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Predictors of neuropsychological outcome after pediatric concussion

Miriam H Beauchamp1, Mary Aglipay2, Keith Owen Yeates3

  • 1Department of Psychology, University of Montreal.

Neuropsychology
|May 30, 2018
PubMed

Insights

Pediatric concussion outcomes are influenced by both pre-existing factors and injury-related variables, not just unmodifiable traits. Acute cognitive screening is key for predicting long-term neuropsychological status after concussion.

Area of Science:

  • Pediatric neurology
  • Neuropsychology
  • Traumatic brain injury research

Background:

  • Pediatric concussion outcomes were previously thought to be determined by unmodifiable, pre-existing factors.
  • This study challenges that notion by exploring a wider range of predictors.

Purpose of the Study:

  • To predict neuropsychological outcome after pediatric concussion using a large sample size.
  • To investigate the contribution of premorbid factors, acute symptoms, and acute cognitive screening to outcomes.

Main Methods:

  • 311 children and adolescents (6-18 years) with concussion were assessed.
  • Cognitive functioning and acute symptoms were documented in the emergency department.
  • Neuropsychological tests were administered at 4 and 12 weeks post-injury; regression analyses were performed.

Main Results:

  • Neuropsychological impairment was observed in 10.3% at 4 weeks and 4.5% at 12 weeks.
  • At 4 weeks, cognitive inefficiency was linked to premorbid factors and acute screening; at 12 weeks, acute symptoms were predictive.
  • Neuropsychological performance at 4 weeks was influenced by premorbid factors, acute symptoms, and screening; at 12 weeks, only acute screening was predictive.

Conclusions:

  • Pediatric concussion outcomes are associated with a combination of pre-existing and injury-related variables.
  • Acute cognitive screening is a valuable tool for predicting neuropsychological status post-concussion.
Abstract

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