title: Academic Dysfunction After a Concussion Among US High School and College Students.
abstract: To determine whether concussed students experience greater academic dysfunction than students who sustain other injuries.
  
  
  
  We conducted a prospective cohort study from September 2013 through January 2015 involving high school and college students who visited 3 emergency departments in the Rochester, New York, area. Using telephone surveys, we compared self-reported academic dysfunction between 70 students with concussions and a comparison group of 108 students with extremity injuries at 1 week and 1 month after injury.
  
  
  
  At 1 week after injury, academic dysfunction scores were approximately 16 points higher (b = 16.20; 95% confidence interval = 6.39, 26.00) on a 174-point scale in the concussed group than in the extremity injury group. Although there were no differences overall at 1-month after injury, female students in the concussion group and those with a history of 2 or more prior concussions were more likely to report academic dysfunction.
  
  
  
  Our results showed academic dysfunction among concussed students, especially female students and those with multiple prior concussions, 1 week after their injury. Such effects appeared to largely resolve after 1 month. Our findings support the need for academic adjustments for concussed students.
authors.affiliation: At the time of this study, the authors were with the University of Rochester School of Medicine and Dentistry, Rochester, NY.
authors.forename: Erin B
authors.initials: EB
authors.lastname: Wasserman
authors.affiliation: At the time of this study, the authors were with the University of Rochester School of Medicine and Dentistry, Rochester, NY.
authors.forename: Jeffrey J
authors.initials: JJ
authors.lastname: Bazarian
authors.affiliation: At the time of this study, the authors were with the University of Rochester School of Medicine and Dentistry, Rochester, NY.
authors.forename: Mark
authors.initials: M
authors.lastname: Mapstone
authors.affiliation: At the time of this study, the authors were with the University of Rochester School of Medicine and Dentistry, Rochester, NY.
authors.forename: Robert
authors.initials: R
authors.lastname: Block
authors.affiliation: At the time of this study, the authors were with the University of Rochester School of Medicine and Dentistry, Rochester, NY.
authors.forename: Edwin
authors.initials: E
authors.lastname: van Wijngaarden
mesh_terms: D000293:Adolescent; D001265:Athletic Injuries / Q000150:complications*; D001924:Brain Concussion / Q000150:complications*; D003072:Cognition Disorders / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D009483:Neuropsychological Tests; D009518:New York; D011446:Prospective Studies; D017678:Sex Distribution; D013334:Students / Q000523:psychology*; D013997:Time Factors