Association of Concussion History and Prolonged Recovery in Youth.
Clin J Sport Med
; 32(6): e573-e579, 2022 11 01.
Article
en En
| MEDLINE
| ID: mdl-35533140
ABSTRACT
OBJECTIVE:
To determine the number of prior concussions associated with increased incidence of persistent postconcussive symptoms (PPCS) in a cohort of acutely concussed pediatric patients.DESIGN:
Prospective observational cohort study.SETTING:
Three university-affiliated concussion clinics.PARTICIPANTS:
Two hundred seventy participants (14.9 ± 1.9 years, 62% male, 54% with prior concussion) were assessed within 14 days of concussion and followed to clinical recovery. Participants with a second head injury before clinical recovery were excluded. MEASURES AND MAINOUTCOME:
Concussion history, current injury characteristics, recovery time, and risk for prolonged recovery from current concussion.RESULTS:
There was no statistically significant change in PPCS risk for participants with 0, 1 or 2 prior concussions; however, participants with 3 or more prior concussions had a significantly greater risk of PPCS. Twelve participants sustained a subsequent concussion after clinical recovery from their first injury and were treated as a separate cohort. Our secondary analysis found that these participants took longer to recover and had a greater incidence of PPCS during recovery from their latest concussion.CONCLUSION:
Pediatric patients with a history of 3 or more concussions are at greater risk of PPCS than those with fewer than 3 prior concussions.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Traumatismos en Atletas
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Conmoción Encefálica
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Síndrome Posconmocional
Tipo de estudio:
Diagnostic_studies
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Etiology_studies
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Incidence_studies
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Observational_studies
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Risk_factors_studies
Límite:
Adolescent
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Child
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Female
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Humans
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Male
Idioma:
En
Año:
2022
Tipo del documento:
Article