Evidence map›Paper›PMID 30005723›Full record

ArticleThe Permanente journal2018

Impact of Body Mass Index on Postconcussion Symptoms in Teenagers Aged 13 to 18 Years.

Harry Bramley, Kathryn C Foley, Ronald Williams, Mechelle M Lewis, Lan Kong, Matthew Silvis

Open access · greenAbstract read
In one paragraph

Article in The Permanente journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 90% of its field
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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
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

6 authors at 2 institutions in 1 country.

Harry BramleyAssociate Professor of Pediatrics at Penn State Hershey Children's Hospital in PA. hbramley@pennstatehealth.psu.edu.
Kathryn C FoleyResident at Alfred I DuPont Hospital for Children in Wilmington, DE. kathryn.cantore@gmail.com.
Ronald WilliamsProfessor of Pediatrics and Medicine at Penn State Hershey Children's Hospital in PA. rwilliams@pennstatehealth.psu.edu.
Mechelle M LewisAssociate Professor of Neurology at Penn State Health Milton S Hershey Medical Center in PA. mlewis5@pennstatehealth.psu.edu.
Lan KongProfessor of Biostatistics in Public Health Services at Penn State Health Milton S Hershey Medical Center in PA. luk14@psu.edu.
Matthew SilvisProfessor of Family and Community Medicine and Orthopedics and Rehabilitation Medicine at Penn State Health Milton S Hershey Medical Center in PA. msilvis@pennstatehealth.psu.edu.
Penn State Milton S. Hershey Medical Center · USAlfred I. duPont Hospital for Children · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextAdolescent obesity and sports-related concussion are rising in prevalence, yet there is minimal research exploring the relationship between these two conditions.

objectiveTo assess the impact of body mass index (BMI) percentile on duration of recovery and reported symptoms after sports-related concussion in adolescents.

designRetrospective chart review at a regional concussion program located at an academic medical center. Medical records of all patients aged 13 to 18 years treated from March 2006 through January 2012 were reviewed. Two hundred fifty-two patients met the inclusion criteria of sports-related concussion and having BMI data.

main outcome measuresOutcome variables included reported emotional symptoms, sleep-related symptoms, physical symptoms (headache), and time to recovery after a concussion. Explanatory variables in this analysis were BMI percentile and sex.

resultsMore male patients were obese and overweight than were females (42% vs 27%, p = 0.02). There was no statistically significant difference in recovery time between obese and overweight patients and others. Obese and overweight patients were more likely than healthy-weight patients to report symptoms of irritability (p = 0.05) and impulsivity (p = 0.01), and less likely to report headache (p = 0.03).

conclusionAfter concussion, irritability and impulsivity may be more likely than headaches in overweight and obese patients. There was no difference in recovery time between obese and healthy-weight teens. These findings may have importance in the evaluation, treatment, and anticipatory guidance of patients with concussions.

Indexed as

Body Mass IndexAdolescentFemaleHumansMalePediatric ObesityPost-Concussion SyndromeRecovery of FunctionRetrospective StudiesSex Factors

Identifiers

PMID30005723
PMCPMC6045505
OpenAlexW2874259332

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.