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Race/ethnicity, sex, and age differences in pediatric SCAT-5 concussion symptoms

Stephen C Bunt1, Cheryl H Silver1, Logan Shurtz1

  • 1Department of Psychiatry, UT Southwestern Medical Center, Dallas, Texas, USA.

Applied Neuropsychology. Child
|December 18, 2024
PubMed

Insights

Young children with concussions did not show differences in symptom reporting by race/ethnicity or age. However, females reported more severe concussion symptoms than males, suggesting tailored interventions may be needed.

Area of Science:

  • Pediatric neurology
  • Sports medicine
  • Clinical psychology

Background:

  • Concussion symptom reporting in children can vary based on sociodemographic factors.
  • Understanding these differences is crucial for developing targeted interventions.
  • Previous research indicates potential disparities in healthcare experiences among different child populations.

Purpose of the Study:

  • To investigate how race/ethnicity, sex, and age influence concussion symptom reporting in young children.
  • To identify potential disparities in symptom reporting to inform tailored interventions.
  • To provide data guiding the development of equitable concussion care strategies.

Main Methods:

  • A study involving 392 elementary-age children (5-12 years) who experienced a concussion.
  • Data collected on race/ethnicity, sex, and age as independent variables.
  • The Sport Concussion Assessment Tool 5 (SCAT-5) Symptom Evaluation was used to measure symptom number and severity.

Main Results:

  • No significant differences in concussion symptom reporting were found across different race/ethnic or age groups.
  • Females reported a higher number and greater severity of concussion symptoms compared to males.
  • No interaction effects were observed between race/ethnicity, sex, and age in symptom reporting.

Conclusions:

  • Concussion symptom reporting in children aged 5-12 is not significantly affected by race/ethnicity or age.
  • Females consistently report more concussion symptoms, highlighting a need for specialized attention during evaluations.
  • Future research should explore other sociodemographic variables and the impact of respondent (child vs. parent) on symptom reporting.
Abstract

Keywords:
ConcussionSCAT-5ethnicitypediatricrace

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