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Concussion grading systems are sets of criteria used in sports medicine to determine the severity, or grade, of a concussion, the mildest form of traumatic brain injury. At least 16 such systems exist, [ 1 ] and there is little agreement among professionals about which is the best to use. [ 2 ]
A concussion, also known as a mild traumatic brain injury (mTBI), is a head injury that temporarily affects brain functioning. [8] Symptoms may include headache, dizziness, difficulty with thinking and concentration, sleep disturbances, mood changes, a brief period of memory loss, brief loss of consciousness; problems with balance; nausea; blurred vision; and mood changes.
The original scoring system was developed before the invention of pulse oximetry and used the patient's colouration as a surrogate marker of their oxygenation status. A modified Aldrete scoring system was described in 1995 [2] which replaces the assessment of skin colouration with the use of pulse oximetry to measure SpO 2.
Post-concussion syndrome is believed to be able to arise for reasons aside from sustaining a (mild) traumatic brain injury. In one study, health professionals cited organic causes in general as being most responsible for the development of PCS; however, emotional and compensatory causes have also been implicated as factors. [13]
measure of the ICD-10 criteria for Post concussion syndrome The British Columbia Postconcussion Symptom Inventory (BC-PSI), is a 16 item self-report inventory designed to measure both the frequency, and intensity of the ICD-10 criteria for Post concussion syndrome , which is a common occurrence in cases of mild traumatic brain injury .
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A concussion is defined as a "complex pathophysiological process affecting the brain, induced by biomechanical forces". [1] A concussion should be suspected in any person who falls or has a hit to their face or their body and has a visible sign/clue that they may have a concussion or experiences any symptoms of concussion. [2]
Post-concussion syndrome (PCS), also known as persisting symptoms after concussion, is a set of symptoms that may continue for weeks, months, or years after a concussion. PCS is medically classified as a mild traumatic brain injury (TBI).