ArticleJournal of athletic training2020
Concussion-Symptom Rating Correlation Between Pediatric Patients and Their Parents.
Article in Journal of athletic training, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Post-concussive Signs and Symptoms in Preschool Children: A Systematic Review.Neuropsychology review · 2022Pooled it
- Child- compared with parent-report ratings on psychosocial measures following a mild traumatic brain injury among youth with persistent post-concussion symptoms.Brain injury · 2021Trial
- Prognostic Utility of Immediate Memory and Delayed Recall Assessments for Adolescent Concussion.Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine · 2025Article
- Article
- Article
- Concussion symptom presentation and clinical recovery among pediatric athletes: comparing concussions sustained during school and summer months.Brain injury · 2024Article
- Level of Agreement Between Child and Parent Reporting on the Child Sport Concussion Assessment Tool (SCAT5).Journal of athletic training · 2024Article
- Sex- and Age-Related Differences in Post-Concussive Symptom Reporting Among Children and Their Parents.Journal of neurotrauma · 2024Article
- Predicting Time to Evaluation After Pediatric Concussion: Factors Affecting Specialty Concussion Care.Orthopaedic journal of sports medicine · 2023Article
- Sex Differences in the Outcomes of Mild Traumatic Brain Injury in Children Presenting to the Emergency Department.Journal of neurotrauma · 2022Article
- Normative and Psychometric Characteristics of the Health and Behavior Inventory Among Children With Mild Orthopedic Injury Presenting to the Emergency Department: Implications for Assessing Postconcussive Symptoms Using the Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5).Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine · 2021Article
- Early physical activity and clinical outcomes following pediatric sport-related concussion.Journal of clinical and translational research · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
contextUnderstanding how parents and their children perceive concussion symptoms may provide insights into optimal concussion-management strategies.
objectiveTo examine patient-parent correlations and agreement on concussion-symptom ratings, to identify differences in patient-parent symptom reporting between children (8-12 years of age) and adolescents (13-18 years of age), and to evaluate the correlation between patient and parent initial symptom-severity ratings with symptom duration and return-to-play time.
designCross-sectional study.
settingPrimary care sports medicine clinic. PATIENTS OR OTHER
participantsA total of 267 patients aged 8 to 18 years seen for care within 21 days of sustaining a concussion. Patients were classified as children (n = 65; age = 11.3 ± 1.4 years; age range, 8-12 years) or adolescents (n = 202; age = 15.5 ± 1.4 years; age range, 13-18 years). MAIN OUTCOME MEASURE(S): Each patient and his or her parent (or legal guardian) completed a concussion-symptom-frequency inventory, the Health and Behavior Inventory (HBI), at the initial postinjury examination. Patients were followed until they no longer reported concussion symptoms (symptom-resolution time) and were allowed to return to unrestricted sport participation (return-to-play time).
resultsAt the initial examination (8.9 ± 5.2 days postinjury), the symptom-frequency correlation between children and their parents was high (rs = 0.88; 95% confidence interval [CI] = 0.80, 0.95). Adolescents' symptom-frequency reports were also highly correlated with those of their parents (rs = 0.78; 95% CI = 0.71, 0.85). However, the child-parent correlation was higher than the adolescent-parent agreement (z = 2.21, P = .03). Greater patient (consolidated child and adolescent) HBI ratings were associated with longer symptom-resolution times (coefficient = 0.019; 95% CI = 0.007, 0.031; P = .002) and longer return-to-play times (coefficient = 0.012; 95% CI = 0.002, 0.022; P = .02), whereas parent HBI ratings were not.
conclusionsOur findings may help to set expectations regarding concussion-symptom durations and return-to-play timing for pediatric patients and their families. Given the patient-parent correlations in our sample, substantial reporting discrepancies between patients and their parents may be a relevant factor for clinicians to investigate further during concussion evaluations.
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