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Risk of Repeat Concussion Among Patients Diagnosed at a Pediatric Care Network

Allison E Curry1, Kristy B Arbogast1, Kristina B Metzger2

  • 1Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

The Journal of Pediatrics
|May 19, 2019
PubMed

Insights

Approximately 1 in 6 children experience a repeat concussion within two years. Older age, longer recovery, and more symptoms after the initial concussion increase this risk.

Area of Science:

  • Pediatric Neurology
  • Sports Medicine
  • Public Health

Background:

  • Concussions in children are a significant public health concern.
  • Understanding the risk factors for repeat concussions is crucial for effective management and prevention.

Purpose of the Study:

  • To quantify the risk of repeat concussions in children aged 5-15 years.
  • To identify demographic and clinical factors associated with repeat concussion injuries.

Main Methods:

  • Retrospective cohort study using electronic health records from a large children's hospital network.
  • Analysis of 536 patients aged 5-15 years diagnosed with an index concussion between July 2012 and June 2013.
  • Follow-up for 2 years to identify repeat concussion diagnoses and abstract clinical data.

Main Results:

  • 16.2% of children experienced at least one repeat concussion within 2 years.
  • Risk of repeat concussion increased with age, particularly in the 12-15 year group (19.8%).
  • Longer clinical course (>30 days) and higher symptom burden (>11 symptoms) significantly elevated the risk of repeat concussion.

Conclusions:

  • About 1 in 6 youth sustain a repeat concussion within two years.
  • Specific clinical features of the initial concussion, such as prolonged symptoms and high symptom burden, are key predictors of future injury.
  • Identifying these risk factors is vital for improving concussion care and implementing targeted prevention strategies.
Abstract

Keywords:
multiple concussionspostconcussive symptomrecurrencerepetitivetraumatic brain injury

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