TY - JOUR PY - 2020// TI - Average symptom severity and related predictors of prolonged recovery in pediatric patients with concussion JO - Applied neuropsychology. Child A1 - Kowalczyk, Claire L. A1 - Eagle, Shawn R. A1 - Holland, Cyndi L. A1 - Collins, Michael W. A1 - Kontos, Anthony P. SP - ePub EP - ePub VL - ePub IS - ePub N2 - 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.

Language: en

LA - en SN - 2162-2965 UR - http://dx.doi.org/10.1080/21622965.2020.1774376 ID - ref1 ER -