Cohort | Inclusion | Exclusion |
Both | ≥16 years old Requires admission to QEHB Injury sustained within 24 hours of presentation | Police custody Prisoner Evidence of intracranial injury on CT (if performed as part of standard clinical care) Significant communication barriers Not fluent in the English language Medical history of neurological or cognitive impairment |
Concussed | Diagnosis of maxillofacial injury Clinical features consistent with a diagnosis of concussion
| LOC >30 min GCS <13 on presentation PTA lasting >24 hours (assess at 24 hours) Mechanism of injury due to organised sports activity |
Control | Diagnosis of isolated limb injury | History of TBI Clinical features consistent with a diagnosis of concussion according to CISG criteria and ACRM definition Insufficiency, open, femoral or tibia–fibula fracture |
ACRM, American Congress of Rehabilitation Medicine; CISG, Concussion in Sport Group; CONTACTS, Concussion in Non-Athletes: Assessment of Cognition and Symptomatology; GCS, Glasgow Coma Scale; LOC, loss of consciousness; PTA, post-traumatic amnesia; QEHB, Queen Elizabeth Hospital Birmingham; TBI, traumatic brain injury.