The Course of Concussion Recovery in Children 6‐12 Years of Age: Experience From an Interdisciplinary Rehabilitation Clinic

• DOI: 10.1016/j.pmrj.2016.12.005
• Publication Date: 2017-01-08T02:00:10Z
• Authors: Sarah R. Risen; Jennifer Reesman; Gayane Yenokyan; Beth S. Slomine; Stacy J. Suskauer
• Keywords: Course (navigation)

Current concussion evidence is derived largely from teenagers and adults. Concussion in younger children occurs within the context of neuromaturation, with differing age-based pathophysiological responses to injury. Therefore, our current understanding older adults unlikely directly apply children.To describe patient variables, clinical course, factors associated time discharge care 6-12 years age treated an interdisciplinary rehabilitation-based clinic.Retrospective chart review.Interdisciplinary clinic at academically affiliated rehabilitation center.Children aged (n = 105; mean 10.8 age, 70% male) seen 60 days concussive injury.Descriptive statistics explored demographic, injury, features. The primary outcome measure, care, was estimated survival-analysis methods based on date clinic. Multivariate models were used examine longer discharge.Median 34 postinjury (range 5-192 days); 75% discharged A minority reported persisting symptoms discharge. Younger increased symptom burden initial evaluation predicted discharge.Although old a specialty show variability most 2 months after Risk for prolonged recovery, such as greater visit, can be when counseling families planning interventions. There may varying contributions, including psychosocial stressors, ongoing who experience other concussion-related concerns have resolved. Future work focused subset report will useful developing base related their care.II.