Evolution of dizziness-related disability in children following concussion: a group-based trajectory analysis.
Brain Inj
; : 1-9, 2024 Sep 02.
Article
en En
| MEDLINE
| ID: mdl-39221605
ABSTRACT
OBJECTIVE:
This study aimed to identify Dizziness-Related Disability (DRD) recovery trajectories in pediatric concussion and assess clinical predictors of disability groups. MATERIALS ANDMETHODS:
In this prospective cohort study, 81 children (8-17 years) diagnosed with an acute concussion took part in 3 evaluation sessions (baseline, 3-month, and 6-month). All sessions included the primary disability outcome, the Dizziness Handicap Inventory (DHI) to create the DRD recovery trajectories using group-based multi-trajectory modeling analysis. Each independent variable included general patients' characteristics, premorbid conditions, function and symptoms questionnaires, and clinical physical measures; and were compared between the trajectories with logistic regression models.RESULTS:
Low DRD (LD) trajectory (n = 64, 79%), and a High DRD (HD) trajectory (n = 17, 21%) were identified. The Predicting and Preventing Postconcussive Problems in Pediatrics (5P) total score (Odds Ratio (OR)1.50, 95% Confidence Interval (CI) 1.01-2.22), self-reported neck pain (OR7.25, 95%CI 1.24-42.36), and premorbid anxiety (OR7.25, 95%CI 1.24-42.36) were the strongest predictors of belonging to HD group.CONCLUSIONS:
Neck pain, premorbid anxiety, and the 5P score should be considered initially in clinical practice as to predict DRD at 3 and 6-month. Further research is needed to refine predictions and enhance personalized treatment strategies for pediatric concussion.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
Brain Inj
Asunto de la revista:
CEREBRO
Año:
2024
Tipo del documento:
Article
País de afiliación:
Canadá
Pais de publicación:
Reino Unido