medical decision support medical decision support
Sign In

Toronto Rehabilitation Institute Concussion Outcome Determination and Rehab Recommendations (TRICORDRR) for Predicting Risk of Prolonged Post-Concussion Symptoms

Description

Langer et al reported the Toronto Rehabilitation Institute Concussion Outcome Determination and Rehab Recommendations (TRICORDRR) for predicting prolonged post-concussion symptoms. A patient predicted to have a high risk may benefit from more aggressive management. The authors are from the University of Toronto and affiliated institutions.


Patient selection: adult status post concussion

 

Parameters:

(1) bipolar disorder

(2) personality disorder

(3) anxiety and/or depression

(4) number of primary care visits in the year prior to the concussion

(5) age of the patient in years

 

Parameter

Finding

Points

bipolar disorder

no

0

 

yes

4

personality disorder

no

0

 

yes

3

anxiety and depression

no

0

 

yes

1

primary care visits

<= 4

-1

 

5 to 8

0

 

9 to 14

1

 

>= 15

3

age

18 to 30

-3

 

31 to 40

-2

 

41 to 50

-1

 

51 to 60

0

 

> 60

4

 

total score =

= SUM(points for all of the parameters)

 

Interpretation:

• minimum score: -4

• maximum score: 16 (need to score the psychiatric diagnoses separately to reach 16)

• The higher the score the greater the risk of prolonged post-concussion symptoms.

 

Total Score

Risk Prolonged Symptoms

-4

9%

-3

14%

-2

19%

-1

23%

0

28%

1

34%

2

44%

3

47%

4

54%

5

61%

6

67%

7

73%

8

78%

9

82%

10

86%

11

89%

>= 12

91%

 

Performance:

• The area under the ROC curve is 0.64 which is suboptimal.


To read more or access our algorithms and calculators, please log in or register.

Specialty