@article{ref1,
title="Concussion-symptom rating correlation between pediatric patients and their parents",
journal="Journal of athletic training",
year="2020",
author="Patsimas, Tatiana and Howell, David R. and Potter, Morgan N. and Provance, Aaron J. and Kirkwood, Michael W. and Wilson, Julie C.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="CONTEXT: Understanding how parents and their children perceive concussion symptoms may provide insights into optimal concussion-management strategies. <br><br>OBJECTIVE: To examine patient-parent correlations and agreement on concussion-symptom ratings, to identify differences in patient-parent symptom reporting between children (8-12 years of age) and adolescents (13-18 years of age), and to evaluate the correlation between patient and parent initial symptom-severity ratings with symptom duration and return-to-play time. <br><br>DESIGN: Cross-sectional study. SETTING: Primary care sports medicine clinic. PATIENTS OR OTHER PARTICIPANTS: A total of 267 patients aged 8 to 18 years seen for care within 21 days of sustaining a concussion. Patients were classified as <i>children</i> (n = 65; age = 11.3 ± 1.4 years; age range, 8-12 years) or <i>adolescents</i> (n = 202; age = 15.5 ± 1.4 years; age range, 13-18 years). MAIN OUTCOME MEASURE(S): Each patient and his or her parent (or legal guardian) completed a concussion-symptom-frequency inventory, the Health and Behavior Inventory (HBI), at the initial postinjury examination. Patients were followed until they no longer reported concussion symptoms (symptom-resolution time) and were allowed to return to unrestricted sport participation (return-to-play time). <br><br>RESULTS: At the initial examination (8.9 ± 5.2 days postinjury), the symptom-frequency correlation between children and their parents was high (<i>r</i><sub>s</sub> = 0.88; 95% confidence interval [CI] = 0.80, 0.95). Adolescents' symptom-frequency reports were also highly correlated with those of their parents (<i>r</i><sub>s</sub> = 0.78; 95% CI = 0.71, 0.85). However, the child-parent correlation was higher than the adolescent-parent agreement (<i>z</i> = 2.21, <i>P</i> =.03). Greater patient (consolidated child and adolescent) HBI ratings were associated with longer symptom-resolution times (coefficient = 0.019; 95% CI = 0.007, 0.031; <i>P</i> =.002) and longer return-to-play times (coefficient =.012; 95% CI = 0.002, 0.022; <i>P</i> =.02), whereas parent HBI ratings were not. <br><br>CONCLUSIONS: Our findings may help to set expectations regarding concussion-symptom durations and return-to-play timing for pediatric patients and their families. Given the patient-parent correlations in our sample, substantial reporting discrepancies between patients and their parents may be a relevant factor for clinicians to investigate further during concussion evaluations.<p /> <p>Language: en</p>",
language="en",
issn="1062-6050",
doi="10.4085/1062-6050-200-19",
url="http://dx.doi.org/10.4085/1062-6050-200-19"
}