ArticleThe Journal of pediatrics2020
Characteristics of Concussion in Elementary School-Aged Children: Implications for Clinical Management.
Article in The Journal of pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 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.
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Who cites it
11 citing papers in PubMed.
- Lifetime History of Head or Traumatic Brain Injury Before Age 9 and School Outcomes: Results From the Adolescent Brain Cognitive Development Study.The Journal of school health · 2024Article
- Characteristics of Pediatric Concussion across Different Mechanisms of Injury in 5 through 12-Year-Olds.The Journal of pediatrics · 2024Observational
- Age-Related Variations in Clinical Profiles for Children with Sports- and Recreation-Related Concussions.Diagnostics (Basel, Switzerland) · 2024Article
- Cervical spine proprioception and vestibular/oculomotor function: An observational study comparing young adults with and without a concussion history.Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine · 2024Observational
- 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
- Returning to school following concussion: Pointers for family physicians from theCanadian family physician Medecin de famille canadien · 2023Article
- Trajectories of Visual and Vestibular Markers of Youth Concussion.Journal of neurotrauma · 2022Article
- Determining the Agreement Between Common Measures Related to Vestibulo-ocular Reflex Function After a Mild Traumatic Brain Injury in Children and Adolescents.Archives of rehabilitation research and clinical translation · 2022Article
- Epidemiology of Chronic Effects of Traumatic Brain Injury.Journal of neurotrauma · 2021Review
- Factors associated with concussion symptom knowledge and attitudes towards concussion care-seeking among parents of children aged 5-10 years.Journal of safety research · 2021Article
- Pediatric Sports-Related Concussion: An Approach to Care.American journal of lifestyle medicineReview
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectiveTo comprehensively characterize the clinical presentation and course of care for concussion among 5- to 11-year-old children, identifying preinjury and injury factors potentially influencing clinical outcomes. STUDY
designA single-institution retrospective cohort study using electronic health record data from children ages 5- to 11 years with a concussion from July 1, 2014, through June 30, 2015. Electronic health record data were abstracted for a 20% random sample of 292 patients.
resultsThree-fourths of patients (74.3%) presenting for concussion care had a standardized visiovestibular assessment performed. Almost all of those who eventually sought specialty care (92.9%) also had such an assessment, and only 42.9% patients initially seen in the emergency department or urgent care were examined in this manner. Of those assessed, 62.7% (n = 136) demonstrated deficits, with children ages 9-11 years more frequently exhibiting deficits than their younger counterparts (67.9% vs 53.2%; P = .03). Almost all patients (95.9%) reported at least 1 somatic symptom (eg, headache, dizziness), and one-half to two-thirds reported problems with sleep (54.1%) and visiovestibular symptoms (66.1%). Only 11.6% of children were referred for rehabilitation therapies and less than one-half of concussed patients (43.8%) were provided with a letter recommending school accommodations.
conclusionsSomatic symptoms, sleep problems, and visiovestibular deficits are common in elementary school-aged children with concussion, but specific visiovestibular clinical assessments are often not performed, particularly in the emergency department setting. Recommendations for school accommodations are often not provided at the time of concussion diagnosis. Incorporating a standardized visiovestibular assessment into practice could facilitate early targeted school accommodations and thereby improve return to learning for elementary school-aged children with concussion.
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