Evidence map›Paper›PMID 23628374›Full record

Trial reportThe Journal of pediatrics2013

Symptom severity predicts prolonged recovery after sport-related concussion, but age and amnesia do not.

William P Meehan, Rebekah C Mannix, Andrea Stracciolini, R J Elbin, Michael W Collins

Registry-linked trialAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in The Journal of pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03425786 (Benign Paroxysmal Positional Vertigo), which is not on this map. Cited by 71 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03425786 nacompletednot on this mapstarted 2021, after this paper: background citation

Benign Paroxysmal Positional Vertigo (BPPV) Training for Sports Medicine Providers in a Pediatric Concussion Program

TypeinterventionalSponsorBoston Children's HospitalRan2021 to 2023Enrolled221ConditionsBenign Paroxysmal Positional VertigoArmsDiagnostic training, Diagnostic and treatment training
3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Trial
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  8. Shared Decision-Making Within Families About Returning to Sport After Recovery From Concussion: Exploring Parent and Adolescent Perspectives.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2026
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  10. Concussion in the Wild: Clinical Utility of Ambulatory Assessment of Symptoms and Everyday Exposures in Adolescents and Adults with Concussion.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2026
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  12. Review
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11 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

William P MeehanMicheli Center for Sports Injury Prevention, Sports Concussion Clinic, Division of Sports Medicine, Children’s Hospital Boston, Boston, MA 02115, USA. william.meehan@childrens.harvard.edu
Rebekah C Mannix
Andrea Stracciolini
R J Elbin
Michael W Collins

Funding

The Child Heath Research CenterK12HD052896 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI Wendy K Chung · 2007 to 2026
$7.9M
RESEARCH TRAINING IN PEDIATRIC EMERGENCY MEDICINET32HD040128 · NICHD · CHILDREN'S HOSPITAL BOSTON · PI Kenneth D. Mandl · 2001 to 2026
$5.0M
NICHD NIH HHS K12 HD052896NICHD NIH HHS K12 HD052896-01A1NICHD NIH HHS T32 HD040128NICHD NIH HHS T32HD040128-06A1NINDS NIH HHS L40 NS071604
6 · The paper itself

Abstract

objectiveTo identify predictors of prolonged symptoms in athletes who sustain concussions. STUDY

designThis was a multicenter prospective cohort study of patients in 2 sport concussion clinics. Possible predictors of prolonged symptoms from concussion were compared in 2 groups, those whose symptoms resolved within 28 days and those whose symptoms persisted beyond 28 days. Candidate predictor variables were entered into a logistic regression model that was used to generate aORs.

resultsA total of 182 patients met the inclusion criteria during the study period. The mean patient age was 15.2 ± 3.04 years. More than one-third of the patients (n = 65) underwent computerized neurocognitive testing on their initial visit. On univariate analyses, Post-Concussion Symptom Scale (PCSS) score and all composite scores on computerized neurocognitive testing were apparently associated with prolonged symptom duration. Sex, age, loss of consciousness at time of injury, and amnesia at time of injury were not associated with prolonged symptom duration. After adjusting for potential confounding, only total PCSS score was associated with the odds of suffering prolonged symptoms.

conclusionFurther efforts to develop clinical tools for predicting which athletes will suffer prolonged recoveries after concussion should focus on initial symptom score.

Indexed as

Decision Support TechniquesSeverity of Illness IndexAdolescentAdultAge FactorsAmnesiaAthletic InjuriesBrain ConcussionChildFemaleFollow-Up StudiesHumansLogistic ModelsMaleOdds RatioPrognosisImmediate postconcussion assessment and cognitive testingImPACTPCSSPost-Concussion Symptom Scale

Identifiers

PMID23628374
PMCPMC3732501

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.