Persistent Postconcussion Symptom Risk
8 to 12 Years (1 Point)13 to 17 Years (2 Points) <-- Age
Male (0 Points)Female (2 Points) <-- Gender
Absent (0 Points)Present (2 Points) <-- Fatigue
No (0 Points)Yes (1 Point) <-- Prior concussion with symptom duration of one week or more
No (0 Points)Yes (1 Point) <-- Four or more errors on the tandem stance test*
*For the tandem stance test, patients are instructed to stand heel to toe with the nondominant foot in the back for 20 seconds with their hands on their hips and eyes closed. An error is moving out of this position to regain balance indicating impaired postural stability.
No (0 Points)Yes (1 Point) <-- History of physician-diagnosed migraine
No (0 Points)Yes (1 Point) <-- Answering questions slowly
No (0 Points)Yes (1 Point) <-- Headache
No (0 Points)Yes (1 Point) <-- Sensitivity to noise
Score --> Scorescore=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)+(Q7)+(Q8)+(Q9) points
Risk of postconcussion symptoms (such as headache, fatigue, inattentiveness, or forgetfulness) more than 28 days after the initial trauma --> Interpretationscore=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)+(Q7)+(Q8)+(Q9);score>8?'High - 61.7% estimated risk (range 57.1% to 80.8%)':score>3?'Medium - 30.4% estimated risk (range 16.4% to 47.6%)':'Low - 10.5% estimated risk (range 4.1% to 11.8%)'
References (Hide/Show)
McConaghy J, Earl A (2016) Am Fam Physician. 94(12):1006-1007.
Zemek R, Barrowman N, Freedman SB, et al.; Pediatric Emergency Research Canada (PERC) Concussion Team. (2016) JAMA. 315(10):1014-25.

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