Early injury evaluation following concussion is associated with improved recovery time in children and adolescents
Delayed treatment for paediatric concussion may impact recovery trajectory. This study aims to determine the relationship between time to evaluation and concussion recovery in children and adolescents. Retrospective cross-sectional study. Records from 341 children and adolescents, aged 7–18 years, f...
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| Veröffentlicht in: | Journal of science and medicine in sport 2021-12, Vol.24 (12), p.1235-1239 |
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| creator | Cassimatis, Maree Orr, Rhonda Fyffe, Andrew Browne, Gary |
| description | Delayed treatment for paediatric concussion may impact recovery trajectory. This study aims to determine the relationship between time to evaluation and concussion recovery in children and adolescents.
Retrospective cross-sectional study.
Records from 341 children and adolescents, aged 7–18 years, from a tertiary referral concussion clinic were analysed. All participants were assessed using a standardised concussion test battery by a specialist concussion physician and graded exercise testing. Evaluation time was defined as the number of days from injury occurrence to first presentation at the concussion clinic. Three distinct time to evaluation periods were categorised as: early evaluation (28 days). The main outcome measure was recovery time (days).
A total of 341 participants (mean age 13.0 ± 2.3, 74% male) were included in the study. Of these, 89 received evaluation during the early phase (mean age 12.2 ± 2.5, 65% male), 124 during the mid phase (mean age 13.1 ± 2.2, 81% male) and 128 during the late phase (mean age 13.5 ± 2.1, 75% male) following injury. Participants receiving late evaluation took three times longer to recover (mean 148.0 days, 95% CI: 121.1–173.9) compared to early (mean 38.7 days, 95% CI: 30.7–46.7) and mid (mean 51.5 days, 95% CI: 39.7–63.4) evaluation. There was a strong positive correlation between recovery time and evaluation time (r = 0.66, p |
| doi_str_mv | 10.1016/j.jsams.2021.06.012 |
| format | Article |
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Retrospective cross-sectional study.
Records from 341 children and adolescents, aged 7–18 years, from a tertiary referral concussion clinic were analysed. All participants were assessed using a standardised concussion test battery by a specialist concussion physician and graded exercise testing. Evaluation time was defined as the number of days from injury occurrence to first presentation at the concussion clinic. Three distinct time to evaluation periods were categorised as: early evaluation (<14 days), mid evaluation (14–28 days), and late evaluation (>28 days). The main outcome measure was recovery time (days).
A total of 341 participants (mean age 13.0 ± 2.3, 74% male) were included in the study. Of these, 89 received evaluation during the early phase (mean age 12.2 ± 2.5, 65% male), 124 during the mid phase (mean age 13.1 ± 2.2, 81% male) and 128 during the late phase (mean age 13.5 ± 2.1, 75% male) following injury. Participants receiving late evaluation took three times longer to recover (mean 148.0 days, 95% CI: 121.1–173.9) compared to early (mean 38.7 days, 95% CI: 30.7–46.7) and mid (mean 51.5 days, 95% CI: 39.7–63.4) evaluation. There was a strong positive correlation between recovery time and evaluation time (r = 0.66, p < 0.001).
Delaying time to evaluation following a concussion can significantly prolong recovery from injury in children and adolescents.</description><identifier>ISSN: 1440-2440</identifier><identifier>EISSN: 1878-1861</identifier><identifier>DOI: 10.1016/j.jsams.2021.06.012</identifier><language>eng</language><publisher>Belconnen: Elsevier Ltd</publisher><subject>Australian football ; Concussion ; Early treatment ; Exercise ; Intervention ; Mild traumatic brain injury ; Paediatric ; Patients ; Pediatrics ; Physiology ; Recovery (Medical) ; Sleep ; Specialist care ; Teenagers</subject><ispartof>Journal of science and medicine in sport, 2021-12, Vol.24 (12), p.1235-1239</ispartof><rights>2021 Sports Medicine Australia</rights><rights>2021. Sports Medicine Australia</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c364t-1214ca0bce94f8fcf90f406b04c141a92548037291c25ffc3237e7942b7fd4dc3</citedby><cites>FETCH-LOGICAL-c364t-1214ca0bce94f8fcf90f406b04c141a92548037291c25ffc3237e7942b7fd4dc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2583070599?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,64361,64363,64365,65309,72215</link.rule.ids></links><search><creatorcontrib>Cassimatis, Maree</creatorcontrib><creatorcontrib>Orr, Rhonda</creatorcontrib><creatorcontrib>Fyffe, Andrew</creatorcontrib><creatorcontrib>Browne, Gary</creatorcontrib><title>Early injury evaluation following concussion is associated with improved recovery time in children and adolescents</title><title>Journal of science and medicine in sport</title><description>Delayed treatment for paediatric concussion may impact recovery trajectory. This study aims to determine the relationship between time to evaluation and concussion recovery in children and adolescents.
Retrospective cross-sectional study.
Records from 341 children and adolescents, aged 7–18 years, from a tertiary referral concussion clinic were analysed. All participants were assessed using a standardised concussion test battery by a specialist concussion physician and graded exercise testing. Evaluation time was defined as the number of days from injury occurrence to first presentation at the concussion clinic. Three distinct time to evaluation periods were categorised as: early evaluation (<14 days), mid evaluation (14–28 days), and late evaluation (>28 days). The main outcome measure was recovery time (days).
A total of 341 participants (mean age 13.0 ± 2.3, 74% male) were included in the study. Of these, 89 received evaluation during the early phase (mean age 12.2 ± 2.5, 65% male), 124 during the mid phase (mean age 13.1 ± 2.2, 81% male) and 128 during the late phase (mean age 13.5 ± 2.1, 75% male) following injury. Participants receiving late evaluation took three times longer to recover (mean 148.0 days, 95% CI: 121.1–173.9) compared to early (mean 38.7 days, 95% CI: 30.7–46.7) and mid (mean 51.5 days, 95% CI: 39.7–63.4) evaluation. There was a strong positive correlation between recovery time and evaluation time (r = 0.66, p < 0.001).
