ArticleThe Journal of pediatrics2014
Characteristics of prolonged concussion recovery in a pediatric subspecialty referral population.
Article in The Journal of pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
78 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Predictors of clinical recovery from concussion: a systematic review.British journal of sports medicine · 2017Pooled it
- Natural Progression of Symptom Change and Recovery From Concussion in a Pediatric Population.JAMA pediatrics · 2019Trial
- Recovery from Sport-Related Concussion in Athletes with Attention-Deficit/Hyperactivity Disorder: a Systematic Review.Neuropsychology review · 2026Review
- The Leaky Pipeline of Injury: Disparities at Multiple Junctures for Children with Head Trauma.The Journal of pediatrics · 2026Article
- Socioeconomic Disparities in Concussion Presentation.JAMA network open · 2026Article
- Factors Associated with Persisting Post-Concussion Symptoms Among Collegiate Athletes and Military Cadets: Findings from the NCAA-DoD CARE Consortium.Sports medicine (Auckland, N.Z.) · 2025Article
- Association of Alzheimer's Disease Polygenic Risk Score with Concussion Severity and Recovery Metrics.Sports medicine (Auckland, N.Z.) · 2025Article
- Understanding factors influencing exercise program adherence for youth with persistent post-concussive symptoms (PPCS).Brain injury · 2025Article
- Student concussion symptoms and tailored accommodations during use of a return to learn program in 13 public high schools.PM & R : the journal of injury, function, and rehabilitation · 2025Article
- Balance Performance After Mild Traumatic Brain Injury in Children and Adolescents: Instrumented BESS in the Acute Situation and Over Time.Journal of clinical medicine · 2025Article
- Mental health trajectory throughout high school football career: a four-year prospective cohort study.Frontiers in psychiatry · 2025Article
- Symptom Recovery in Children Aged 5 to 12 Years With Sport-Related and Non-Sport-Related Concussion.JAMA network open · 2024Article
- Variables associated with days of school missed following concussion: results from the Sport Concussion Outcomes in PEdiatrics (SCOPE) study.The Physician and sportsmedicine · 2024Article
- Article
- American Headache Society white paper on treatment of post-traumatic headache from concussion in youth.Headache · 2024Article
- Article
- Response Rate Patterns in Adolescents With Concussion Using Mobile Health and Remote Patient Monitoring: Observational Study.JMIR pediatrics and parenting · 2024Article
- Optimizing the Combination of Common Clinical Concussion Batteries to Predict Persistent Postconcussion Symptoms in a Prospective Cohort of Concussed Youth.The American journal of sports medicine · 2024Article
- Concussion risk and symptomology severity in adolescents are associated with pre-season drowsiness and emotional complaints.South African journal of sports medicine · 2024Article
- Application of Theory for Those With Sport-Related Concussion: Understanding the Effect of Athletic Identity on Health Outcomes.Journal of athletic training · 2023Review
18 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
objectiveTo identify pre-existing characteristics associated with prolonged recovery from concussion in a sample of patients referred to a pediatric sports medicine clinic. STUDY
designThis was a retrospective, exploratory cohort study of 247 patients age 5-18 years with concussion referred to a tertiary pediatric hospital-affiliated sports medicine clinic from July 1, 2010, through December 31, 2011. A random sample of all eligible patient visits (3740) was chosen for further review and abstraction. Statistical comparisons between subsets of patients were conducted using exact χ(2) tests, logistic regression, quantile regression, and Kaplan-Meier survival curves.
resultsThe median time until returning to school part-time was 12 days (IQR 6-21); until returning to school full-time without accommodations was 35 days (IQR 11-105); until becoming symptom-free was 64 days (IQR 18-119); and until being fully cleared to return to sports was 75 days (IQR 30-153). Furthermore, 73% of all patients were symptomatic for >4 weeks, 73% were prescribed some form of school accommodation, and 61% reported a decline in grades. Characteristics associated with a prolonged recovery included a history of depression or anxiety; an initial complaint of dizziness; abnormal convergence or symptom provocation following oculomotor examination on physical examination; and history of prior concussion.
conclusionsPediatric and adolescent patients with concussion may experience cognitive and emotional morbidity that can last for several months following injury. Clinicians should consider specific pre-existing characteristics and presenting symptoms that may be associated with a more complicated recovery for concussion patients.
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