Evidence map›Paper›PMID 28082178›Full record

ArticlePM & R : the journal of injury, function, and rehabilitation2017

The Course of Concussion Recovery in Children 6-12 Years of Age: Experience From an Interdisciplinary Rehabilitation Clinic.

Sarah R Risen, Jennifer Reesman, Gayane Yenokyan, Beth S Slomine, Stacy J Suskauer

Abstract read
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In one paragraph

Article in PM & R : the journal of injury, function, and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Sarah R RisenKennedy Krieger Institute and Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD; current affiliation: Pediatric Neurology and Developmental Medicine, Baylor College of Medicine and Texas Children's Hospital(∗).
Jennifer ReesmanKennedy Krieger Institute and Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD(†).
Gayane YenokyanDepartment of Biostatistics, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD(‡).
Beth S SlomineKennedy Krieger Institute, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD; Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD(§).
Stacy J SuskauerKennedy Krieger Institute, 707 N Broadway, Baltimore, MD 21230; Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD; Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD(¶). Electronic address: Suskauer@kennedykrieger.org.

Funding

Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
Research Training in Rehabilitation for Brain Injury and Neurological DisabilityT32HD007414 · NICHD · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI Amy J. Bastian · 1991 to 2026
$6.3M
NCATS NIH HHS UL1 TR001079NICHD NIH HHS T32 HD007414
6 · The paper itself

Abstract

backgroundCurrent concussion evidence is derived largely from teenagers and adults. Concussion in younger children occurs within the context of neuromaturation, with differing age-based pathophysiological responses to injury. Therefore, our current understanding of concussion in older children and adults is unlikely to directly apply to younger children.

objectiveTo describe patient variables, clinical course, and factors associated with time to discharge from concussion care in children 6-12 years of age with concussion treated in an interdisciplinary rehabilitation-based concussion clinic.

designRetrospective chart review.

settingInterdisciplinary concussion clinic at an academically affiliated rehabilitation center. PATIENTS: Children aged 6-12 years (n = 105; mean 10.8 years of age, 70% male) seen within 60 days of concussive injury. MAIN OUTCOME MEASUREMENTS: Descriptive statistics explored demographic, injury, and clinical features. The primary outcome measure, time to discharge from concussion care, was estimated with survival-analysis methods based on the date of discharge from the clinic. Multivariate models were used to examine factors associated with longer time to discharge.

resultsMedian time to discharge was 34 days postinjury (range 5-192 days); 75% of children were discharged within 60 days of injury. A minority reported persisting symptoms at discharge. Younger age and increased symptom burden at initial evaluation predicted longer time to discharge.

conclusionsAlthough children 6-12 years old treated in a specialty concussion clinic show variability in time to discharge from concussion care, most were discharged within 2 months after injury. Risk factors for prolonged recovery, such as younger age and greater symptom burden at initial visit, can be used when counseling families and planning interventions. There may be varying contributions, including psychosocial stressors, to ongoing symptoms in children who experience persisting symptoms after other concussion-related concerns have resolved. Future work focused on the subset of children who report persisting symptoms will be useful for developing an evidence base related to their care. LEVEL OF EVIDENCE: II.

Indexed as

Physical Therapy ModalitiesRecovery of FunctionAthletic InjuriesBrain ConcussionChildCohort StudiesFemaleFollow-Up StudiesHumansInjury Severity ScoreInterdisciplinary StudiesMaleMultivariate AnalysisNeuropsychological TestsPost-Concussion SyndromeProportional Hazards Models

Identifiers

PMID28082178
PMCPMC5502002

What OpenQuestion holds

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Registered trials

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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.