Changes in Driving Behaviors After Concussion in Adolescents.
J Adolesc Health
; 69(1): 108-113, 2021 07.
Article
em En
| MEDLINE
| ID: mdl-33339732
ABSTRACT
PURPOSE:
Although return to learn, exercise, and sports have evidence-based guidelines, there is limited research investigating return to driving after concussion. The purpose was to characterize and compare adolescent driving behaviors after concussion.METHODS:
Using the Minds Matter Concussion Registry, we queried data of adolescents, aged 16-19 years, diagnosed with a concussion ≤28 days of injury and seen between January 31, 2017 and August 31, 2018 at the specialty care concussion program. Outcomes included patient report of changes postinjury driving behaviors; Post-Concussion Symptom Inventory; return to school, and exercise and sports. Provider recommendations for return to school after initial clinical assessment were also examined. Descriptive statistics, analysis of covariance, and chi-square tests were performed.RESULTS:
Of the 332 drivers (46.1% female; mean age 17.5 years, 95% confidence interval [CI], 17.4-17.6), 46.9% had returned to driving since injury. Of those who returned to driving, 58.9% reported "Driving with No Changes." The Post-Concussion Symptom Inventory score was higher among "Driving with Changes" (48.7, 95% CI 42.2-55.2) than "Driving with No Changes" (27.4, 95% CI 22.3-32.5, p < .01) and "Has Not Driven Since Injury" (42.3, 95% CI 38.4-46.3, p < .01). Among the 332 drivers, few had returned to exercise (15.4%) or organized sports (6.0%). Of those in school (n = 291), only 8.9% were provider recommended to return to full school days after clinical assessment.CONCLUSION:
Many adolescents continued to drive after concussion, despite not yet having returned to exercise or sport. Nine of 10 were advised to return to school with accommodations to begin a gradual increase in cognitive activity, suggesting a gradual increase in driving may be justified.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Traumatismos em Atletas
/
Esportes
/
Concussão Encefálica
/
Síndrome Pós-Concussão
Tipo de estudo:
Diagnostic_studies
/
Guideline
Limite:
Adolescent
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Adolesc Health
Assunto da revista:
PEDIATRIA
Ano de publicação:
2021
Tipo de documento:
Article