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It’s time to give concussion an operational definition: A 3-step process to diagnose (or rule out) concussion within 48 hours of injury: World Rugby Guideline

Article dans une revue avec comité de lecture
Author
RAFTERY, Martin
KEMP, Simon
353798 London School of Hygiene and Tropical Medicine [LSHTM]
PATRICIOS, Jon
12196 University of the Witwatersrand [Johannesburg] [WITS]
MAKDISSI, Michael
568465 The Florey Institute of Neuroscience and Mental Health [Parkville, VIC, Australie]
DECQ, Philippe
1001017 Institut de Biomécanique Humaine Georges Charpak [IBHGC]

URI
http://hdl.handle.net/10985/18278
DOI
10.1136/bjsports-2016-095959
Date
2016
Journal
British Journal of Sports Medicine

Abstract

World Rugby has introduced an operational definition of concussion into Rugby to better identify and manage concussion and to support injury surveillance studies. This definition acknowledges the variability in clinical concussion presentation by incorporating a three-point in time diagnostic process with the recommended times aligning with the times that team doctor’s normal responsibilities involve team contact. The current content of each assessment is based on SCAT 3 and will continue to be modified as the evidence around concussion diagnosis evolves. This operational definition of concussion also includes the recommendation that any abnormal assessment be considered as being due to concussion. This default can be overruled if the team doctor decides that the abnormal assessment is not related to a concussion. Finally with World Rugby’s operational definition, a concussion following a head injury cannot be excluded until an assessment is completed at 36-48 hours post injury.

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