TY  - JOUR
PY  - 2024//
TI  - Variables Associated with days of school missed following concussion: results from the Sport Concussion Outcomes in PEdiatrics (SCOPE) study
JO  - Physician and sportsmedicine
A1  - Roberts, Jeremy
A1  - Wilson, Julie C.
A1  - Halstead, Mark E.
A1  - Miller, Shane M.
A1  - Santana, Jonathan A.
A1  - Valovich McLeod, Tamara C.
A1  - Zaslow, Tracy L.
A1  - Master, Christina L.
A1  - Grady, Matthew F.
A1  - Snedden, Traci R.
A1  - Fazekas, Matthew L.
A1  - Coel, Rachel A.
A1  - Howell, David R.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE: To understand factors associated with missed academic time after concussion to improve support for patients. Our goal was to assess patient-specific predictors of total school time lost after pediatric/adolescent concussion. STUDY DESIGN: We performed a prospective cohort study of children and adolescents (8-18 years of age) seen within 14 days of concussion from seven pediatric medical centers across the United States. We collected outcomes via the Concussion Learning Assessment & School Survey (CLASS) and constructed a multivariable predictive model evaluating patient factors associated with school time loss. <br><br>RESULTS: 167 patients participated (mean age = 14.5 ± 2.2 years; 46% female). Patients were assessed initially at 5.0 ± 3.0 days post-injury and had a final follow-up assessment 24.5 ± 20.0 days post-concussion. Participants missed a median of 2 days of school (IQR = 0.5-4), and 21% reported their grades dropped after concussion. Higher initial symptom severity rating (β = 0.06, 95% CI = 0.03-0.08, p < 0.001) and perception of grades dropping after concussion (β = 1.37, 95% CI = 0.28-2.45, p = 0.01) were significantly associated with more days of school time missed after concussion. Those who reported their grades dropping reported missing significantly more school (mean = 5.0, SD = 4.7 days missed of school) than those who reported their grades did not drop (mean = 2.2, SD = 2.6 days missed of school; p < 0.001; Cohen's d = 0.87). <br><br>CONCLUSIONS: Children and adolescents reported missing a median of 2 days of school following concussion, and more missed school time after a concussion was associated with more severe concussion symptoms and perception of grades dropping. These findings may support recommendations for minimal delays in return-to-learn after concussion.<p />  <p>Language: en</p>
LA  - en
SN  - 0091-3847
UR  - http://dx.doi.org/10.1080/00913847.2024.2344435
ID  - ref1
ER  -