Citation

Chung JS, Zynda AJ, Didehbani N, Hicks C, Hynan LS, Miller SM, Bell KR, Cullum CM. J. Child Neurol. 2019; ePub(ePub): 883073819849741.

Affiliation

University of Texas Southwestern Medical Center, Dallas, TX, USA.

Copyright

(Copyright © 2019, SAGE Publishing)

DOI

10.1177/0883073819849741

PMID

31113274

Abstract

Our objective was to determine the association between sleep quality, symptom severity, and recovery following sport-related concussion in pediatric athletes. A review of data from the North Texas Concussion Network Prospective Registry (ConTex) was performed. Participants were diagnosed with a sport-related concussion and were ≤18 years old. Participants were categorized based on their initial clinic visit Pittsburgh Sleep Quality Index composite score (0-21) into good sleep quality (GS≤5) and poor sleep quality (PS>5) groups. The PS group reported higher median total symptom scores at 3-month follow-up (3.0 vs 0.0, P <.01) and took more than a median of 2 weeks longer to recover compared to the GS group (35.0 days vs 20.0 days, P <.01). Poor sleep quality was strongly associated with greater symptom severity and longer time to recovery following sport-related concussion. Early recognition of concussed athletes with poor sleep quality at initial clinic visit may help predict prolonged recovery.

Language: en

Keywords

brain; concussion; outcome; pediatric; sleep