ArticleThe Journal of pediatrics2019
Risk of Repeat Concussion Among Patients Diagnosed at a Pediatric Care Network.
Article in The Journal of pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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
12 citing papers in PubMed, 26 citations in OpenAlex.
- The Interval Between Concussions Does Not Influence Time to Asymptomatic or Return to Play: A CARE Consortium Study.Sports medicine (Auckland, N.Z.) · 2024Article
- Article
- Evaluating Dual Task Neurological Costs with Functional Near-Infrared Spectroscopy: A Preliminary Report in Healthy Athletes.Journal of integrative neuroscience · 2023Article
- Sports-Related Concussions and Adverse Health Behaviors Among Middle and High School Students.The American journal of sports medicine · 2023Article
- Sports- or Physical Activity-Related Concussions and Feelings of Sadness or Hopelessness Among U.S. High School Students: Results From the 2017 Youth Behavior Risk Survey.The Journal of school nursing : the official publication of the National Association of School Nurses · 2022Article
- The Association Between School District-Based Policies Related to Concussions and Concussions Among High School Students.The Journal of school health · 2022Article
- Repeated mild traumatic brain injury impairs fracture healing in male mice.BMC research notes · 2022Article
- Influence of insurance type on rate and type of initial concussion-related medical visits among youth.BMC public health · 2021Article
- Post-concussive mTBI in Student Athletes: MRI Features and Machine Learning.Frontiers in neurology · 2021Article
- Microglia dynamics in adolescent traumatic brain injury.Journal of neuroinflammation · 2020Review
- Recovery From Repeat Mild Traumatic Brain Injury in Adolescent Rats Is Dependent on Pre-injury Activity State.Frontiers in neurology · 2020Article
- Pediatric Sports-Related Concussion: An Approach to Care.American journal of lifestyle medicineReview
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo quantify the risk of repeat concussions for children and identify demographic and clinical aspects of the index concussion associated with repeat injury. STUDY
designFor this retrospective cohort study, we queried the Children's Hospital of Philadelphia healthcare network's unified electronic health record to identify all 5- to 15-year-old patients who had their first clinical visit for an index concussion at a Children's Hospital of Philadelphia location from July 2012 through June 2013. A 25% random sample (n = 536) were selected. Clinical data were abstracted for their index concussion and all concussion-related visits for 2 years following the index concussion.
resultsOverall, 16.2% (n = 87) of patients experienced at least 1 repeat concussion within 2 years of their index concussion. The risk of repeat concussion increased with patient age (9.5% for ages 5-8 years; 10.7% for ages 9-11 years; and 19.8% for ages 12-15 years). After we adjusted for other factors, risk was particularly heightened among patients whose index concussion had a longer clinical course (>30 vs 0-7 days, adjusted risk ratio 1.65 [1.01-2.69]) and greater symptom burden (>11 vs 0-2 symptoms, adjusted risk ratio 2.12 [1.12-3.72]).
conclusionsWe estimate that 1 in 6 youth diagnosed with a concussion are diagnosed with a subsequent concussion within 2 years and that several clinical characteristics of the index concussion increase this risk. Identifying factors associated with a repeat injury is essential to inform the clinical management of concussion and direct injury prevention efforts.
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Registered trials
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