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Predicting Wellness After Pediatric Concussion

Miriam H Beauchamp1, Ken Tang2, Keith Owen Yeates3

  • 1Department of Psychology,University of Montreal,Montreal, Quebec,Canada, H2V 2S9.

Journal of the International Neuropsychological Society : JINS
|May 4, 2019
PubMed

Insights

Younger children with sports-related concussions and good acute working memory are more likely to achieve wellness. This finding helps identify pediatric concussion patients who may experience optimal recovery.

Area of Science:

  • Pediatric neurology
  • Sports medicine
  • Neuropsychology

Background:

  • Concussion in children and adolescents can impact physical, cognitive, behavioral, and psychological health.
  • Most children recover well from concussion, but identifying factors for optimal recovery is crucial.

Purpose of the Study:

  • To determine pre-injury, demographic, and injury-related factors associated with optimal outcome (wellness) after pediatric concussion.

Main Methods:

  • A longitudinal, prospective cohort study of 311 children (6-18 years) with concussion.
  • Data collected included pre-morbid conditions, acute injury variables, post-concussive symptoms (PCS), and cognitive screening (Standardized Assessment of Concussion, SAC).
  • Neuropsychological assessment at 4 and 12 weeks; wellness defined by absence of PCS, cognitive inefficiency, and good quality of life.

Main Results:

  • 41.5% and 52.2% of participants achieved wellness at 4 and 12 weeks, respectively.
  • Younger age, sports/recreational injuries, no history of developmental problems, and better acute working memory were associated with higher likelihood of wellness.
  • The Standardized Assessment of Concussion (SAC) concentration score was a key predictor of optimal recovery.

Conclusions:

  • Identifying factors associated with wellness can help predict optimal recovery in pediatric concussion.
  • Future research should incorporate control groups and more detailed pre-injury and injury-related factors.
Abstract

Keywords:
Traumatic brain injurychildrenneuropsychologypositive outcomepost-concussive symptomsquality of life

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