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A Neuroscientific Approach to the Examination of Concussions in Student-Athletes
11:32

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Published on: December 8, 2014

Time interval between concussions and symptom duration.

Matthew A Eisenberg1, John Andrea, William Meehan

  • 1Division of Emergency Medicine, Boston Children's Hospital, Boston, MA 02115, USA. matthew.eisenberg@childrens.harvard.edu

Pediatrics
|June 12, 2013
PubMed
Summary

Children with a prior concussion history experience longer recovery times after a repeat head injury. Recent or multiple concussions significantly increase the risk of prolonged post-concussion symptoms.

Keywords:
brain concussionemergency medicinepediatricspostconcussion syndrometraumatic brain injury

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07:02

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Published on: January 12, 2011

Area of Science:

  • Pediatric neurology
  • Sports medicine
  • Traumatic brain injury research

Background:

  • Concussions are common in children and adolescents.
  • The impact of previous concussions on recovery from subsequent injuries is not fully understood.
  • Identifying risk factors for prolonged recovery is crucial for effective management.

Purpose of the Study:

  • To determine if a history of concussion prolongs symptom duration after a repeat concussion in pediatric patients.
  • To identify predictors of prolonged recovery from acute concussion.

Main Methods:

  • Prospective cohort study of 280 patients aged 11-22 years with acute concussion.
  • Symptom resolution assessed using the Rivermead Post-Concussion Symptoms Questionnaire (RPSQ) over 3 months.
  • Data collected on injury, symptoms, medical history, and recovery using serial questionnaires.

Main Results:

  • Patients with a prior concussion history had longer symptom duration (24 vs. 12 days, P=.02).
  • Multiple or recent concussions (within 1 year) were associated with even longer recovery times (28 and 35 days, respectively).
  • Predictors of prolonged recovery included previous concussion, absence of loss of consciousness, age ≥13, and high initial RPSQ score.

Conclusions:

  • A history of concussion, especially recent or multiple, increases the risk of prolonged symptoms after a repeat injury.
  • These findings are critical for managing pediatric concussion patients at high risk for recurrent injuries.
  • Early identification of at-risk individuals can guide clinical management and return-to-activity protocols.