OBJECTIVE: To examine predictors of prolonged symptom duration from mild traumatic brain injury (mTBI) in a pediatric sports medicine specialty clinic cohort as these predictors may be distinct in this population. DESIGN: Retrospective chart review. SETTING: Outpatient specialty clinic. PATIENTS: Charts of 549 patients (age range: 10-18 years) with concussions were reviewed in an outpatient clinic that predominantly managed sports-related injuries (77.3%). Patients (n = 431) included in the final analysis met the criteria for mTBI and were symptomatic at their first visit. ASSESSMENT OF RISK FACTORS: Patient history, injury, and recovery variables were evaluated. MAIN OUTCOME MEASURES: Predictors of prolonged time to reach self-reported symptom recovery were evaluated using Cox proportional hazards. RESULTS: Median time to symptom recovery of the 431 patients who presented to clinic with symptoms was 40 days (full clinic sample median = 34 days). Analyses identified 3 unique predictors of symptom recovery: loss of consciousness (LOC) [hazard ratio (HR) = 0.56, P < 0.0001], female sex (HR = 0.57, P < 0.0001), and concussion symptom score at first clinic visit (HR = 0.76, P < 0.0001). CONCLUSIONS: Prolonged duration of mTBI symptoms in patients who present to a pediatric sports-based concussion clinic is related to initial symptom severity, female sex, and LOC.
OBJECTIVE: To examine predictors of prolonged symptom duration from mild traumatic brain injury (mTBI) in a pediatric sports medicine specialty clinic cohort as these predictors may be distinct in this population. DESIGN: Retrospective chart review. SETTING:Outpatient specialty clinic. PATIENTS: Charts of 549 patients (age range: 10-18 years) with concussions were reviewed in an outpatient clinic that predominantly managed sports-related injuries (77.3%). Patients (n = 431) included in the final analysis met the criteria for mTBI and were symptomatic at their first visit. ASSESSMENT OF RISK FACTORS: Patient history, injury, and recovery variables were evaluated. MAIN OUTCOME MEASURES: Predictors of prolonged time to reach self-reported symptom recovery were evaluated using Cox proportional hazards. RESULTS: Median time to symptom recovery of the 431 patients who presented to clinic with symptoms was 40 days (full clinic sample median = 34 days). Analyses identified 3 unique predictors of symptom recovery: loss of consciousness (LOC) [hazard ratio (HR) = 0.56, P < 0.0001], female sex (HR = 0.57, P < 0.0001), and concussion symptom score at first clinic visit (HR = 0.76, P < 0.0001). CONCLUSIONS: Prolonged duration of mTBI symptoms in patients who present to a pediatric sports-based concussion clinic is related to initial symptom severity, female sex, and LOC.
Authors: Scott L Zuckerman; Benjamin L Brett; Aaron S Jeckell; Aaron M Yengo-Kahn; Gary S Solomon Journal: Curr Neurol Neurosci Rep Date: 2018-11-05 Impact factor: 5.081
Authors: John J Leddy; Mohammad Nadir Haider; James M Noble; Brian Rieger; Steven Flanagan; Jacob I McPherson; Kenneth Shubin-Stein; Ghazala T Saleem; Louis Corsaro; Barry Willer Journal: Curr Neurol Neurosci Rep Date: 2021-11-24 Impact factor: 5.081
Authors: Douglas P Terry; Fionn Büttner; Nathan A Huebschmann; Andrew J Gardner; Nathan E Cook; Grant L Iverson Journal: Front Neurol Date: 2022-06-20 Impact factor: 4.086
Authors: Eve M Valera; Annie-Lori C Joseph; Katherine Snedaker; Matthew J Breiding; Courtney L Robertson; Angela Colantonio; Harvey Levin; Mary Jo Pugh; Deborah Yurgelun-Todd; Rebekah Mannix; Jeffrey J Bazarian; L Christine Turtzo; Lyn S Turkstra; Lisa Begg; Diana M Cummings; Patrick S F Bellgowan Journal: J Head Trauma Rehabil Date: 2021-01-01 Impact factor: 3.117