TY  - JOUR
PY  - 2023//
TI  - Discriminating young children with concussion in an outpatient specialty clinic from healthy controls using the Child SCAT5
JO  - Journal of pediatrics
A1  - Trbovich, Alicia M.
A1  - Fazio-Sumrok, Vanessa
A1  - Preszler, Jonathan
A1  - Shaffer, Madelyn A.
A1  - Kegel, Nathan
A1  - Kissinger-Knox, Alicia
A1  - Collins, Michael W.
A1  - Kontos, Anthony P.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 0022-3476
UR  - http://dx.doi.org/10.1016/j.jpeds.2023.02.024
ID  - ref1
ER  -