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The 2012 CISG Consensus Meeting provided an opportunity for several of the world's leading concussion researchers and clinicians to present data and to share experiences using the SCAT2. The purpose of this report is to consider recommendations by the CISG, and to review the current literature to identify the most sensitive and reliable concussion assessment components for inclusion in a revised version\u2014the SCAT3. Through this process, it was determined that important clinical information can be ascertained in a streamlined manner through the use of a multimodal instrument such as the SCAT3. This test battery should include an initial assessment of injury severity using the Glasgow Coma Scale, immediately followed by observing and documenting concussion signs. Once this is complete, symptom endorsement and symptom severity, neurocognitive function and balance function should be assessed in any athlete suspected of sustaining a concussion. There is no evidence to support the use of a composite\/total score; however, there is good evidence to support the use of each component (scored independently) in a revised assessment tool.<\/jats:p>","DOI":"10.1136\/bjsports-2013-092225","type":"journal-article","created":{"date-parts":[[2013,3,11]],"date-time":"2013-03-11T19:07:46Z","timestamp":1363028866000},"page":"289-293","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":259,"title":["Evidence-based approach to revising the SCAT2: introducing the SCAT3"],"prefix":"10.1136","volume":"47","author":[{"given":"Kevin M","family":"Guskiewicz","sequence":"first","affiliation":[{"name":"Department of Exercise and Sport Science, Matthew Gfeller Sport-Related Traumatic Brain Injury Research Center, University of North Carolina, Chapel Hill, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johna","family":"Register-Mihalik","sequence":"additional","affiliation":[{"name":"Clinical Research Unit, Emergency Services Institute, WakeMed Health and Hospitals, Raleigh, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"McCrory","sequence":"additional","affiliation":[{"name":"The Florey Institute of Neuroscience and Mental Health, Heidelberg, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"McCrea","sequence":"additional","affiliation":[{"name":"Brain Injury Research Institute, Departments of Neurosurgery and Neurology, Medical College of Wisconsin, Wisconsin, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Johnston","sequence":"additional","affiliation":[{"name":"Neurosurgeon, Division of Neurosurgery, University of Toronto; Concussion Management Program Athletic Edge Sports Medicine, Toronto, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Makdissi","sequence":"additional","affiliation":[{"name":"The Florey Institute of Neuroscience and Mental Health, Melbourne Brain Centre, Austin Campus, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji\u0159\u00ed","family":"Dvo\u0159\u00e1k","sequence":"additional","affiliation":[{"name":"FIFA Medical Assessment and Research Center, Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gavin","family":"Davis","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Austin and Cabrini Hospitals & The Florey Institute of Neuroscience and Mental Health, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Willem","family":"Meeuwisse","sequence":"additional","affiliation":[{"name":"Sport Injury Prevention Research Centre, Kinesiology and Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,3,11]]},"reference":[{"key":"2025080114121809000_47.5.289.1","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0b013e3181a501db"},{"key":"2025080114121809000_47.5.289.2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.36.1.6"},{"key":"2025080114121809000_47.5.289.3","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e3182342e64"},{"key":"2025080114121809000_47.5.289.4","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1136\/bjsm.2005.018614","article-title":"Summary and agreement statement of the 2nd International Conference on Concussion in Sport, Prague 2004","volume":"39","author":"McCrory","year":"2005","journal-title":"Br J Sports Med"},{"key":"2025080114121809000_47.5.289.5","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.1227\/01.NEU.0000255479.90999.C0","article-title":"Sensitivity of the concussion assessment battery","volume":"60","author":"Broglio","year":"2007","journal-title":"Neurosurgery"},{"key":"2025080114121809000_47.5.289.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2011.08.009"},{"key":"2025080114121809000_47.5.289.7","doi-asserted-by":"publisher","DOI":"10.1017\/S1355617705050083"},{"key":"2025080114121809000_47.5.289.8","doi-asserted-by":"crossref","unstructured":"Register-Mihalik JK Guskiewicz KM Mihalik JP . 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