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Sleep Symptoms Predict School Attendance After Pediatric Concussion.
Ghazala T Saleem1,2, Beth S Slomine1,2, Stacy J Suskauer1,2
1Kennedy Krieger Institute, Baltimore, MD, USA.
Clinical Pediatrics
|April 17, 2020
Summary
Sleep problems after a concussion significantly impact school attendance, especially in older children. Addressing sleep issues may help students return to school sooner.
Area of Science:
- Pediatric Neurology
- Sleep Medicine
- Neuroscience
Background:
- Concussion, a traumatic brain injury, can lead to various postconcussive symptoms.
- School attendance is a critical aspect of recovery and well-being for pediatric patients post-concussion.
- The specific symptom domains affecting school attendance require further investigation.
Purpose of the Study:
- To examine the relationship between specific postconcussive symptom domains and school attendance in children.
- To determine if age influences the association between symptoms and school attendance.
Main Methods:
- Retrospective chart review of 88 children (aged 6-18) evaluated within 30 days post-concussion.
- Hierarchical multiple regression analysis to assess symptom domains (physical, cognitive, emotional, sleep) and school attendance.
- Subgroup analysis to evaluate the effect of age on symptom-attendance relationship.
Main Results:
- A higher number of postconcussive sleep symptoms strongly predicted less school attendance, even after controlling for other variables.
- Older children (≥14 years) with more sleep symptoms showed significantly reduced school attendance.
- Physical, cognitive, and emotional symptoms did not show a significant association with school attendance in this cohort.
Conclusions:
- Postconcussive sleep symptoms are unfavorably associated with school attendance in children seeking specialty care.
- Optimizing sleep regulation following concussion may facilitate earlier return to school.
- Targeting sleep disturbances is a potential strategy to improve school re-engagement in pediatric concussion patients.
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