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Table 2 Overall study characteristics, level of evidence [44], and modified Downs and Black [19] checklist (maximum score 22)

From: An assessment of current concussion identification and diagnosis methods in sports settings: a systematic review

Author (year)

Study type

Level of evidence

Assessment

Sample size (concussed/control)

Sex M/F

Mean age (range) years

Sport

Test post-concussion

Score (max 22)

Broglio et al. [25]

PCS

III-2

BESS, SAC, SCAT5, ImPACT, VOMS, BSI-18

N = 1458

919/539

19.0 (N/A)

NCAA (sport unspecified)

3 times in 72 h (h): 0–1.25 h (side-line),1.25–24 h (post-event), 24–72 h (clinic)

17

Buckley et al. [45]

Cohort

III-2

GI

N = 84 (42/42)

40/44

19.2 (N/A)

NCAA (sport unspecified)

24 h

16

Downey et al. [21]

PCS

III-2

SCAT3

N = 45 (23/22)

19/26

20.0 (N/A)

Football, rugby, ice hockey, soccer, lacrosse, basketball, volleyball, field hockey, baseball, wrestling

3 to 5 days (acute), 3 weeks (post-acute)

14

Fallon et al. [30]

PCS

III-2

MULES, SCAT3

N = 681 (17)

422/259

17 (6–37)

Ice hockey, soccer, football

Side-line

13

Fuller et al. [31]

Cross Sectional

III-2

SCAT3

N = 639 (24)

All male

27.4 (N/A)

Rugby

After game of injury

14

Fuller et al. [46]

Pilot

III-3

PSCA1

N = 165

All male

N/A

Rugby

Side-line (Time frame not stated)

17

Fuller et al. [37]

PCS

III-3

KD

N = 261

All male

27.6 (N/A)

Rugby

48 h

18

Fuller et al. [38]

RCS

III-2

HIA01/ SCAT3

N = 1265

N/A

N/A

Rugby

Side-line

16

Galetta et al. [26]

PCS

III-2

KD, SAC, TG

N = 332

192/140

11.0 (5–23)

Ice hockey, lacrosse

Side-line /rink-side. (Time frame not stated)

15

Gardner et al. [39]

Observational

IV

VA

N = 400

All male

N/A

Rugby league

N/A

 

Goble et al. [47]

Cross-Sectional

III-2

BBT

N = 25

11/14

20.7 (N/A)

College athletes- (unspecified)

48 h

9

Graves [28]

PCS

III-2

SOT, BESS

N = 15 (15)

All male

18.9 (N/A)

Football

1–14 days

15

Hänninen et al. [32]

PCS

III-3

SCAT3

N = 283 (27)

All male

27.0 (N/A)

Ice hockey

24 h

15

Harrold et al. [33]

PCS

III-3

KD, SCAT3

N = 426

177/249

35.0 (N/A)

Sport, other

N/A

16

Hecimovich et al. [36]

PCS

III-2

KD

N = 22 (7/15)

All male

19.6 (N/A)

Australian football

10–20 min post-game

14

King et al. [34]

PCS Observational

III-2

KD, SCAT3

N = 104 (52/52)

All male

23.7 (N/A)

Rugby

Days 3, 7, 14, and 21

15

Leong et al. [48]

PCS

III-3

KD, SCAT2

N = 127 (11)

119/8

19.5 (N/A)

Football, basketball

N/A

17

Marinides et al. [27]

RCS

III-3

KD, PCS, SAC, BESS, ImPACT

N = 221 (30)

150/71

N/A

Football, lacrosse, soccer

87 min

14

Merritt et al. [49]

PCS

III-2

PCSS, ImPACT

N = 846 (86)

637/209

19.9 (N/A)

Football, basketball, ice hockey, soccer, lacrosse, wrestling, other

2, 7, and 14 days post-injury

18

Molloy et al. [50]

Descriptive cohort

III-2

KD, PSCA2, CogSport

N = 176 (19/33)

All male

23.8 (N/A)

Rugby

48 h

18

Oldham et al. [22]

Prospective, longitudinal

III-1

TG, BESS, mBESS

N = 76 (38/38)

All male

N/A

NCAA student-athletes

 < 48 h

16

Putukian et al. [51]

Prospective cross-sectional

III-1

SCAT2

N = 263 (85/178)

184/79

20.3 (N/A)

Football, rugby, volleyball, football, crew

0.52 ± 1.18 days

13

Russell-Giller et al. [29]

Pilot

IV

KD, VOMS

N = 71

N/A

14.0 (N/A)

Sports (unspecified), other

1–5 days

17

Seidman et al. [35]

PCS

III-3

KD, SCAT3

N = 337 (9/328)

All male

15.0 (N/A)

American Football

72 h

12

Sufrinko et al. [23]

Case–control

III-2

ImPACT, SAC, BESS

N = 125 (125)

85/40

16.8 (N/A)

Football, soccer, volleyball, basketball, wrestling, ice hockey, softball,

SAC, BESS: 24 to 48 h, ImPACT: 5 to 7 and 10 to 14

13

Vartiainen et al. [24]

PCS

III-2

SCAT3, MotCoTe

N = 16 (9/7)

All male

23.4 (N/A)

Ice hockey

36 h

15

  1. N/A Not available, KD King Devick test, GI Gait Initiation, SOT Sensory Organization, TG Tandem Gait, GT Gait Termination, MULES Mobile Universal Lexicon Evaluation Systems, HIA01 Head Injury Assessment Version 1, PSCA1 Pitch-Side Concussion Assessment Version 1, PSCA2 Pitch-Side Concussion Assessment Version 2, MotCoTe Motor Cognitive Test Battery, VOMS Vestibular/Ocular Motor Screening, SCAT2 Sport Concussion Assessment Tool Version 2, SCAT3 Sport Concussion Assessment Tool Version 3, SCAT5 Sport Concussion Assessment Tool Version 5, ImPACT Immediate Post-Concussion and Cognitive Testing, SAC standardized assessment of concussion, PCSS Post-Concussion Symptom Scale, VA Video Assessment, BESS Balance Error Scoring System, mBESS modified Balance Error Scoring System, MotCoTe Motor Cognitive Test battery, PCS prospective cohort study, RCS retrospective cohort study