Concussive Symptoms Questionnaire (RPQ) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

CSV