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Factors associated with delayed recovery in athletes with concussion treated at a pediatric neurology concussion clinic
Journal article   Peer reviewed

Factors associated with delayed recovery in athletes with concussion treated at a pediatric neurology concussion clinic

Suzanne Bock, Rod Grim, Todd F Barron, Andrew Wagenheim, Yaowen Eliot Hu, Matthew Hendell, John Deitch and Ellen Deibert
Child's nervous system, v 31(11), pp 2111-2116
Nov 2015
DOI: https://doi.org/10.1007/s00381-015-2846-8
PMID: 26243160
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Adolescent Athletic Injuries - complications Brain Concussion - etiology Brain Concussion - therapy Child Female Humans Intensive Care Units, Pediatric Male Neuropsychological Tests Recovery of Function - physiology Retrospective Studies Risk Factors Severity of Illness Index Statistics, Nonparametric Time Factors
With the increase in knowledge and management of sport-related concussion over the last 15 years, there has been a shift from a grading scale approach to an individualized management approach. As a result, there is an increased need to better understand the factors involved in delayed recovery of concussion. The purpose of this retrospective study was to examine factors that may be associated with recovery from sport-related concussion in student athletes aged 11 to 18 years old. Of the 366 patients who met the inclusion criteria, 361 were included in our analysis. The primary dependent variable included days until athlete was able to return to play (RTP). Independent variables of interest included age, gender, academic performance, comorbid factors, sports, on-field markers, days until initial neurological evaluation, Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT®) scores, acute headache rescue medications, chronic headache medication, sleep medication, and referral to concussion rehabilitation program. Variables associated with longer median RTP were being female (35 days), having a referral to concussion rehabilitation program (53 days), being prescribed acute headache rescue therapy (34 days), and having chronic headache treatment (53 days) (all p < 0.05). Variables associated with shorter RTP were on-field marker of headache (23 days) and evaluation within 1 week of concussion by a concussion specialist (16 days) (Both p < 0.05). This study supports the need for a concussed athlete to have access to a provider trained in concussion management in a timely fashion in order to prevent delayed recovery and return to play.

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51 citations in Web of Science
54 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Clinical Neurology
Pediatrics
Surgery
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