@article{ref1,
title="Discriminating young children with concussion in an outpatient specialty clinic from healthy controls using the Child SCAT5",
journal="Journal of pediatrics",
year="2023",
author="Trbovich, Alicia M. and Fazio-Sumrok, Vanessa and Preszler, Jonathan and Shaffer, Madelyn A. and Kegel, Nathan and Kissinger-Knox, Alicia and Collins, Michael W. and Kontos, Anthony P.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: To evaluate the clinical utility of the Child SCAT5 in an outpatient specialty clinic sample of children ages 5-9. STUDY DESIGN: Ninety-six children within 30 days of a concussion (M=8.90+5.78 days) and 43 age and sex-matched healthy controls completed the Child SCAT5, including balance items, cognitive screening, parent and child symptom and severity reports, as well as each individual parent- and child-rated symptom severity (0-3). A series of receiver operating characteristic (ROC) curves with area under the curve (AUC) analysis were performed to evaluate the clinical utility of the Child SCAT5 components to discriminate concussion. <br><br>RESULTS: The AUC values were non-discriminate for cognitive screening (.32) and poor for balance (.61) items. The AUC values were acceptable for parent-reported symptoms worsening after physical activity (.73) and mental activity (.72). The AUCs for symptom severity items were excellent for parent (.89) and child-reported (.81) headaches, and were acceptable for parent-reported tired a lot (.75), and both parent (.72) and child-reported (.72) tired easily. <br><br>CONCLUSION: With the exception of parent and child-reported symptoms, the Child SCAT5 provides limited clinical utility for evaluating concussion in children aged 5-9 years seen at an outpatient concussion specialty clinic. The cognitive screening and balance testing items were not useful in discriminating concussion. Parent and child-reported headache were the only Child SCAT5 items with excellent ability to differentiate concussion from controls in the age group.<p /> <p>Language: en</p>",
language="en",
issn="0022-3476",
doi="10.1016/j.jpeds.2023.02.024",
url="http://dx.doi.org/10.1016/j.jpeds.2023.02.024"
}