Related Experiment Video

Updated: Jan 27, 2026

Autonomic Function Following Concussion in Youth Athletes: An Exploration of Heart Rate Variability Using 24-hour Recording Methodology
05:48

Autonomic Function Following Concussion in Youth Athletes: An Exploration of Heart Rate Variability Using 24-hour Recording Methodology

Published on: September 21, 2018

10.5K

Frequency and Predictors of Persisting Symptoms 1 Year After Early Childhood Concussion

Sean C Rose1, Dominique Dupont2, Ken Tang3

  • 1Department of Pediatrics, Nationwide Children's Hospital and The Ohio State University, Columbus, Ohio.

Pediatrics
|January 25, 2026
PubMed

Insights

Persisting symptoms after concussion (PSaC) are common in young children, affecting 28% at one month. Higher symptom burden in the emergency department predicts these ongoing issues in pediatric concussion patients.

Area of Science:

  • Pediatric neurology
  • Traumatic brain injury research
  • Childhood health outcomes

Background:

  • Concussion is a frequent injury in early childhood.
  • The incidence and predictors of persisting symptoms after concussion (PSaC) in this age group remain largely unknown.
  • Understanding PSaC is crucial for appropriate clinical management and research focus.

Purpose of the Study:

  • To determine the frequency of PSaC in children aged 6 months to 6 years.
  • To identify potential predictors of PSaC in this pediatric population.
  • To compare PSaC rates between concussion, orthopedic injury, and community control groups.

Main Methods:

  • A cohort study enrolled 418 children (concussion, orthopedic injury, community controls) presenting to emergency departments.
  • PSaC was assessed at 1, 3, and 12 months post-injury using reliable change analysis.
  • Multivariable logistic regression analyzed predictors of PSaC, including symptom burden, age, and injury-related factors.

Main Results:

  • PSaC were documented in 28% of children with concussion at 1 month, significantly higher than orthopedic injury (10%) and community controls (2%).
  • PSaC rates at 3 and 12 months were 24% and 16%, respectively.
  • Higher acute symptom burden in the emergency department predicted 1-month PSaC (OR 1.108; P=0.04), while age, loss of consciousness, imaging, school attendance, and parent education did not.

Conclusions:

  • Persisting symptoms after concussion are a common and significant issue in early childhood.
  • Acute symptom burden in the emergency department is a key predictor of one-month PSaC.
  • Further research and clinical infrastructure development are essential to address PSaC in young children.
Abstract

More Related Videos

A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion10:31

A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion

Published on: September 25, 2014

13.9K
Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion08:13

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

7.0K

Related Concept Videos

Diabetes: Symptoms, Diagnosis, and Complications01:15

Diabetes: Symptoms, Diagnosis, and Complications

For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
2.1K
Negative and Cognitive Symptoms of Schizophrenia01:30

Negative and Cognitive Symptoms of Schizophrenia

Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
528
Frequency-dependent Selection01:21

Frequency-dependent Selection

When the fitness of a trait is influenced by how common it is (i.e., its frequency) relative to different traits within a population, this is referred to as frequency-dependent selection. Frequency-dependent selection may occur between species or within a single species. This type of selection can either be positive—with more common phenotypes having higher fitness—or negative, with rarer phenotypes conferring increased fitness.
23.4K
Asthma-III: Symptoms and Complications01:24

Asthma-III: Symptoms and Complications

Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
3.3K
Pleural Effusion II: Symptoms and Management01:28

Pleural Effusion II: Symptoms and Management

Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
709
Erikson's Theory on Socioemotional Development during Childhood01:28

Erikson's Theory on Socioemotional Development during Childhood

Erik Erikson, a stage theorist, adapted Freud's theory to emphasize social factors in personality development throughout life, a concept known as psychosocial development. Unlike Freud, who focused on early childhood, Erikson believed that personality evolves across eight life stages, each marked by a specific challenge or "crisis." Successful resolution of each stage fosters competence, while failure may lead to feelings of inadequacy.
The first four of Erikson's eight...
1.0K