Short-term outcomes of sport- and recreation-related concussion in patients admitted to a pediatric trauma service.
The outcomes of patients admitted to the hospital following a sport-related concussion are largely unknown. Medical records of patients admitted to the pediatric trauma service between 2008 and 2011 after sustaining a sport-related concussion were reviewed. In all, 59 participants were in the high-velocity activities group, and 21 in the field or court sport group. Abnormal CT scans were found in 14 patients in the high-velocity group and 2 in the field or court sport group. The majority of participants in the field or court sport group were football players, all of whom had normal CT scans. Headache was predictive of an abnormal CT scan. Among the patients, 56% clinically improved and were discharged the following day. Patients with field or court sport-related concussion admitted to a pediatric trauma service appear to be at low risk for clinically significant intracranial pathology and do well in the acute setting.
Penn State Milton S. Hershey Medical Center, Hershey, PA, USA hbramley@hmc.psu.edu.
Harry
H
Bramley
Penn State College of Medicine, Hershey, PA, USA.
Carol
C
Mcfarland
Penn State College of Medicine, Hershey, PA, USA.
Mechelle M
MM
Lewis
Children's Core for Biomedical Statistics, Center for Clinical & Translational Research, Seattle Children's Research Institute, Seattle, WA, USA Department of Pediatrics, University of Washington, Seattle, WA, USA.
Michele L
ML
Shaffer
Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.
Robert
R
Cilley
Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.
Brett
B
Engbrecht
Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.
Mary
M
Santos
Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.
Susan
S
Rzucidlo
Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.
Beverly
B
Shirk
Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.
Lynn
L
Simmons
Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.
Mark S
MS
Dias
D000293:Adolescent; D000367:Age Factors; D001265:Athletic Injuries / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D001924:Brain Concussion / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D002648:Child; D015331:Cohort Studies; D016208:Databases, Factual; D005260:Female; D005500:Follow-Up Studies; D005538:Football / Q000293:injuries; D015600:Glasgow Coma Scale; D006776:Hospitals, Pediatric; D006801:Humans; D015994:Incidence; D016015:Logistic Models; D008297:Male; D010343:Patient Admission / Q000706:statistics & numerical data*; D011998:Recreation; D012189:Retrospective Studies; D018570:Risk Assessment; D012916:Soccer / Q000293:injuries; D013997:Time Factors; D014057:Tomography, X-Ray Computed / Q000379:methods; D014193:Trauma Centers; D016896:Treatment Outcome
Glasgow Coma Scale; computed tomography; concussion; mild traumatic brain injury; sports injury