Citation

Corbin-Berrigan LA, Gagnon I. Clin. J. Sport. Med. 2016; 27(3): 325-327.

Affiliation

Trauma/Child Development Montreal Children's Hospital, Montréal, QC; and School of Physical and Occupational Therapy, McGill University, Montréal, QC.

Copyright

(Copyright © 2016, Canadian Academy of Sport Medicine, Publisher Lippincott Williams and Wilkins)

DOI

10.1097/JSM.0000000000000355

PMID

27347856

Abstract

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.

Language: en