TY  - JOUR
PY  - 2020//
TI  - Symptom burden, school function, and physical activity one-year following pediatric concussion
JO  - Journal of pediatrics
A1  - van Ierssel, Jacquie
A1  - Ledoux, Andrée-Anne
A1  - Tang, Ken
A1  - Correll, Rhonda
A1  - Yeates, Keith Owen
A1  - Gioia, Gerald
A1  - Freedman, Stephen B.
A1  - Sangha, Gurinder
A1  - Boutis, Kathy
A1  - Beer, Darcy
A1  - Craig, William
A1  - Burns, Emma
A1  - Mikrogianakis, Angelo
A1  - Dubrovsky, Alexander S.
A1  - Gagnon, Isabelle
A1  - Gravel, Jocelyn
A1  - McGahern, Candice
A1  - Osmond, Martin H.
A1  - Zemek, Roger
A1  - Pediatric Emergency Research Canada (PERC) Concussion Team, 
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVES: To characterize symptom burden, school function, and physical activity in youth one year following acute concussion and those with subsequent repeat concussion.   STUDY DESIGN: Secondary analysis of 5P prospective, multicenter cohort study conducted in 9 Canadian emergency departments (ED). Participants were children between ages 5 and 18 who presented consecutively ≤48-hours of concussion and agreed to participate in a post hoc electronic survey one year after injury. Outcomes were assessed using a standardized 25-question symptom scale derived from the Post-Concussion Symptom Inventory-Parent; school function and physical activity outcomes were queried. The primary outcome was total symptom score one year following concussion, defined as the number of symptoms experienced more than before injury.   RESULTS: Of 3052 youth enrolled in the 5P study, 432 (median [IQR] age, 11.5 [9,14] years; 266 [62%] male) completed the one-year survey; 34 respondents reported a repeat concussion. Following acute concussion, youth were more likely to be symptom-free than following repeat concussion (75% vs. 50%; difference=25%[95%CI:8,41]; p=.002) and to have recovered fully (90% vs. 74%; difference=17% [95%CI:5, 34]; P =.002) after one year. Although physical symptoms were lower one year after initial ED presentation for both groups (p<.001), youth with a repeat concussion reported greater headache persistence (26% vs.13%; difference=13% [95%CI:1,31]; p=.024). Both groups returned to their normal school routine (100% vs 95%; difference=5% [95%CI:-5,8; p=.618). Youth without repeat concussion more frequently returned to normal physical activities (98% vs. 85%; difference=13% [95%CI:4,28]; p<.0001) and sport (95% vs. 82%; difference=13%[95% CI:3,29]; p=.009).   CONCLUSIONS: Most youth are symptom-free and fully recovered one year following concussion. Some children with repeat concussion have worse outcomes and have delays in returning to normal school routines and sport.<p />  <p>Language: en</p>
LA  - en
SN  - 0022-3476
UR  - http://dx.doi.org/10.1016/j.jpeds.2020.08.061
ID  - ref1
ER  -