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Abstract Details

Prognosticating Factors for Pediatric Concussion
Child Neurology and Developmental Neurology
Child Neurology and Developmental Neurology Posters (7:00 AM-5:00 PM)
003
This study aims to identify prognostic indicators that are associated with either optimal or poor outcomes among pediatric concussion patients.
Concussions are a common injury among children and adolescents. While most patients make full and uncomplicated recoveries, some experience persistent symptoms for weeks, months, and even years following injury. There is currently a paucity of data pertaining to prognostic indicators for severity of pediatric concussion.

This study utilizes a database including premorbid, presenting, and longitudinal information for 235 pediatric concussion patients 1-19 years old. Chi square testing was used to measure association between outcomes and selected variables. The main outcomes tested are length of time for the patient to return to baseline following injury and whether the patient experienced school performance difficulty following concussion. Both outcomes are recorded as reported by the patient.

Associations were found between certain symptoms and patient outcomes. Patients who reported photophobia as a symptom were more likely to take two or more weeks to return to baseline than patients experiencing no photophobia (74% vs 38%, p=0.0005). Patients who reported occipital headaches were more likely to take three or more weeks to return to baseline than those who did not (86% vs 48%, p=0.003). Patients who reported school performance difficulty were more likely to report frontal headaches than those who were not experiencing school difficulties (80% vs 39%, p=0.01).


These findings suggest a relationship between particular symptoms and outcomes among pediatric concussion patients. Prognostic indicators of pediatric concussion severity at patient presentation would provide both a helpful clinical tool and direction for future research. Follow up study should continue to seek out what signs, symptoms, and patient characteristics indicate favorable versus lengthy recoveries.
Authors/Disclosures
Mark Andrews
PRESENTER
Mark Andrews has nothing to disclose.
Osman Farooq, MD (University at Buffalo) Dr. Farooq has nothing to disclose.