Description

Cnossen et al reported the Rivermead Post Concussion Symptoms Questionnaire to evaluate a patient following traumatic brain injury. This can help to identify a patient who may have symptoms at 6 months. The authors are from Erasmus Medical Center, University of California at San Francisco, San Francisco General Hospital, University of Pittsburgh and Virginia Commonwealth University.


Patient selection: traumatic brain injury with concussion

 

Outcome: 6-month post-concussive symptoms

 

Parameters:

(1) age in years

(2) years of education

(3) sex

(4) pre-injury migraine or headache

(5) pre-injury psychiatric disorder

(6) history of prior traumatic brain injury (TBI)

(7) post-traumatic amnesia

(8) post-traumatic loss of consciousness

 

Parameter

Finding

Points

age in years

 

0.05 * (age)

years of education

 

-0.79 * (years)

sex

male

0

 

female

0.74

pre-injury migraine or headache

no

0

 

yes

2.07

pre-injury psychiatric disorder

no

0

 

yes

3.73

history of prior TBI

no

0

 

yes

3.71

post-traumatic amnesia

no

-0.47

 

yes

0

loss of consciousness

no

-0.38

 

yes

0

 

Rivermead post-concussion questionnaire =

= SUM(points for all 8 parameters) + 14.45

 

Interpretation:

minimum score: around 0

maximum score: around 48

A higher score is associated with worse functional outcomes.


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