The Sport Concussion Assessment Tool 5th Edition (SCAT5): Background and rationale

Ruben J Echemendia^{1

2}, Willem Meeuwisse³, Paul McCrory⁴, Gavin A Davis^{5

6}, Margot Putukian^{7

8}, John Leddy^{9

10}, Michael Makdissi^{6

11}, S John Sullivan¹², Steven P Broglio¹³, Martin Raftery¹⁴, Kathryn Schneider^{15

16

17

18}, James Kissick¹⁹, Michael McCrea²⁰, Jiří Dvořák²¹, Allen K Sills²², Mark Aubry²³, Lars Engebretsen^{24

25}, Mike Loosemore²⁶, Gordon Fuller²⁷, Jeffrey Kutcher²⁸, Richard Ellenbogen²⁹, Kevin Guskiewicz³⁰, Jon Patricios^{31

32}, Stanley Herring^{29

33}

Affiliations

¹ Concussion Care Clinic, University Orthopedics Centre, State College, Pennsylvania, USA.
² Department of Psychology, University of Missouri-Kansas City, Kansas City, Missouri, USA.
³ Faculty of Kinesiology, Sport Injury Prevention Research Centre, University of Calgary, Calgary, Canada.
⁴ The Florey Institute of Neuroscience & Mental Health, University of Melbourne, Heidelberg, Victoria, Australia.
⁵ Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
⁶ The Florey Institute of Neuroscience and Mental Health, Melbourne, Victoria, Australia.
⁷ University Health Services, Princeton University, Princeton, New Jersey, USA.
⁸ Rutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
⁹ University at Buffalo Concussion Management Clinic, UBMD Orthopaedics and Sports Medicine, Buffalo, New York, USA.
¹⁰ SUNY Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA.
¹¹ La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Bundoora, Australia.
¹² Centre for Health and Rehabilitation Research Activity, School of Physiotherapy, University of Otago, Dunedin, New Zealand.
¹³ NeuroTrauma Research Laboratory, University of Michigan, Ann Arbor, Michigan, USA.
¹⁴ World Rugby, Dublin, Ireland.
¹⁵ Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada.
¹⁶ Alberta Children's Hospital Research Institute for Child and Maternal Health, Cumming School of Medicine, Calgary, Alberta, Canada.
¹⁷ Hotchkiss Brain Institute, Cuming School of Medicine, University of Calgary, Calgary, Canada.
¹⁸ Hotchkiss Brain Institute, Cuming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
¹⁹ Department of Family Medicine, Carleton University Sport Medicine Clinic, University of Ottawa, International Paralympic Committee Medical Committee, Ottawa, Canada.
²⁰ Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
²¹ Department of Neurology, Schulthess Clinic, Zurich, Switzerland.
²² Department of Neurosurgery, Vanderbilt University, Nashville, Tennessee, USA.
²³ Ottawa Sport Medicine Centre, Ottawa, Canada.
²⁴ Department of Medical and Scientific, International Olympic Committee, Lausanne, Switzerland.
²⁵ Department of Orthopaedic Surgery, Oslo University Hospital, Olso, Norway.
²⁶ Institute of Sport Exercise and Health, University College Hospital, London, UK.
²⁷ Centre for Urgent and Emergency Care Research, University of Sheffield, Sheffield, UK.
²⁸ The Sports Neurology Clinic, Brighton, Michigan, USA.
²⁹ Department of Neurological Surgery, University of Washington, Seattle, Washington, USA.
³⁰ Matthew Gfeller Sport-Related TBI Research Center, University of North Carolina, Chapel Hill, North Carolina, USA.
³¹ Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
³² Department of Emergency Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
³³ Department of Rehabilitation Medicine, Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington, USA.

PMID: 28446453
DOI: 10.1136/bjsports-2017-097506

The Sport Concussion Assessment Tool 5th Edition (SCAT5): Background and rationale

Ruben J Echemendia et al. Br J Sports Med. 2017 Jun.

. 2017 Jun;51(11):848-850.

doi: 10.1136/bjsports-2017-097506. Epub 2017 Apr 26.