Delaying time to evaluation following a concussion can significantly prolong recovery from injury in children and adolescents.</description><subject>Australian football</subject><subject>Concussion</subject><subject>Early treatment</subject><subject>Exercise</subject><subject>Intervention</subject><subject>Mild traumatic brain injury</subject><subject>Paediatric</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Physiology</subject><subject>Recovery (Medical)</subject><subject>Sleep</subject><subject>Specialist care</subject><subject>Teenagers</subject><issn>1440-2440</issn><issn>1878-1861</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kT-P1DAQxSMEEsfBJ6CxREOTMHacfwUFOt0B0kk0UFveyZhz5NiHJ9nTfnu8LBUFjce2fu_p2a-q3kpoJMj-w9IsbFduFCjZQN-AVM-qKzkOYy3HXj4ve62hVmV5Wb1iXgBUN7TDVZVvbQ4n4eOy55Ogow273XyKwqUQ0pOPPwWmiDvz-dKzsMwJvd1oFk9-exB-fczpWE6ZsMxisvmViqHABx_mTFHYOAs7p0CMFDd-Xb1wNjC9-Tuvqx93t99vvtT33z5_vfl0X2Pb662WSmq0cECatBsdugmchv4AGqWWdlKdHqEd1CRRdc5hq9qBhkmrw-BmPWN7Xb2_-JaAv3bizay-JAjBRko7G9V1oPpJdl1B3_2DLmnPsaQr1NjCAN00Faq9UJgTcyZnHrNfbT4ZCebcg1nMnx7MuQcDvSk9FNXHi4rKW4-esmH0FJFmX75sM3Py_9X_Bk7Ck-w</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Cassimatis, Maree</creator><creator>Orr, Rhonda</creator><creator>Fyffe, Andrew</creator><creator>Browne, Gary</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AYAGU</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20211201</creationdate><title>Early injury evaluation following concussion is associated with improved recovery time in children and adolescents</title><author>Cassimatis, Maree ; Orr, Rhonda ; Fyffe, Andrew ; Browne, Gary</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c364t-1214ca0bce94f8fcf90f406b04c141a92548037291c25ffc3237e7942b7fd4dc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Australian football</topic><topic>Concussion</topic><topic>Early treatment</topic><topic>Exercise</topic><topic>Intervention</topic><topic>Mild traumatic brain injury</topic><topic>Paediatric</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Physiology</topic><topic>Recovery (Medical)</topic><topic>Sleep</topic><topic>Specialist care</topic><topic>Teenagers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cassimatis, Maree</creatorcontrib><creatorcontrib>Orr, Rhonda</creatorcontrib><creatorcontrib>Fyffe, Andrew</creatorcontrib><creatorcontrib>Browne, Gary</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Australia & New Zealand Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of science and medicine in sport</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cassimatis, Maree</au><au>Orr, Rhonda</au><au>Fyffe, Andrew</au><au>Browne, Gary</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early injury evaluation following concussion is associated with improved recovery time in children and adolescents</atitle><jtitle>Journal of science and medicine in sport</jtitle><date>2021-12-01</date><risdate>2021</risdate><volume>24</volume><issue>12</issue><spage>1235</spage><epage>1239</epage><pages>1235-1239</pages><issn>1440-2440</issn><eissn>1878-1861</eissn><abstract>Delayed treatment for paediatric concussion may impact recovery trajectory. This study aims to determine the relationship between time to evaluation and concussion recovery in children and adolescents.
Retrospective cross-sectional study.
Records from 341 children and adolescents, aged 7–18 years, from a tertiary referral concussion clinic were analysed. All participants were assessed using a standardised concussion test battery by a specialist concussion physician and graded exercise testing. Evaluation time was defined as the number of days from injury occurrence to first presentation at the concussion clinic. Three distinct time to evaluation periods were categorised as: early evaluation (<14 days), mid evaluation (14–28 days), and late evaluation (>28 days). The main outcome measure was recovery time (days).
A total of 341 participants (mean age 13.0 ± 2.3, 74% male) were included in the study. Of these, 89 received evaluation during the early phase (mean age 12.2 ± 2.5, 65% male), 124 during the mid phase (mean age 13.1 ± 2.2, 81% male) and 128 during the late phase (mean age 13.5 ± 2.1, 75% male) following injury. Participants receiving late evaluation took three times longer to recover (mean 148.0 days, 95% CI: 121.1–173.9) compared to early (mean 38.7 days, 95% CI: 30.7–46.7) and mid (mean 51.5 days, 95% CI: 39.7–63.4) evaluation. There was a strong positive correlation between recovery time and evaluation time (r = 0.66, p < 0.001).
Delaying time to evaluation following a concussion can significantly prolong recovery from injury in children and adolescents.</abstract><cop>Belconnen</cop><pub>Elsevier Ltd</pub><doi>10.1016/j.jsams.2021.06.012</doi><tpages>5</tpages></addata></record> |
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| ispartof | Journal of science and medicine in sport, 2021-12, Vol.24 (12), p.1235-1239 |
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| language | eng |
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| source | Elsevier ScienceDirect Journals; ProQuest Central UK/Ireland |
| subjects | Australian football Concussion Early treatment Exercise Intervention Mild traumatic brain injury Paediatric Patients Pediatrics Physiology Recovery (Medical) Sleep Specialist care Teenagers |
| title | Early injury evaluation following concussion is associated with improved recovery time in children and adolescents |
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