2022
DOI: 10.3171/2022.6.peds22182
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Use of acute cognitive symptom cluster to predict return-to-learn duration following a sport-related concussion

Abstract: OBJECTIVE Adolescents sustaining sport-related concussion often experience difficulties with the return-to-learn (RTL) process. Whereas the initial symptom burden has predicted prolonged RTL, no studies have established a relationship between acute cognitive symptoms and RTL duration. The authors sought to evaluate the relationship between initial cognitive symptoms and RTL duration. METHODS A retrospective single-institution cohort study of adolescent athletes aged 12–23 years who were evaluated within 5 da… Show more

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Cited by 4 publications
(3 citation statements)
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“…Indeed, those who took longer than 7 d to become asymptomatic, regardless of their postinjury symptom severity, demonstrated a 65% increased risk of prolonged time to RTL. These findings are consistent with prior research suggesting initial symptom burden predicts SRC recovery timelines (43), in addition to recent work that sought to evaluate the relationship between initial cognitive symptoms and RTL duration, concluding those who endorse a higher cognitive ratio (i.e., cognitive symptom cluster score divided by the total post-SRC symptom scale) were at increased risk for prolonged RTL duration (44). Researchers further concluded a higher proportion of patients with a low cognitive symptom ratio achieved RTL by 7 d postinjury (82.2%), in contrast to those with a higher cognitive ratio score (69.9%) (44).…”
Section: Time To Rtlsupporting
confidence: 89%
See 1 more Smart Citation
“…Indeed, those who took longer than 7 d to become asymptomatic, regardless of their postinjury symptom severity, demonstrated a 65% increased risk of prolonged time to RTL. These findings are consistent with prior research suggesting initial symptom burden predicts SRC recovery timelines (43), in addition to recent work that sought to evaluate the relationship between initial cognitive symptoms and RTL duration, concluding those who endorse a higher cognitive ratio (i.e., cognitive symptom cluster score divided by the total post-SRC symptom scale) were at increased risk for prolonged RTL duration (44). Researchers further concluded a higher proportion of patients with a low cognitive symptom ratio achieved RTL by 7 d postinjury (82.2%), in contrast to those with a higher cognitive ratio score (69.9%) (44).…”
Section: Time To Rtlsupporting
confidence: 89%
“…These findings are consistent with prior research suggesting initial symptom burden predicts SRC recovery timelines (43), in addition to recent work that sought to evaluate the relationship between initial cognitive symptoms and RTL duration, concluding those who endorse a higher cognitive ratio (i.e., cognitive symptom cluster score divided by the total post-SRC symptom scale) were at increased risk for prolonged RTL duration (44). Researchers further concluded a higher proportion of patients with a low cognitive symptom ratio achieved RTL by 7 d postinjury (82.2%), in contrast to those with a higher cognitive ratio score (69.9%) (44). Overall, these studies suggest SA who endorse acute cognitive symptoms may experience prolonged RTL, and therefore may benefit from a targeted rehabilitation program before returning to the classroom.…”
Section: Time To Rtlsupporting
confidence: 89%
“…The return-to-learn (RTL) arm of concussion management is comparatively underdeveloped to standardized return-to-play protocols, 1 , 2 particularly for college students. For instance, a return to symptom-free exercise is objectively guided by heart-rate data 3 and can even prognosticate a person's recovery time.…”
Section: Introductionmentioning
confidence: 99%