Previous work suggests that concussion remains underdiagnosed in the Emergency Department and patients are rarely adequately followed up in clinical practice. This may reflect the complex nature of diagnosing and monitoring concussion but may also demonstrate the lack of NHS resources allocated towards mild Traumatic Brain Injury care. It is important therefore to assess whether well-established sports-related concussion (SRC) assessment tools may be translated into the non-sporting population of the NHS. If validated, these tests could provide invaluable additional information to clinicians, not only in diagnosis but in monitoring recovery and managing this complex condition. Whilst previous studies have utilised both the SCAT and ImPACT in non-athlete patients, no study to date has addressed translatability into the NHS. To determine whether these tools can be translatable, they must be tested in groups that are reflective of the patients who suffer concussive injury. Elderly and intoxicated patients should also be assessed. A longer-term qualitative review of the tools would add depth to existing data and indicate the willingness of non-athletes to engage in these tests using telephone and email reviews.
The CONcussion in non-aThletes; Assessment of CogniTion and Symptomatology study
To investigate whether existing (sports) concussion assessment tools are clinically accurate for patients with non-sporting trauma and translatable into clinical NHS practice for both acute and follow up phases of care