The Incidence of Postconcussion Syndrome Remains Stable Following Mild Traumatic Brain Injury in Children

作者: Karen M. Barlow , Susan Crawford , Brian L. Brooks , Brenda Turley , Angelo Mikrogianakis

DOI: 10.1016/J.PEDIATRNEUROL.2015.04.011

关键词:

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.

参考文章(29)
Doug Bodin, Keith Owen Yeates, Karl Klamar, Definition and Classification of Concussion Pediatric and Adolescent Concussion. pp. 9- 19 ,(2012) , 10.1007/978-0-387-89545-1_2
Thane A. Blinman, Eileen Houseknecht, Caitlin Snyder, Douglas J. Wiebe, Michael L. Nance, Postconcussive symptoms in hospitalized pediatric patients after mild traumatic brain injury Journal of Pediatric Surgery. ,vol. 44, pp. 1223- 1228 ,(2009) , 10.1016/J.JPEDSURG.2009.02.027
M. D. Sady, C. G. Vaughan, G. A. Gioia, Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents Archives of Clinical Neuropsychology. ,vol. 29, pp. 348- 363 ,(2014) , 10.1093/ARCLIN/ACU014
Keith Owen Yeates, H. Gerry Taylor, Jerome Rusin, Barbara Bangert, Ann Dietrich, Kathryn Nuss, Martha Wright, Premorbid child and family functioning as predictors of post-concussive symptoms in children with mild traumatic brain injuries International Journal of Developmental Neuroscience. ,vol. 30, pp. 231- 237 ,(2012) , 10.1016/J.IJDEVNEU.2011.05.008
Philip J. A. Dean, Darragh O’Neill, Annette Sterr, Post-concussion syndrome: Prevalence after mild traumatic brain injury in comparison with a sample without head injury Brain Injury. ,vol. 26, pp. 14- 26 ,(2012) , 10.3109/02699052.2011.635354
Lynn Babcock, Terri Byczkowski, Shari L. Wade, Mona Ho, Jeffrey J. Bazarian, Inability of S100B to Predict Postconcussion Syndrome in Children Who Present to the Emergency Department With Mild Traumatic Brain Injury Pediatric Emergency Care. ,vol. 29, pp. 458- 461 ,(2013) , 10.1097/PEC.0B013E31828A202D
Scott R. Laker, Epidemiology of Concussion and Mild Traumatic Brain Injury PM&R. ,vol. 3, pp. S354- S358 ,(2011) , 10.1016/J.PMRJ.2011.07.017
HERBERT GROSS, Proposed DSM-IV Criteria for "Postconcussive Disorder" Journal of Neuropsychiatry and Clinical Neurosciences. ,vol. 5, pp. 224- 225 ,(1993) , 10.1176/JNP.5.2.224-A
Joseph Bleiberg, Alison N. Cernich, Kenneth Cameron, Wenyu Sun, Karen Peck, James Ecklund, Dennis Reeves, John Uhorchak, Molly B. Sparling, Deborah L. Warden, DURATION OF COGNITIVE IMPAIRMENT AFTER SPORTS CONCUSSION Neurosurgery. ,vol. 54, pp. 1073- 1080 ,(2004) , 10.1227/01.NEU.0000118820.33396.6A
Jean A. Langlois, Wesley Rutland-Brown, Karen E. Thomas, The incidence of traumatic brain injury among children in the United States: differences by race. Journal of Head Trauma Rehabilitation. ,vol. 20, pp. 229- 238 ,(2005) , 10.1097/00001199-200505000-00006