@article{ref1,
title="Prevalence and duration of post-concussive headaches in a pediatric sports clinic: a cross-sectional study",
journal="Neurology",
year="2022",
author="Nemade, Dipali P. and Cottrill, Norman and Payne, Mary",
volume="98",
number="Suppl 1",
pages="S7-S7",
abstract="OBJECTIVE: We aim to identify the potential risk factors associated with increased susceptibility for persistent post-concussive headaches. <br><br>BACKGROUND: Concussions are common, but complex, traumatic brain injuries seen in pediatric athletes of all ages & skill levels & occur in a wide variety of athletic settings. These mild traumatic brain injuries often have neurologic sequelae, including headaches. Although athletes are advised to rest, duration of post-concussive symptoms is often unpredictable. DESIGN/METHODS: We conducted a cross sectional study on patients with head injury aged 5-18 years presented to pediatric concussion clinic (N = 603) from September 2013 to Dec 2018. We excluded patients with skull fractures and intracranial hemorrhage. The data was compiled & analyzed using frequency, Pearson correlation test, chi square & ANOVA test using IBM SPSS- 26. <br><br>RESULTS: Patient cohort consisted of 364 males & 239 females. The age range for males was 5-18 years (Mean age ± SD: 13.45 ± 2.86) & for females was 6-18 years (Mean age ± SD: 13.97 ± 2.84). There was statically significant association between various age groups & presence of headache at 3 & 6 months (p < 0.05). Out of all ages, age group 5-8 years had highest risk of persistent headache while the age group 14-18 years reported headaches at 3 months but then resolution of symptoms by one year (p < 0.05). Females were more likely than males (of all ages) to have persistent headaches despite treatment (p = 0.00). There was also a statistically significant difference between loss of consciousness, prior history of headaches & prior history of concussions towards the development of persistent headaches (p < 0.05). Furthermore, football, soccer and basketball had significantly more headaches compared to other sports related injuries (p = 0.001). <br><br>CONCLUSIONS: There was a statistically higher risk of developing persistent headaches for females and those with a history of prior headache, prior concussion, younger age, and those playing football, soccer or basketball.  Keywords: American football <p /> <p>Language: en</p>",
language="en",
issn="0028-3878",
doi="10.1212/01.wnl.0000801792.09184.e1",
url="http://dx.doi.org/10.1212/01.wnl.0000801792.09184.e1"
}