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Cited by 21

The DOI matches its Crossref record; 38 of the 38 references it cites were found in a registry or an index.

Trajectories and Predictors of Clinician-Determined Recovery after Child Concussion

Anderson, Vicki, Davis, Gavin A., Takagi, Michael, Dunne, Kevin, Clarke, Cathriona, Anderson, Nicholas, Rausa, Vanessa C., Doyle, Melissa, Parkin, Georgia, Truss, Katie, Thompson, Emma, Bressan, Silvia, Hearps, Stephen, Babl, Franz E.·2020·Journal of Neurotrauma
DOI 10.1089/neu.2019.6683
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Abstract

By age 16, 20% of children will suffer a concussion. Many experience persisting post-concussive symptoms (PCS), the cause(s) of which remain unclear. We mapped concussion recovery to 3 months post-injury and explored non-modifiable (e.g., age, sex, pre-injury factors, injury mechanism, acute PCS) and modifiable (post-acute child symptoms) predictors of persisting symptoms in order to identify opportunities for early intervention. We conducted a prospective, longitudinal study in the emergency department of a tertiary, pediatric hospital recruiting children within 48 h of concussion (T0), with follow-up at 2 days (T1), 2 weeks (T2), 1 month (T3), and 3 months (T4). Primary outcome was T2 clinician diagnosis. Clinical history, injury mechanism, acute symptoms, and physical and cognitive function were assessed. Parents rated child behavior and fatigue, and their mental health. We enrolled 256 participants, 72% males: 62 (24.3%) were symptomatic at T2. Recovered and symptomatic groups endorsed similar pre-injury PCS, but group differences were found at T1 across all PCS subscales, except Emotional, where symptoms were not evident until T2. By T2, there was significant PCS reduction, steepest in the “Recovered” group, which also had a lower rate of pre-injury psychiatric diagnoses, acute CT scans and less severe parent-rated PCS at T1 than the symptomatic group. They all demonstrated lower parent-rated PCS and less internalizing behaviors (all, p < 0.01). No differences were detected for child age, sex, injury factors, pre-injury parent-rated PCS, or acute physical and cognitive status. Our findings also highlight the importance of considering both pre- and post-injury mental health status in managing post-concussion.

Overview

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Registry

Crossref · 10.1089/neu.2019.6683

Cites

38 of 38 references verified0 citation errors · 0 not checkable

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Citations

Cites

Research works printed but not linked: 3

  1. Field M., , Collins M.W., , Lovell M.R., , and Maroon J. (2003). Does age play a role in recovery from sports-related concussion?. A comparison of high school and collegiate athletes. J. Pediatr. 142, 546–553.
  2. Achenbach T.M., and Rescorla L. (2001). ASEBA School-Age Forms and Profiles. Asebaz: Burlington, VT.
  3. StataCorp. (2015). Stata Statistical Software: Release 15. StataCorp LP: College Station, TX.

Cited by

See all 21

Metadata

Authors
Anderson, V., Davis, G. A., Takagi, M., Dunne, K., Clarke, C., Anderson, N., Rausa, V. C., Doyle, M., Parkin, G., Truss, K., Thompson, E., Bressan, S., Hearps, S., & Babl, F. E.
Affiliations
Clinical Sciences Research, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Venue
Journal of Neurotrauma
Publisher
SAGE Publications
Published
2020-05-27
Volume
37
Issue
12
Pages
1392-1400
ISSN
  • 0897-7151
  • 1557-9042
DOI
10.1089/neu.2019.6683
Cited by
21
References
38
Language
en
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)

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Data sources

Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.