Repeat Concussion and Recovery Time in a Primary Care Pediatric Office.
The authors enrolled 95 patients in a primary care office who presented with a concussion. Of these patients, 63% were sport concussions. The authors matched 90 of these patients to children in the authors' practice presenting for sports physicals or regular check-ups in the following demographics: age, participating in a particular sport, having attention-deficit disorder/attention-deficit hyperactivity disorder, gender, and grade. The authors found the odds of recurrent concussions, in a primary care pediatric office, to be a ratio of 2.909 (95% confidence interval 1.228-7.287). Recovery time for repeat concussion versus an initial concussion was analyzed. Patients with a recurrent concussion after a year recovered an average of 12.0 days after injury versus 13.4 days for those with no previous concussion (NS). Patients with a recurrent concussion within a year recovered a mean of 6.27 (SD 1.29) days sooner than patients with no previous concussion (P < .0001). This unexpected finding is preliminary, and the authors encourage further research.
Department of Pediatrics, Division of General Pediatrics, University of Pennsylvania Perelman School of Medicine, The Children's Hospital of Philadelphia, Advocare Cherry Hill Pediatric Group, Cherry Hill, NJ, USA taubman@email.chop.edu.
Bruce
B
Taubman
Department of Pediatrics, Division of General Pediatrics, University of Pennsylvania Perelman School of Medicine, The Children's Hospital of Philadelphia, Advocare Cherry Hill Pediatric Group, Cherry Hill, NJ, USA.
Jennifer
J
McHugh
Department of Pediatrics, Division of General Pediatrics, University of Pennsylvania Perelman School of Medicine, The Children's Hospital of Philadelphia, Advocare Cherry Hill Pediatric Group, Cherry Hill, NJ, USA.
Florence
F
Rosen
The Children's Hospital of Philadelphia, Westat Biostatistics and Data Management Core, Philadelphia, PA, USA.
Okan U
OU
Elci
D000293:Adolescent; D001265:Athletic Injuries / Q000150:complications; D001924:Brain Concussion / Q000209:etiology / Q000628:therapy; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D016017:Odds Ratio; D010372:Pediatrics; D011320:Primary Health Care; D020127:Recovery of Function; D012008:Recurrence; D013997:Time Factors; D055815:Young Adult
previous concussion; prolonged recovery; quick recovery