{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T07:12:04Z","timestamp":1765609924041,"version":"3.44.0"},"reference-count":26,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Sport Exerc Med"],"accepted":{"date-parts":[[2018,11,12]]},"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>In sport, concussion is assessed using the Sports Concussion Assessment Tool (SCAT) 5 and managed with return to play guidelines. Similar, user-friendly tools are rarely, if ever, used in the emergency department (ED).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To evaluate a modified concussion assessment tool designed for the ED (ED-CAT) in patients presenting with a head injury and to identify variables that predict 30-day reattendance.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A preliminary, prospective, evaluation in a quality improvement project was conducted in one hospital in South Wales. Patients were recruited if they were over 13 years, and either did not have an ED-CT head scan or had a scan with no acute changes. The primary outcome was 30-day reattendance.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>40 patients were recruited, 18 of whom had a CT scan. 37 were discharged on the same day with advice, two discharged the next day and one was admitted. Three (7.5%) patients reattended the department. Predictors of reattendance were headache score (median 3.0 vs 5.0; p&lt;0.05), pressure in head score (2.0 vs 5.0; p&lt;0.05), nausea\/vomiting score (1.0 vs 3.0; p&lt;0.05), dizziness score (1.0 vs 4.0; p&lt;0.05), blurred vision score (0 vs 4.0; p&lt;0.01), balance problems score (0 vs 4.0; p&lt;0.05), sensitivity to light and confusion score (0 vs 4.0; p&lt;0.01), orientation score (1. 0 vs 0; p&lt;0.05) and immediate memory score (5.0 vs 4.0; p&lt;0.05).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Key symptoms and signs predicted 30-day reattendance. The ED-CAT requires validation and refinement in a larger population to produce a short, practical, user-friendly, relevant tool for ED head injury assessment.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjsem-2018-000445","type":"journal-article","created":{"date-parts":[[2018,12,28]],"date-time":"2018-12-28T04:45:19Z","timestamp":1545972319000},"page":"e000445","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["Concussion assessment in the emergency department: a preliminary study for a quality improvement project"],"prefix":"10.1136","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1221-4941","authenticated-orcid":false,"given":"Dylan A","family":"Mistry","sequence":"first","affiliation":[{"name":"School of Medicine, Cardiff University, Cardiff, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy H","family":"Rainer","sequence":"additional","affiliation":[{"name":"Division of Population Medicine, School of Medicine, University Hospital of Wales, Cardiff University, Cardiff, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,12,27]]},"reference":[{"key":"2025083111022955000_4.1.e000445.1","unstructured":"National Institute for Clinical Excellence . 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