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Concussion symptom presentation and clinical recovery among pediatric athletes: comparing concussions sustained during school and summer months
We examined post-concussion symptom presentation, exercise, and sleep among pediatric athletes who sustained concussion during the school year vs. summer months. We evaluated athletes 6-18 years old within 21-days of concussion. They reported symptoms (Health and Behavior Inventory), with cognitive/...
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Published in: | Brain injury 2024-06, Vol.38 (7), p.574-582 |
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Main Authors: | , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites |
Online Access: | Get full text |
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Summary: | We examined post-concussion symptom presentation, exercise, and sleep among pediatric athletes who sustained concussion during the school year vs. summer months.
We evaluated athletes 6-18 years old within 21-days of concussion. They reported symptoms (Health and Behavior Inventory), with cognitive/somatic domain sub-scores calculated, and indicated if they had exercised or experienced sleep problems since injury. We grouped patients by injury season: summer months (June-August) vs. school year (September-May).
350 patients (14.4 ± 2.4 years old; 37% female; initial visit 8.8 ± 5.3 days post-concussion) were seen for care: 24% sustained a concussion during summer months, 76% during the school year. Lower cognitive (median = 7 [IQR = 1, 15] vs. 9.5 [4, 17];
= 0.01), but not somatic (7 [2.5, 11] vs. 8 [4, 13];
= 0.06), HBI scores were observed for patients injured during the summer. Groups were similar in proportion exercising (16% vs 17%) and endorsing sleep problems (29% vs 31%). After adjustments, sustaining a concussion during the summer predicted total (β=-3.43; 95%CI = -6.50, -0.36;
= 0.029) and cognitive (β = -2.29; 95%CI = -4.22, -0.36;
= 0.02), but not somatic (β=-1.46; 95%CI = -2.84, -0.08;
= 0.04), symptom severity.
Pediatric patients with concussion may present with greater cognitive symptoms during the school year, compared to summer months. |
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ISSN: | 0269-9052 1362-301X |
DOI: | 10.1080/02699052.2024.2332770 |