Post-traumatic headache: the use of the sport concussion assessment tool (SCAT-3) as a predictor of post-concussion recovery

The Journal of Headache and Pain

Research Article

Olivia Begasse de Dhaem¹  Laura J. Balcer²  Mia T. Minen²  William B. Barr²  Steven L. Galetta² 

[1] Department of Internal Medicine, New York University Langone Medical Center, New York, NY, USA;Department of Neurology, Columbia University – New York Presbyterian Hospital, New York, NY, USA;Department of Neurology, New York University Langone Medical Center, 240 East 38th Street, New York, NY, USA;

关键词: Evaluation;    Post-traumatic headache;    SCAT-3;    Concussion screening;    Symptom severity;    Head injury;   

DOI  :  10.1186/s10194-017-0767-5

 received in 2017-04-14, accepted in 2017-05-15,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundGiven that post-traumatic headache is one of the most prevalent and long-lasting post-concussion sequelae, causes significant morbidity, and might be associated with slower neurocognitive recovery, we sought to evaluate the use of concussion screening scores in a concussion clinic population to assess for post-traumatic headache.Methods This is a retrospective cross-sectional study of 254 concussion patients from the New York University (NYU) Concussion Registry. Data on the headache characteristics, concussion mechanism, concussion screening scores were collected and analyzed.Results 72% of the patients had post-traumatic headache. About half (56.3%) were women. The mean age was 35 (SD 16.2). 90 (35%) patients suffered from sport-related concussions (SRC). Daily post-traumatic headache patients had higher Sport Concussion Assessment Tool (SCAT)-3 symptom severity scores than the non-daily post-traumatic headache and the headache-free patients (50.2 [SD 28.2] vs. 33.1 [SD 27.5] vs. 21.6 SD23], p < 0.001). Patients with SRC had lower headache intensity (4.47 [SD 2.5] vs. 6.24 [SD 2.28], p < 0.001) and SCAT symptom severity scores (33.9 [SD 27.4] vs. 51.4 [SD 27.7], p < 0.001) than the other patients, but there were no differences in post-traumatic headache prevalence, frequency, and Standardized Assessment of Concussion (SAC) scores.Conclusion The presence and frequency of post-traumatic headache are associated with the SCAT-3 symptom severity score, which is the most important predictor for post-concussion recovery. The SCAT-3 symptom severity score might be a useful tool to help characterize patients’ post-traumatic headache.

【 授权许可】

CC BY   
© The Author(s). 2017