Post Concussion Symptoms Risk Stratification Tool

Patients with Persisting Concussion Symptoms (PCS) have a multitude of different symptoms. Some patients are at risk of prolonged symptoms but currently there is no tool to assist in identifying patients at high risk. Intensive, multidisciplinary intervention is time-consuming and expensive and may not be warranted for all PCS patients, so it is essential to identify early on which patients are at risk of prolonged symptoms. The aim of this study is to improve the quality of care delivered to patients, especially those who are at high-risk of prolonged PCS by early identification and treatment of all the symptoms. The purpose of this research is to validate the use of a Persisting Concussion Symptoms (PCS) Risk Stratification Tool (RST).

Inclusion Criteria:Age between 18-60 years oldClinical diagnosis of PCS for 1-12 months with at least 3 symptomsMust be employed at time of injuryFull-time or part-time worker prior to concussion and cannot return to workMust speak English and be sufficiently literate to complete questionnaires and perform assessmentsMust be able to give consentExclusion Criteria:Abnormalities on MRI such as contusion, hemorrhages, siderosis, or other non-traumatic conditionsHistory of neurological conditions (e.g. stroke, seizures) or major psychiatric disease