Improving subacute management of post concussion symptoms: a pilot study of the Melbourne Paediatric Concussion Scale parent report.

Q3 Medicine Concussion Pub Date : 2020-06-10 eCollection Date: 2022-05-01 DOI:10.2217/cnc-2021-0007

Gavin A Davis, Vanessa C Rausa, Franz E Babl, Katie Davies, Michael Takagi, Alison Crichton, Audrey McKinlay, Nicholas Anderson, Stephen Jc Hearps, Cathriona Clarke, Remy Pugh, Kevin Dunne, Peter Barnett, Vicki Anderson

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引用次数: 3

Abstract

Aim: To pilot a modification of the Post Concussion Symptom Inventory, the Melbourne Paediatric Concussion Scale (MPCS) and examine its clinical utility.

Materials & methods: A total of 40 families of concussed children, aged 8-18 years, were recruited from the emergency department. Parent responses to the MPCS in the emergency department and 2-weeks post injury determined child symptomatic status. Association between MPCS symptom endorsement and symptomatic group status was examined.

Results: All additional MPCS items were endorsed by at least 25% of the parents of symptomatic children at 2 weeks. MPCS items were classified into nine symptom domains, with most falling in mood, neurological, autonomic and vestibular domains.

Conclusion: The additional items and domain classifications in the MPCS have the potential to improve subacute diagnostic precision, monitoring of clinical recovery and identification of appropriate interventions post pediatric concussion.

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改善脑震荡后症状的亚急性管理:墨尔本儿科脑震荡量表家长报告的试点研究。

目的:试点脑震荡后症状清单的修改，墨尔本儿童脑震荡量表(MPCS)，并检查其临床效用。材料与方法:从急诊科招募40个8-18岁的脑震荡儿童家庭。父母在急诊科和受伤后2周对MPCS的反应决定了儿童的症状状态。观察MPCS症状认同与症状组状态的关系。结果:所有额外的MPCS项目在2周时得到至少25%有症状儿童家长的认可。MPCS项目被划分为九个症状域，其中情绪、神经、自主神经和前庭神经领域的症状下降最多。结论:MPCS中增加的项目和领域分类有可能提高小儿脑震荡亚急性诊断的准确性，监测临床恢复情况，确定适当的干预措施。

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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