Clinical and demographic predictors of concussion resolution in adolescents: A retrospective study
| Autor: | Janet C. Meininger, Nikhil S. Padhye, Summer D. Ott, Seema S. Aggarwal, Terri S. Armstrong |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Pediatrics Time Factors Adolescent Poison control Suicide prevention Occupational safety and health 03 medical and health sciences Young Adult 0302 clinical medicine Injury prevention Concussion Developmental and Educational Psychology medicine Humans 0501 psychology and cognitive sciences Brain Concussion Retrospective Studies Insurance Health business.industry Public health 05 social sciences Human factors and ergonomics Retrospective cohort study medicine.disease Return to Sport Neuropsychology and Physiological Psychology Socioeconomic Factors Athletic Injuries Physical therapy Female business 030217 neurology & neurosurgery 050104 developmental & child psychology |
| Zdroj: | Applied neuropsychology. Child. 8(1) |
| ISSN: | 2162-2973 |
| Popis: | Concussions in adolescents are a growing public health concern. The aim of this study was to identify clinical (e.g., concussion history, migraine history, learning disabilities/ADHD) and demographic factors (e.g., age, sex, race, health insurance status, mechanism of injury, education) that predict concussion recovery times. In a retrospective cohort study of 118 adolescents 13-19 years old who were evaluated for an acute concussion (≤10 days from injury), recovery times were calculated from the date of concussive injury to the date of clearance to return to play and/or normal activities. The median time to recovery was 17 days. Predictors of longer recovery included ADHD (HR = .221, 95% CI = .095 - .514, p .001) and prior concussion (HR = .564, 95% CI = .332 - .959, p = .03). Student athletic insurance and public insurance were predictors of shorter recovery times (HR = 3.98, 95% CI = 1.25 - 12.65, p = .02 and HR = 3.33, 95% CI = 1.09 - 10.15, p = .03, respectively). In adolescents with prior concussion or ADHD, clearance to return to play/ normal activities may be delayed. Further research is needed to validate the impact of SES/health insurance on concussion recovery time. |
| Databáze: | OpenAIRE |
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