Characteristics of Pediatric and Adolescent Concussion Clinic Patients With Postconcussion Amnesia
Autor: | Valerie J. De Maio, Holly Tibbo-Valeriote, Johna K. Register-Mihalik, John D. Wooten |
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Rok vydání: | 2014 |
Předmět: |
medicine.medical_specialty
Adolescent Amnesia Poison control Physical Therapy Sports Therapy and Rehabilitation Unconsciousness Head trauma Risk Factors Concussion Injury prevention medicine Odds Ratio Humans Orthopedics and Sports Medicine Child Medical History Taking Brain Concussion Demography Retrospective Studies business.industry Retrospective cohort study Emergency department Odds ratio medicine.disease Cross-Sectional Studies Physical therapy medicine.symptom business |
Zdroj: | Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine. 25(6) |
ISSN: | 1536-3724 |
Popis: | The current study examines the demographics, injury characteristics, and outcomes associated with the presence of postconcussion amnesia in young concussion clinic patients.Cross-sectional, retrospective clinical cohort.Concussion services clinic.Pediatric and adolescent concussion services program patients, presenting within 10 days postinjury, aged 10-18 years, with the goal of returning to sport (n = 245).Age, gender, race, head trauma history, injury mechanism, loss of consciousness (LOC), injury-related visit to an emergency department, cognitive and balance scores, symptoms, and management recommendations.Univariate and multivariate analyses determined adjusted odds ratios for reported presence of any postconcussion amnesia (anterograde or retrograde).Factors associated with amnesia (univariate, P0.10) and included in the multivariate model were race, head trauma history, mechanism of injury, LOC, injury-related visit to an emergency department, management recommendations and time of injury and initial visit symptom severity. Age and gender were also included in the model due to biological significance. Of the 245 patients, 181 had data for all model variables. Of the 181 patients, 58 reported amnesia. History of head trauma [odds ratio (OR), 2.7; 95% confidence interval (CI), 1.3-5.7]; time of injury (TOI) symptom severity75th percentile (OR, 2.6; 95% CI, 1.2-5.3) and LOC (OR, 2.2; 95% CI, 1.1-4.6) were found to have significant and independent relationships with amnesia in the multivariate model.This study illustrates that patients presenting with postconcussion amnesia are more likely to have a history of head trauma, LOC, and greater symptom severity. Future research is needed to better understand amnesia following concussion.Amnesia presence, previous head trauma, LOC, and increased symptom severity may aid in identifying patients with a greater initial injury burden who warrant closer observation and more conservative management. |
Databáze: | OpenAIRE |
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