Post-Concussion Symptoms Rule (PoCS Rule) of Le Sage et al: Follow-Up Assessment

Description

Le Sage et al reported a Post-Concussion Symptoms Rule for evaluating a patient after a traumatic brain injury (TBI). This consists of an initial assessment, with a follow-up assessment as needed. The authors are from multiple institutions in Canada and Australia.

Patient selection: mild traumatic brain injury, >= 14 years, with medium risk at initial assessment

Assessment: 7 days after injury

Outcome: persistent symptoms

Initial assessment:

(1) headache

(2) sleep disturbance

(3) fatigue

(4) light sensitivity

(5) Rivermead Post-Concussion Symptoms Questionnaire, from 0 to around 48

Parameter	Finding	Points
headache	no	0
	yes	2
sleep disturbance	no	0
	yes	1
fatigue	no	0
	yes	1
light sensitivity	no	0
	yes	2
Rivermead PSQ	< 21	0
	>= 21	2

total score =

= SUM(points for all of the parameters)

Interpretation:

• minimum score: 0

• maximum score: 8

Total Score	Risk Category	Management
< 2	low	consult PRN
>= 2	high	evaluate and/or intervene

To read more or access our algorithms and calculators, please log in or register.

Post-Concussion Symptoms Rule (PoCS Rule) of Le Sage et al: Follow-Up Assessment

Description

Specialty