Average symptom severity and related predictors of prolonged recovery in pediatric patients with concussion

Applied Neuropsychology. Child
Claire L KowalczykAnthony Kontos

Abstract

The purpose of this study is to compare the predictive utility of total number of individual symptoms endorsed, total symptom severity, and average symptom severity on prolonged recovery among children/adolescents with a concussion. Patients (n = 115) completed the Post-Concussion Symptom Scale (PCSS) at their initial clinical visit (7.9 ± 6.6 days) days post-injury. PCSS outcomes were total symptom severity (i.e., total PCSS score), number of symptoms endorsed (i.e., number out of 22-items on the PCSS with a symptom score >0) and average symptom severity (i.e., mean of scores for each of the 22-items on the PCSS, not just endorsed symptoms). Logistic regression was performed with all symptom measures and recovery time >30 days as the binary outcome. Logistic regression indicated that average symptom severity (OR = 1.9; p = 0.01) and later time to first clinical visit (OR = 5.0; p < 0.001) were the only significant predictors of recovery time. Average symptom severity at initial clinic visit and earlier clinical visit may be a better predictor of recovery time than total number of symptoms endorsed or total symptom severity among children and adolescents.

References

Sep 16, 2009·Clinical Psychology Review·Katharina DomschkeAlexander L Gerlach
Aug 21, 2012·The American Journal of Sports Medicine·Anthony P KontosMichael W Collins
Jan 11, 2013·JAMA Pediatrics·Roger L ZemekCandice McGahern
Mar 13, 2013·British Journal of Sports Medicine·Kathryn J SchneiderWillem H Meeuwisse
May 1, 2013·The Journal of Pediatrics·William P MeehanMichael W Collins
Dec 18, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Michael W CollinsFreddie H Fu
Sep 30, 2014·The Journal of Pediatrics·Daniel J CorwinDouglas J Wiebe
Nov 9, 2014·Neurology·William P MeehanRichard G Bachur
Jan 7, 2015·Pediatrics·Danny George ThomasThomas Hammeke
Jan 1, 2016·Journal of Science and Medicine in Sport·William P MeehanRebekah Mannix
Mar 10, 2016·JAMA : the Journal of the American Medical Association·Roger ZemekUNKNOWN Pediatric Emergency Research Canada (PERC) Concussion Team
Apr 10, 2016·The Journal of Pediatrics·Jeremy M RootRobert W Hickey
Apr 16, 2016·The Journal of Pediatrics·Joseph A GrubenhoffMichael W Kirkwood
Feb 2, 2019·British Journal of Sports Medicine·Kimberly G HarmonWilliam O Roberts
Mar 12, 2019·Current Sports Medicine Reports·Anthony P KontosMichael W Collins
Jan 7, 2020·JAMA Neurology·Anthony P KontosMichael W Collins
Apr 25, 2020·Journal of Neurosurgery. Pediatrics·Shawn R EagleAnthony P Kontos

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Citations

Jun 9, 2021·Child Neuropsychology : a Journal on Normal and Abnormal Development in Childhood and Adolescence·Alicia M Kissinger-KnoxAnthony P Kontos

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