Concussion symptom presentation and clinical recovery among pediatric athletes: comparing concussions sustained during school and summer months.

IF 1.5 4区医学 Q4 NEUROSCIENCES Brain injury Pub Date : 2024-06-06 Epub Date: 2024-03-21 DOI:10.1080/02699052.2024.2332770

Mathew J Wingerson, Baylie Schmitz, Katherine L Smulligan, Gregory A Walker, Samantha Magliato, Julie C Wilson, David R Howell

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Abstract

Objective: We examined post-concussion symptom presentation, exercise, and sleep among pediatric athletes who sustained concussion during the school year vs. summer months.

Methods: 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).

Results: 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]; p = 0.01), but not somatic (7 [2.5, 11] vs. 8 [4, 13]; p = 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; p = 0.029) and cognitive (β = -2.29; 95%CI = -4.22, -0.36; p = 0.02), but not somatic (β=-1.46; 95%CI = -2.84, -0.08; p = 0.04), symptom severity.

Conclusion: Pediatric patients with concussion may present with greater cognitive symptoms during the school year, compared to summer months.

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儿科运动员脑震荡症状表现和临床恢复情况：比较上学期间和暑假期间发生的脑震荡。

目的我们研究了在学年与夏季遭受脑震荡的小运动员的脑震荡后症状表现、运动和睡眠情况：我们对脑震荡后 21 天内的 6-18 岁运动员进行了评估。他们报告了症状（健康与行为量表），计算了认知/症状领域的子分数，并说明了受伤后是否进行过运动或出现过睡眠问题。我们按受伤季节将患者分组：夏季（6 月至 8 月）与学年（9 月至 5 月）：350名患者（14.4 ± 2.4岁；37%为女性；首次就诊时间为脑震荡后8.8 ± 5.3天）接受了治疗：24%的患者在夏季受到脑震荡，76%的患者在学年受到脑震荡。在夏季受伤的患者中，认知评分（中位数 = 7 [IQR = 1, 15] vs. 9.5 [4, 17]；p = 0.01）较低，而躯体评分（7 [2.5, 11] vs. 8 [4, 13]；p = 0.06）较低。各组的运动比例（16% vs 17%）和睡眠问题比例（29% vs 31%）相似。经调整后，夏季脑震荡可预测总症状（β=-3.43；95%CI = -6.50，-0.36；p = 0.029）和认知症状（β=-2.29；95%CI = -4.22，-0.36；p = 0.02）的严重程度，但不能预测躯体症状（β=-1.46；95%CI = -2.84，-0.08；p = 0.04）的严重程度：结论：与夏季相比，小儿脑震荡患者在学年中可能会出现更严重的认知症状。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Brain injury 医学-康复医学

CiteScore

3.50

自引率

5.30%

发文量

148

审稿时长

12 months

期刊介绍： Brain Injury publishes critical information relating to research and clinical practice, adult and pediatric populations. The journal covers a full range of relevant topics relating to clinical, translational, and basic science research. Manuscripts address emergency and acute medical care, acute and post-acute rehabilitation, family and vocational issues, and long-term supports. Coverage includes assessment and interventions for functional, communication, neurological and psychological disorders.