Mathew J Wingerson, Baylie Schmitz, Katherine L Smulligan, Gregory A Walker, Samantha Magliato, Julie C Wilson, David R Howell
{"title":"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。","authors":"Mathew J Wingerson, Baylie Schmitz, Katherine L Smulligan, Gregory A Walker, Samantha Magliato, Julie C Wilson, David R Howell","doi":"10.1080/02699052.2024.2332770","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>We examined post-concussion symptom presentation, exercise, and sleep among pediatric athletes who sustained concussion during the school year vs. summer months.</p><p><strong>Methods: </strong>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).</p><p><strong>Results: </strong>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]; <i>p</i> = 0.01), but not somatic (7 [2.5, 11] vs. 8 [4, 13]; <i>p</i> = 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; <i>p</i> = 0.029) and cognitive (β = -2.29; 95%CI = -4.22, -0.36; <i>p</i> = 0.02), but not somatic (β=-1.46; 95%CI = -2.84, -0.08; <i>p</i> = 0.04), symptom severity.</p><p><strong>Conclusion: </strong>Pediatric patients with concussion may present with greater cognitive symptoms during the school year, compared to summer months.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"574-582"},"PeriodicalIF":1.5000,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Concussion symptom presentation and clinical recovery among pediatric athletes: comparing concussions sustained during school and summer months.\",\"authors\":\"Mathew J Wingerson, Baylie Schmitz, Katherine L Smulligan, Gregory A Walker, Samantha Magliato, Julie C Wilson, David R Howell\",\"doi\":\"10.1080/02699052.2024.2332770\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>We examined post-concussion symptom presentation, exercise, and sleep among pediatric athletes who sustained concussion during the school year vs. summer months.</p><p><strong>Methods: </strong>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).</p><p><strong>Results: </strong>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]; <i>p</i> = 0.01), but not somatic (7 [2.5, 11] vs. 8 [4, 13]; <i>p</i> = 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; <i>p</i> = 0.029) and cognitive (β = -2.29; 95%CI = -4.22, -0.36; <i>p</i> = 0.02), but not somatic (β=-1.46; 95%CI = -2.84, -0.08; <i>p</i> = 0.04), symptom severity.</p><p><strong>Conclusion: </strong>Pediatric patients with concussion may present with greater cognitive symptoms during the school year, compared to summer months.</p>\",\"PeriodicalId\":9082,\"journal\":{\"name\":\"Brain injury\",\"volume\":\" \",\"pages\":\"574-582\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2024-06-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Brain injury\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/02699052.2024.2332770\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/3/21 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"NEUROSCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Brain injury","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/02699052.2024.2332770","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/3/21 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"NEUROSCIENCES","Score":null,"Total":0}
Concussion symptom presentation and clinical recovery among pediatric athletes: comparing concussions sustained during school and summer months.
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.
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.
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