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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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| container_end_page | 582 |
| container_issue | 7 |
| container_start_page | 574 |
| container_title | Brain injury |
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| creator | Wingerson, Mathew J Schmitz, Baylie Smulligan, Katherine L Walker, Gregory A Magliato, Samantha Wilson, Julie C Howell, David R |
| description | 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. |
| doi_str_mv | 10.1080/02699052.2024.2332770 |
| format | article |
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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.</description><identifier>ISSN: 0269-9052</identifier><identifier>EISSN: 1362-301X</identifier><identifier>DOI: 10.1080/02699052.2024.2332770</identifier><identifier>PMID: 38511887</identifier><language>eng</language><publisher>England</publisher><subject>Adolescent ; Athletes ; Athletic Injuries - complications ; Brain Concussion - complications ; Brain Concussion - diagnosis ; Child ; Female ; Humans ; Male ; Neuropsychological Tests ; Post-Concussion Syndrome - diagnosis ; Post-Concussion Syndrome - etiology ; Recovery of Function - physiology ; Schools ; Seasons</subject><ispartof>Brain injury, 2024-06, Vol.38 (7), p.574-582</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c257t-b3de443078850d235d5879a19c3a358541a739edbb322e34d67dc2920d21a3e33</cites><orcidid>0000-0002-2955-0191</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38511887$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wingerson, Mathew J</creatorcontrib><creatorcontrib>Schmitz, Baylie</creatorcontrib><creatorcontrib>Smulligan, Katherine L</creatorcontrib><creatorcontrib>Walker, Gregory A</creatorcontrib><creatorcontrib>Magliato, Samantha</creatorcontrib><creatorcontrib>Wilson, Julie C</creatorcontrib><creatorcontrib>Howell, David R</creatorcontrib><title>Concussion symptom presentation and clinical recovery among pediatric athletes: comparing concussions sustained during school and summer months</title><title>Brain injury</title><addtitle>Brain Inj</addtitle><description>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.</description><subject>Adolescent</subject><subject>Athletes</subject><subject>Athletic Injuries - complications</subject><subject>Brain Concussion - complications</subject><subject>Brain Concussion - diagnosis</subject><subject>Child</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Neuropsychological Tests</subject><subject>Post-Concussion Syndrome - diagnosis</subject><subject>Post-Concussion Syndrome - etiology</subject><subject>Recovery of Function - physiology</subject><subject>Schools</subject><subject>Seasons</subject><issn>0269-9052</issn><issn>1362-301X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNo9kUFr3DAQhUVoSLZJfkKKjr14K2mslZ1bWZq0EOilhd6MVppkVSzL0ciF_RX5y7WTTU4DM997A-8xdi3FWopGfBFq07ZCq7USql4rAGWMOGErCRtVgZB_PrDVwlQLdM4-Ev0VQkgtxRk7h0ZL2TRmxZ63aXATUUgDp0McS4p8zEg4FFuWpR08d30YgrM9z-jSP8wHbmMaHvmIPtiSg-O27HssSDfcpTjaHOare3cmThMVGwb03E8vR3L7lPoXd5pixMxnx7KnS3b6YHvCq-O8YL9vv_3afq_uf9792H69r5zSplQ78FjXIEzTaOEVaK8b01rZOrCgG11La6BFv9uBUgi13xjvVKtmVlpAgAv2-dV3zOlpQipdDOSw7-2AaaJOtQakgDnWGdWvqMuJKONDN-YQbT50UnRLF91bF93SRXfsYtZ9Or6YdhH9u-otfPgPepWIGQ</recordid><startdate>20240606</startdate><enddate>20240606</enddate><creator>Wingerson, Mathew J</creator><creator>Schmitz, Baylie</creator><creator>Smulligan, Katherine L</creator><creator>Walker, Gregory A</creator><creator>Magliato, Samantha</creator><creator>Wilson, Julie C</creator><creator>Howell, David R</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2955-0191</orcidid></search><sort><creationdate>20240606</creationdate><title>Concussion symptom presentation and clinical recovery among pediatric athletes: comparing concussions sustained during school and summer months</title><author>Wingerson, Mathew J ; Schmitz, Baylie ; Smulligan, Katherine L ; Walker, Gregory A ; Magliato, Samantha ; Wilson, Julie C ; Howell, David R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c257t-b3de443078850d235d5879a19c3a358541a739edbb322e34d67dc2920d21a3e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Athletes</topic><topic>Athletic Injuries - complications</topic><topic>Brain Concussion - complications</topic><topic>Brain Concussion - diagnosis</topic><topic>Child</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Neuropsychological Tests</topic><topic>Post-Concussion Syndrome - diagnosis</topic><topic>Post-Concussion Syndrome - etiology</topic><topic>Recovery of Function - physiology</topic><topic>Schools</topic><topic>Seasons</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wingerson, Mathew J</creatorcontrib><creatorcontrib>Schmitz, Baylie</creatorcontrib><creatorcontrib>Smulligan, Katherine L</creatorcontrib><creatorcontrib>Walker, Gregory A</creatorcontrib><creatorcontrib>Magliato, Samantha</creatorcontrib><creatorcontrib>Wilson, Julie C</creatorcontrib><creatorcontrib>Howell, David R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Brain injury</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wingerson, Mathew J</au><au>Schmitz, Baylie</au><au>Smulligan, Katherine L</au><au>Walker, Gregory A</au><au>Magliato, Samantha</au><au>Wilson, Julie C</au><au>Howell, David R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Concussion symptom presentation and clinical recovery among pediatric athletes: comparing concussions sustained during school and summer months</atitle><jtitle>Brain injury</jtitle><addtitle>Brain Inj</addtitle><date>2024-06-06</date><risdate>2024</risdate><volume>38</volume><issue>7</issue><spage>574</spage><epage>582</epage><pages>574-582</pages><issn>0269-9052</issn><eissn>1362-301X</eissn><abstract>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.</abstract><cop>England</cop><pmid>38511887</pmid><doi>10.1080/02699052.2024.2332770</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-2955-0191</orcidid></addata></record> |
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| ispartof | Brain injury, 2024-06, Vol.38 (7), p.574-582 |
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| language | eng |
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| source | Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list) |
| subjects | Adolescent Athletes Athletic Injuries - complications Brain Concussion - complications Brain Concussion - diagnosis Child Female Humans Male Neuropsychological Tests Post-Concussion Syndrome - diagnosis Post-Concussion Syndrome - etiology Recovery of Function - physiology Schools Seasons |
| title | Concussion symptom presentation and clinical recovery among pediatric athletes: comparing concussions sustained during school and summer months |
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