Table 2

Summary of eligibility criteria for the CONTACTS study

CohortInclusionExclusion
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
ConcussedDiagnosis of maxillofacial injury
Clinical features consistent with a diagnosis of concussion
  • History of direct blow to the head, face, neck or elsewhere on the body with an ‘impulsive’ force transmitted to the head.

  • History of rapid onset of short-lived impairment of neurological function that resolves spontaneously.

  • No evidence of structural abnormality to the brain seen on standard neuroimaging.

  • LOC ≤30 min.

  • GCS score ≥13 on presentation.

  • PTA ≤24 hours.

LOC >30 min
GCS <13 on presentation
PTA lasting >24 hours (assess at 24 hours)
Mechanism of injury due to organised sports activity
ControlDiagnosis of isolated limb injuryHistory 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.