Diagnostic Utility of New SCAT5 Neurological Screen Sub-tests
| dc.contributor.author | Fuller, Gordon W | |
| dc.contributor.author | Miles, John | |
| dc.contributor.author | Tucker, Ross | |
| dc.contributor.author | Douglas, Marc | |
| dc.contributor.author | Raftery, Martin | |
| dc.contributor.author | Falvey, Eanna | |
| dc.contributor.author | Mathema, Prabhat | |
| dc.date.accessioned | 2021-10-12T07:01:56Z | |
| dc.date.available | 2021-10-12T07:01:56Z | |
| dc.date.issued | 2021-02-15 | |
| dc.date.updated | 2021-02-21T04:27:13Z | |
| dc.description.abstract | Background The Sports Concussion Assessment Tool (SCAT) is recommended to screen for concussion following head impact events in elite sport. The most recent 5th edition (SCAT5) included a ‘rapid neurological screen’ which introduced new subtests examining comprehension, passive neck movement, and diplopia. This study evaluated the additional diagnostic value of these new subtests. Methods A prospective cohort study was performed in the Pro14 elite Rugby Union competition between September 2018 and January 2020. The SCAT5 was administered by the team doctor to players undergoing off-field screening for concussion during a medical room assessment. Sensitivity, specificity, false negatives, and positives were examined for SCAT5 comprehension, passive neck movement, and diplopia subtests. The reference standard was a final diagnosis of concussion, established by serial standardised clinical assessments over 48 h. Results Ninety-three players undergoing off-field screening for concussion were included. Sensitivity and specificity of the comprehension, passive neck movement, and diplopia subtests were 0, 8, 5% and 0, 91, 97%, respectively (concussion prevalence 63%). No players had any abnormality in comprehension. No players had abnormal passive neck movement or diplopia in the absence of abnormalities in other SCAT5 sub-components. Conclusions The new SCAT5 neurological screen subtests are normal in the majority of players undergoing off-field concussion screening and appear to lack diagnostic utility over and above other SCAT5 subtests. | en_US |
| dc.identifier.apacitation | Fuller, G. W., Miles, J., Tucker, R., Douglas, M., Raftery, M., Falvey, E., & Mathema, P. (2021). Diagnostic Utility of New SCAT5 Neurological Screen Sub-tests. <i>Sports Medicine - Open</i>, 7(Article number: 14), http://hdl.handle.net/11427/35179 | en_ZA |
| dc.identifier.chicagocitation | Fuller, Gordon W, John Miles, Ross Tucker, Marc Douglas, Martin Raftery, Eanna Falvey, and Prabhat Mathema "Diagnostic Utility of New SCAT5 Neurological Screen Sub-tests." <i>Sports Medicine - Open</i> 7, Article number: 14. (2021) http://hdl.handle.net/11427/35179 | en_ZA |
| dc.identifier.citation | Fuller, G.W., Miles, J., Tucker, R., Douglas, M., Raftery, M., Falvey, E. & Mathema, P. 2021. Diagnostic Utility of New SCAT5 Neurological Screen Sub-tests. <i>Sports Medicine - Open.</i> 7(Article number: 14) http://hdl.handle.net/11427/35179 | en_ZA |
| dc.identifier.ris | TY - Journal Article AU - Fuller, Gordon W AU - Miles, John AU - Tucker, Ross AU - Douglas, Marc AU - Raftery, Martin AU - Falvey, Eanna AU - Mathema, Prabhat AB - Background The Sports Concussion Assessment Tool (SCAT) is recommended to screen for concussion following head impact events in elite sport. The most recent 5th edition (SCAT5) included a ‘rapid neurological screen’ which introduced new subtests examining comprehension, passive neck movement, and diplopia. This study evaluated the additional diagnostic value of these new subtests. Methods A prospective cohort study was performed in the Pro14 elite Rugby Union competition between September 2018 and January 2020. The SCAT5 was administered by the team doctor to players undergoing off-field screening for concussion during a medical room assessment. Sensitivity, specificity, false negatives, and positives were examined for SCAT5 comprehension, passive neck movement, and diplopia subtests. The reference standard was a final diagnosis of concussion, established by serial standardised clinical assessments over 48 h. Results Ninety-three players undergoing off-field screening for concussion were included. Sensitivity and specificity of the comprehension, passive neck movement, and diplopia subtests were 0, 8, 5% and 0, 91, 97%, respectively (concussion prevalence 63%). No players had any abnormality in comprehension. No players had abnormal passive neck movement or diplopia in the absence of abnormalities in other SCAT5 sub-components. Conclusions The new SCAT5 neurological screen subtests are normal in the majority of players undergoing off-field concussion screening and appear to lack diagnostic utility over and above other SCAT5 subtests. DA - 2021-02-15 DB - OpenUCT DP - University of Cape Town IS - Article number: 14 J1 - Sports Medicine - Open KW - Brain Concussion KW - Screening KW - Rugby KW - Diagnostic accuracy KW - SCAT5 LK - https://open.uct.ac.za PY - 2021 T1 - Diagnostic Utility of New SCAT5 Neurological Screen Sub-tests TI - Diagnostic Utility of New SCAT5 Neurological Screen Sub-tests UR - http://hdl.handle.net/11427/35179 ER - | en_ZA |
| dc.identifier.uri | https://doi.org/10.1186/s40798-021-00303-z | |
| dc.identifier.uri | http://hdl.handle.net/11427/35179 | |
| dc.identifier.vancouvercitation | Fuller GW, Miles J, Tucker R, Douglas M, Raftery M, Falvey E, et al. Diagnostic Utility of New SCAT5 Neurological Screen Sub-tests. Sports Medicine - Open. 2021;7(Article number: 14) http://hdl.handle.net/11427/35179. | en_ZA |
| dc.language.iso | en | en_US |
| dc.language.rfc3066 | en | |
| dc.publisher.department | School of Management Studies | en_US |
| dc.publisher.faculty | Faculty of Commerce | en_US |
| dc.rights.holder | The Author(s) | |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | en_US |
| dc.source | Sports Medicine - Open | en_US |
| dc.source.journalissue | Article number: 14 | en_US |
| dc.source.journalvolume | 7 | en_US |
| dc.source.uri | https://sportsmedicine-open.springeropen.com/ | |
| dc.subject | Brain Concussion | en_US |
| dc.subject | Screening | en_US |
| dc.subject | Rugby | en_US |
| dc.subject | Diagnostic accuracy | en_US |
| dc.subject | SCAT5 | en_US |
| dc.title | Diagnostic Utility of New SCAT5 Neurological Screen Sub-tests | en_US |
| dc.type | Journal Article | en_US |