Annual and Seasonal Trends in Ambulatory Visits for Pediatric Concussion in Ontario between 2003 and 2013

Zemek, Roger; Grool, Anne M.; Duque, Daniel Rodriguez; DeMatteo, Carol; Rothman, Linda; Benchimol, Eric I; Guttmann, Astrid; Macpherson, Alison

doi:10.1016/j.jpeds.2016.10.067

Cited by 106 publications

(117 citation statements)

References 24 publications

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“…In summary, the majority of concussions in this dataset were sustained by children 6 years of age and older primarily via SRR activities, as previously reported 35 ; thus, concussion prevention in athletic settings is important to ensure safety for all children in sports and recreational activities. Importantly, these findings also show that approximately 30% of youth 0–17 years of age sustain concussions from activities other than sports.…”

Section: Discussionsupporting

confidence: 63%

Variations in Mechanisms of Injury for Children with Concussion

Haarbauer‐Krupa

Arbogast

Metzger

et al. 2018

The Journal of Pediatrics

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Objectives To assess the distribution of injury mechanisms and activities among children with concussions in a large pediatric healthcare system. Study design All patients, age 0–17 years, who had at least 1 clinical encounter with an International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis of concussion in the Children’s Hospital of Philadelphia’s electronic health record system from July 1, 2012 to June 30, 2014, were selected (N = 8233) and their initial concussion-related visit identified. Approximately, 20% of the patients (n = 1625) were randomly selected for manual record review to examine injury mechanisms and activities. Results Overall, 70% of concussions were sports related; however, this proportion varied by age. Only 18% of concussions sustained by children aged 0–4 were sports related, compared with greater proportions for older children (67% for age 5–11, 77% for age 12–14, and 73% for age 15–17). When the concussion was not sports related, the primary mechanisms of injury were struck by an object (30%) and falls (30%). Conclusions Sports-related injuries in children older than 6 years of age contributed to the majority of concussions in this cohort; however, it is important to note that approximately one-third of concussions were from non–sports-related activities. Although there is increased participation in community and organized sports activities among children, a focus on prevention efforts in other activities where concussions occur is needed.

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Section: Discussionsupporting

confidence: 63%

Variations in Mechanisms of Injury for Children with Concussion

Haarbauer‐Krupa

Arbogast

Metzger

et al. 2018

The Journal of Pediatrics

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“…A concussion is a mild traumatic brain injury caused by biomechanical forces to the head, neck, or body, resulting in a heterogeneous range of physical, cognitive, sleep-related, and emotional symptoms (1). Concussions are a frequent pediatric injury, with 19.5% of youth reporting a diagnosis of concussion in their lifetime (2,3). The emotional sequelae of concussion (e.g.…”

Section: Introductionmentioning

confidence: 99%

“…building a sense of social inclusion, reassurance, and care) (14,15); [2] tangible (i.e. direct practical aid such as physical, or monetary support) (15); and [3] informational (i.e. information/advice that helps an individual understand or solve a problem) support (15).…”

Section: Introductionmentioning

confidence: 99%

Social support during youth concussion recovery

et al. 2020

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Purpose: We explored the lived experience of high-school aged girls receiving social support during concussion recovery to better understand (1) how they define meaningful social support and barriers/ facilitators to receiving it; (2) who provides that support; and (3) the role of peers. Methods: In person, semi-structured interviews were conducted with 10 girls (aged 14-19 years) with a personal history of concussion. Results: Close friends, youth with personal history of concussion, and parents were identified as key providers of meaningful social support during concussion recovery. Participants identified specific examples of support provided by each group. Close friends built a sense of social inclusion that mitigated feelings of social isolation. Youth with a personal history of concussion used their lived experiences to communicate empathy and validate the participant's challenges. Parents assisted with practical challenges (e.g. accessing accommodations) by leveraging their "adult power". Participants identified that lack of understanding of their lived experiences was a key barrier to receiving support. They proposed solutions focused on education initiatives highlighting personal accounts from youth with concussion, and specific examples of how peers can help. Conclusions: Fostering social support may require strategies tailored to each group of key providers as they mitigate different challenges in recovery.

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“…Pediatric mild traumatic brain injury (pmTBI) represents a significant public health concern due to the sheer volume of new cases (~750,000) that occur each year (Lincoln et al, ; Zemek et al, ). Current public concerns about concussions (herein used synonymously with pmTBI) are primarily driven by histopathological results obtained at autopsy in select samples of professional athletes (McKee et al, ).…”

Section: Introductionmentioning

confidence: 99%

Proactive inhibition deficits with normal perfusion after pediatric mild traumatic brain injury

Mayer

Stephenson

Wertz

et al. 2019

Human Brain Mapping

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Although much attention has been generated in popular media regarding the deleterious effects of pediatric mild traumatic brain injury (pmTBI), a paucity of empirical evidence exists regarding the natural course of biological recovery. Fifty pmTBI patients (12–18 years old) were consecutively recruited from Emergency Departments and seen approximately 1 week and 4 months post‐injury in this prospective cohort study. Data from 53 sex‐ and age‐matched healthy controls (HC) were also collected. Functional magnetic resonance imaging was obtained during proactive response inhibition and at rest, in conjunction with independent measures of resting cerebral blood flow. High temporal resolution imaging enabled separate modeling of neural responses for preparation and execution of proactive response inhibition. A priori predictions of failed inhibitory responses (i.e., hyperactivation) were observed in motor circuitry (pmTBI>HC) and sensory areas sub‐acutely and at 4 months post‐injury. Paradoxically, pmTBI demonstrated hypoactivation (HC>pmTBI) during target processing, along with decreased activation within prefrontal cognitive control areas. Functional connectivity within motor circuitry at rest suggested that deficits were limited to engagement during the inhibitory task, whereas normal resting cerebral perfusion ruled out deficits in basal perfusion. In conclusion, current results suggest blood oxygen‐level dependent deficits during inhibitory control may exceed commonly held beliefs about physiological recovery following pmTBI, potentially lasting up to 4 months post‐injury.

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Annual and Seasonal Trends in Ambulatory Visits for Pediatric Concussion in Ontario between 2003 and 2013

Cited by 106 publications

References 24 publications

Variations in Mechanisms of Injury for Children with Concussion

Variations in Mechanisms of Injury for Children with Concussion

Social support during youth concussion recovery

Proactive inhibition deficits with normal perfusion after pediatric mild traumatic brain injury

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