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Objectively Assessing Sports Concussion Utilizing Visual Evoked Potentials
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Identifying Risks for Persistent Postconcussive Symptoms in a Pediatric Emergency Department: An Examination of a

J M Root, J Gai, M D Sady

    Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists
    |May 16, 2021
    PubMed
    Summary

    A clinical risk score can help predict persistent postconcussive symptoms (PPCS) in children after a concussion. Headache and a higher risk score were linked to increased odds of PPCS.

    Keywords:
    Children and behavioral disordersHead injuryTraumatic brain injury

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    Area of Science:

    • Pediatric Emergency Medicine
    • Neurology
    • Clinical Risk Assessment

    Background:

    • Persistent postconcussive symptoms (PPCS) pose a challenge in pediatric concussion management.
    • Accurate prediction of PPCS is crucial for timely intervention and resource allocation in emergency departments (EDs).

    Purpose of the Study:

    • To externally examine a clinical risk score for predicting PPCS in pediatric patients.
    • To identify key risk factors associated with the development of PPCS in children.

    Main Methods:

    • Prospective cohort study involving 85 pediatric patients (ages 5-18) diagnosed with acute concussion.
    • Collection of risk factors at diagnosis, followed by a 30-day follow-up to determine PPCS.
    • Univariate logistic regression analyses were used to assess the association between risk factors and PPCS.

    Main Results:

    • Headache (OR 3.37) and a higher total clinical risk score (OR 1.25) were significantly associated with increased odds of PPCS.
    • Teenage age group (OR 4.79), history of prolonged concussions (OR 3.41), and risk group (OR 2.23) showed trends toward association with PPCS.

    Conclusions:

    • The findings support the utility of a multi-variable clinical risk score for ED risk stratification of pediatric concussion patients.
    • This tool can aid clinicians in identifying children at higher risk for developing persistent postconcussive symptoms.