Postconcussion Symptoms as a Marker of Delayed Recovery in Children and Youth Who Recently Sustained a Concussion: A Brief Report

作者：Corbin Berrigan Laurie Ann; Gagnon Isabelle^*

来源：Clinical Journal of Sport Medicine, 2017, 27(3): 325-327.

DOI：10.1097/JSM.0000000000000355

• concussion
• mild traumatic brain injury
• children
• pediatrics
• postconcussion symptoms
• delayed recovery
• slow to recover

Objective: To identify predictors of delayed recovery in children who sustained a concussion and sought care in a pediatric hospital.
Design: Retrospective cohort study design.
Setting: Montreal Children's Hospital Concussion Clinic database.
Patients: Children who sustained a concussion and sought care within 10 days of the injury, with complete medical history and Postconcussion Symptom Scale (PCSS) score available.
Independent Variables: Total symptom score on the PCSS, sex, age, history of concussion, sleep disturbances, anxiety, learning disabilities, attention problems, and depression.
Main Outcome Measure: Delayed recovery (28 days or more).
Results: A total of 213 children (F = 76, M = 138) with a mean age of 13.89 +/- 2.55 years were included. Only total PCSS score at 10 days postinjury was identified as a significant predictor of delayed recovery (odds ratio: 1.019, P = 0.01).
Conclusions: This study demonstrates the potential for clinicians to identify, with the sole use of the PCSS, children at risk of experiencing symptoms for longer periods of time.

• 出版日期2017-5
• 单位McGill