作者: Karen M. Barlow , Susan Crawford , Brian L. Brooks , Brenda Turley , Angelo Mikrogianakis
DOI: 10.1016/J.PEDIATRNEUROL.2015.04.011
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摘要: Abstract Background Improving our knowledge about the natural history and persistence of symptoms following mild traumatic brain injury is a vital step in improving provision health care to children with postconcussion syndrome. The purposes this study were (1) determine incidence after (2) ascertain whether Diagnostic Statistical Manual Mental Disorders, Fourth Edition (DSM-IV), symptom criteria for syndrome adults are appropriate use children. Methods A tertiary pediatric emergency department was setting study. This prospective observational follow-up cohort (ages 2 18 years) injury. Data collected person during acute presentation, subsequent performed by telephone at 7-10 days 1, 2, 3 months postinjury. Postconcussion Symptom Inventory parents used. DSM-IV diagnostic explored using receiver operating characteristic curve analysis. Results total 467 (62.5% boys, median age 12.04, range 2.34-18.0) participated. time until resolution 29.0 days (95% confidence intervals: 26.09-31.91). Three months injury, 11.8% remained symptomatic. Receiver analysis successfully classified symptomatic participants three postinjury; adolescent excellent area under being 0.928 ( P Conclusions Consistent previous study, presenting room remain first demonstrate stable rates that modified can be used classify Although most report decay over time, 10% develop even though they initially had good outcome. Caution should when only parent as surrogate childhood outcomes concussion.