Sports-Related Concussions and the Pediatric Patient

Zimmerman, Stessie Dort; Vernau, Brian T.; Meehan, William P.; Master, Christina L.

doi:10.1016/j.csm.2020.08.010

Cited by 8 publications

(1 citation statement)

References 41 publications

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“…Although most youth recover within 2 to 4 weeks after concussion, a substantial portion continue to have persistent post‐concussive symptoms (PPCS) 2 . These youth can suffer from a wide variety of effects including depression, anxiety, headaches, impaired memory, difficulty concentrating, and visual and vestibular impairment 3,4 …”

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confidence: 99%

Effect of Collaborative Care for Persistent Postconcussive Symptoms on Academic Function: A Randomized Clinical Trial

Rivara

Marcynyszyn²,

Wang

et al. 2021

Journal of School Health

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BACKGROUND There is limited long‐term data on the course of school‐related problems and academic needs for youth with persistent post‐concussive symptoms (PPCS). METHODS This was a randomized trial comparing collaborative care to usual care for 200 youth 11–18 years of age with PPCS. In this report, the main outcomes were academic functioning, GPA, school absences, date of return to school, and school days missed. RESULTS Youth were mean age of 14.7 (SD = 1.7), 62.0% female. New or worsening academic problems occurred in half of participants in both groups at 12 months after injury. Students were most concerned about grades and falling behind. There were no significant differences by study group on school problems or GPA, but number of days missed was lower in the collaborative care group compared at 3 months (12.5 [SD = 14.5] vs 16.1 days [20.4] adjusted relative risk [aRR] 0.67 [95% CI: 0.61, 0.74; p < .001]), 6 months (14.5 [22.1] vs 19.3 [26.6] aRR 0.77 [95% CI: 0.71, 0.84; p < .001]), and 12 months (16.9 [25.4] vs 19.6 [27.7], aRR 0.68 [95% CI: 0.62, 0.74; p < .001]). CONCLUSIONS Youth with PPCS are at high risk of school problems in the year after injury.

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confidence: 99%