Authors

Affiliations

¹ Concussion Care Clinic, University Orthopedics Centre, State College, Pennsylvania, USA.
² Department of Psychology, University of Missouri-Kansas City, Kansas City, Missouri, USA.
³ Faculty of Kinesiology, Sport Injury Prevention Research Centre, University of Calgary, Calgary, Canada.
⁴ The Florey Institute of Neuroscience & Mental Health, University of Melbourne, Heidelberg, Victoria, Australia.
⁵ Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
⁶ The Florey Institute of Neuroscience and Mental Health, Melbourne, Victoria, Australia.
⁷ University Health Services, Princeton University, Princeton, New Jersey, USA.
⁸ Rutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
⁹ University at Buffalo Concussion Management Clinic, UBMD Orthopaedics and Sports Medicine, Buffalo, New York, USA.
¹⁰ SUNY Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA.
¹¹ La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Bundoora, Australia.
¹² Centre for Health and Rehabilitation Research Activity, School of Physiotherapy, University of Otago, Dunedin, New Zealand.
¹³ NeuroTrauma Research Laboratory, University of Michigan, Ann Arbor, Michigan, USA.
¹⁴ World Rugby, Dublin, Ireland.
¹⁵ Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada.
¹⁶ Alberta Children's Hospital Research Institute for Child and Maternal Health, Cumming School of Medicine, Calgary, Alberta, Canada.
¹⁷ Hotchkiss Brain Institute, Cuming School of Medicine, University of Calgary, Calgary, Canada.
¹⁸ Hotchkiss Brain Institute, Cuming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
¹⁹ Department of Family Medicine, Carleton University Sport Medicine Clinic, University of Ottawa, International Paralympic Committee Medical Committee, Ottawa, Canada.
²⁰ Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
²¹ Department of Neurology, Schulthess Clinic, Zurich, Switzerland.
²² Department of Neurosurgery, Vanderbilt University, Nashville, Tennessee, USA.
²³ Ottawa Sport Medicine Centre, Ottawa, Canada.
²⁴ Department of Medical and Scientific, International Olympic Committee, Lausanne, Switzerland.
²⁵ Department of Orthopaedic Surgery, Oslo University Hospital, Olso, Norway.
²⁶ Institute of Sport Exercise and Health, University College Hospital, London, UK.
²⁷ Centre for Urgent and Emergency Care Research, University of Sheffield, Sheffield, UK.
²⁸ The Sports Neurology Clinic, Brighton, Michigan, USA.
²⁹ Department of Neurological Surgery, University of Washington, Seattle, Washington, USA.
³⁰ Matthew Gfeller Sport-Related TBI Research Center, University of North Carolina, Chapel Hill, North Carolina, USA.
³¹ Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
³² Department of Emergency Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
³³ Department of Rehabilitation Medicine, Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington, USA.

PMID: 28446453
DOI: 10.1136/bjsports-2017-097506

Abstract

This paper presents the Sport Concussion Assessment Tool 5th Edition (SCAT5), which is the most recent revision of a sport concussion evaluation tool for use by healthcare professionals in the acute evaluation of suspected concussion. The revision of the SCAT3 (first published in 2013) culminated in the SCAT5. The revision was based on a systematic review and synthesis of current research, public input and expert panel review as part of the 5th International Consensus Conference on Concussion in Sport held in Berlin in 2016. The SCAT5 is intended for use in those who are 13 years of age or older. The Child SCAT5 is a tool for those aged 5-12 years, which is discussed elsewhere.

Keywords: Assessment; Brain Injury; Concussion; Sports.

PubMed Disclaimer

Conflict of interest statement

Competing interests: For full author disclosures and competing interests see the online supplementary folder ICMJE forms on the BJSM website (http://dx.doi.org/10.1136/bjsports-2017-097506).

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The Sport Concussion Assessment Tool 5th Edition (SCAT5): Background and rationale

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The Sport Concussion Assessment Tool 5th Edition (SCAT5): Background and rationale

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