REF-1070 · Patricios et al., 2023 · British Journal of Sports Medicine, · Paper · PubMed

Consensus statement on concussion in sport: the 6th International Conference on Concussion in Sport

Amsterdam, October 2022: the Concussion in Sport Group's sixth statement, built on 10 systematic reviews, summarises evidence-informed principles of concussion prevention, assessment and management and released revised tools (Concussion Recognition Tool-6, SCAT6, Child SCAT6) and a new office tool (SCOAT6, Child SCOAT6); the abstract carries no clinical rules

Astrong evidenceMeasured on a mixed groupWritten before October 2026, being re-checked

The Concussion in Sport Group's sixth international statement. It reports how the Amsterdam conference (6th International Conference on Concussion in Sport, 27-30 October 2022) was run and what it produced, and should be read alongside the methodology paper and the 10 systematic reviews behind the conference. Abstract only was read.

Key Findings

Tools: revised Concussion Recognition Tool-6 (CRT6), Sport Concussion Assessment Tool-6 (SCAT6, Child SCAT6), and a new Sport Concussion Office Assessment Tool-6 (SCOAT6, Child SCOAT6).
The Concussion in Sport Group has been meeting for more than two decades and had issued five international statements on sport concussion before this 6th one.
During 3½ years, groups of authors systematically reviewed priority topics in sport concussion that had been set in advance; 10 systematic reviews fed into the conference outcomes.
The conference format (expert panel meetings and workshops to revise or develop clinical assessment tools) evolved from previous consensus meetings with several new components.
New features: concussion-specific medical ethics, the para athlete, the athlete's own perspective, retirement from sport, and possible long-term effects of sport-related concussion such as neurodegenerative disease.
The statement sets out evidence-informed principles for preventing, assessing and managing concussion and highlights where more research is needed. The abstract does not state those principles.

Practical Application

"My son hit his head in a crash but says he feels fine — can he keep riding?" The international concussion consensus (Patricios 2023, A) exists precisely for this, with a recognition tool for non-medical people (CRT6) and assessment tools for clinicians, including child versions; the assistant is not one of those tools. The abstract gives no rules, so the assistant does not assess, rule out or time a concussion and does not give a return-to-riding schedule.
Children are explicitly in scope (Child SCAT6, Child SCOAT6): a head knock in a minor goes to a parent and a clinician.
Not from this paper; the base's own practice: a head knock in a crash means no riding that day, and a parent (for a minor) and a clinician (SYNTH-81 house rule); when riding resumes is the clinician's call, which the assistant follows rather than setting a schedule of its own (SYNTH-73, SYNTH-36 for the general return logic). A fall onto the hand is REF-1041 and REF-1042.

Limitations

The abstract summarises process and tools only; no definitions, symptoms, assessment steps, rest or return-to-sport stages are given, and none are carried here.
Expert consensus informed by systematic reviews; the evidence grades for individual recommendations are not in the abstract.
Not specific to cycling or endurance sport.
Abstract only was read; nothing from the full text or the tools themselves is used.
How this entry was checked and changed
Why this level

major international consensus statement (rubric A); not A+ because the abstract describes an expert group's consensus rather than a governing body's, and this entry carries the scope and tools only, not the graded recommendations