Evidence map›Paper›PMID 40297050›Full record

ArticleOrthopaedic journal of sports medicine2025

Clinical Cut Point for the Pittsburgh Sleep Quality Index After Adolescent Concussion.

Catherine C Donahue, Katherine L Smulligan, Mathew J Wingerson, Madison L Brna, Stacey L Simon, Julie C Wilson, David R Howell

Abstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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

7 authors.

Catherine C DonahueDepartment of Orthopedics, University of Colorado School of Medicine, Aurora, Colorado, USA.ORCID https://orcid.org/0009-0008-0071-2055
Katherine L SmulliganDepartment of Orthopedics, University of Colorado School of Medicine, Aurora, Colorado, USA.ORCID https://orcid.org/0000-0002-9060-868X
Mathew J WingersonDepartment of Orthopedics, University of Colorado School of Medicine, Aurora, Colorado, USA.
Madison L BrnaDepartment of Orthopedics, University of Colorado School of Medicine, Aurora, Colorado, USA.
Stacey L SimonDepartment of Pulmonary and Sleep Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
Julie C WilsonDepartment of Orthopedics, University of Colorado School of Medicine, Aurora, Colorado, USA.
David R HowellDepartment of Orthopedics, University of Colorado School of Medicine, Aurora, Colorado, USA.ORCID https://orcid.org/0000-0002-2955-0191

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Concussions can have negative implications for sleep quality. Self-report measures, such as the Pittsburgh Sleep Quality Index (PSQI), have been used in clinical and research settings to identify individuals with sleep impairments. However, the accuracy/applicability of historically established PSQI scoring criteria for differentiating good versus poor sleep quality has not been critically examined in adolescents with concussion. Purpose: To establish a relevant PSQI clinical cut point for adolescents with a recent concussion. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Adolescents within 16 days of concussion and uninjured controls completed the PSQI, and a global score of 0 to 21 was calculated. Independent-samples Results: A total of 110 adolescents with a concussion (mean age, 14.9 ± 1.6 years; 53% female; 9.8 ± 3.6 days since injury) and 129 uninjured controls (mean age, 15.6 ± 1.1 years; 86% female) were included for analysis. The concussion group had significantly worse (higher) PSQI scores than controls (mean, 7.41 ± 3.62 vs 2.26 ± 1.97; Conclusion: Adolescents with a concussion demonstrated worse sleep quality than uninjured controls. The results suggest that sleep quality, as measured by the PSQI, can distinguish between adolescents with and without a concussion, using a cut point of 4.

Indexed as

adolescentconcussionsleep

Identifiers

PMID40297050
PMCPMC12035074

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.