Association of Concussion History and Prolonged Recovery in Youth. Issue 6 (4th November 2022)

• Record Type: Journal Article
• Authors: Chizuk, Haley M.; Cunningham, Adam; Horn, Emily C.; Thapar, Raj S.; Willer, Barry S.; Leddy, John J.; Haider, Mohammad N.
• Is Part Of: Clinical journal of sport medicine. Volume 32:Issue 6(2022)
• Page Start: e573
• Page End: e579
• Publication Date: 2022-11-04
• Subjects: adolescent -- pediatric -- concussion -- Buffalo concussion physical exam -- persistent postconcussive symptoms -- concussion history; Sports medicine -- Periodicals; 617.1027
• DOI: 10.1097/JSM.0000000000001044
• Languages: English
• ISSNs: 1050-642X

Abstract

Abstract : Objective: To determine the number of prior concussions associated with increased incidence of persistent postconcussive symptoms (PPCS) in a cohort of acutely concussed pediatric patients. Design: Prospective observational cohort study. Setting: Three university-affiliated concussion clinics. Participants: Two hundred seventy participants (14.9 ± 1.9 years, 62% male, 54% with prior concussion) were assessed within 14 days of concussion and followed to clinical recovery. Participants with a second head injury before clinical recovery were excluded. Measures: and Main Outcome: Concussion history, current injury characteristics, recovery time, and risk for prolonged recovery from current concussion. Results: There was no statistically significant change in PPCS risk for participants with 0, 1 or 2 prior concussions; however, participants with 3 or more prior concussions had a significantly greater risk of PPCS. Twelve participants sustained a subsequent concussion after clinical recovery from their first injury and were treated as a separate cohort. Our secondary analysis found that these participants took longer to recover and had a greater incidence of PPCS during recovery from their latest concussion. Conclusion: Pediatric patients with a history of 3 or more concussions are at greater risk of PPCS than those with fewer than 3 prior concussions.