@article{ref1,
title="Average symptom severity and related predictors of prolonged recovery in pediatric patients with concussion",
journal="Applied neuropsychology. Child",
year="2020",
author="Kowalczyk, Claire L. and Eagle, Shawn R. and Holland, Cyndi L. and Collins, Michael W. and Kontos, Anthony P.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="The purpose of this study is to compare the predictive utility of total number of individual symptoms endorsed, total symptom severity, and average symptom severity on prolonged recovery among children/adolescents with a concussion. Patients (n = 115) completed the Post-Concussion Symptom Scale (PCSS) at their initial clinical visit (7.9 ± 6.6 days) days post-injury. PCSS outcomes were total symptom severity (i.e., total PCSS score), number of symptoms endorsed (i.e., number out of 22-items on the PCSS with a symptom score >0) and average symptom severity (i.e., mean of scores for each of the 22-items on the PCSS, not just endorsed symptoms). Logistic regression was performed with all symptom measures and recovery time >30 days as the binary outcome. Logistic regression indicated that average symptom severity (OR = 1.9; p = 0.01) and later time to first clinical visit (OR = 5.0; p < 0.001) were the only significant predictors of recovery time. Average symptom severity at initial clinic visit and earlier clinical visit may be a better predictor of recovery time than total number of symptoms endorsed or total symptom severity among children and adolescents.<p /> <p>Language: en</p>",
language="en",
issn="2162-2965",
doi="10.1080/21622965.2020.1774376",
url="http://dx.doi.org/10.1080/21622965.2020.1774376"
}