• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • 2MM Podcast
  • Write for us
  • Contact Us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Emergency

Severity of post-concussive symptoms not predictive of recovery

byMarie LafortuneandCordelia Ross
June 23, 2014
in Emergency, Neurology, Pediatrics
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

1. In a prospective longitudinal study, severity of reported symptoms immediately following a concussion was not associated with delayed symptom resolution (DSR) in children.

2. Among children with DSR, cognitive symptoms such as difficulty remembering or difficulty concentrating were more prevalent.

Evidence Rating Level: Good (2)

Study Rundown: Concussions bring thousands of children to the Emergency Department (ED). Although the consequences of concussions have been extensively researched, there currently exists few criteria that allow the identification of children likely to suffer from persistent symptoms. This study examined whether greater symptom severity measured in the acute setting was associated with delayed symptom resolution (DSR). Results indicate that more acute symptoms were not significantly associated with DSR following a concussion. However, cognitive symptoms were found to be more characteristic of subjects with DSR. This study is limited by the fact that all symptoms were weighed equally when determining the initial severity of the concussion, not accounting for evidence from prior studies that associate particular symptoms with more significant injuries. The findings of this study underscore that while severity of symptoms following a concussion cannot be used to identify patients at risk of DSR, the prevalence of cognitive symptoms, in particular, could be used to stratify patients.

Click to read the study, published today in Pediatrics

Relevant Reading: Symptom severity predicts prolonged recovery after sport-related concussion, but age and amnesia do not.

RELATED REPORTS

Similar recovery course noted for both sports and non-sport-related concussion in children

Mild traumatic brain injury associated with detectably neuroimaging changes and depressive symptoms

The Scan by 2 Minute Medicine®: Concussion Protocol, Monstrous Mosquitoes, Eye Transplants and Taking on 23andMe:

Study Author, Dr. Joe Grubenhoff, MD, talks to 2 Minute Medicine: University of Colorado School of Medicine, Assistant Professor of Pediatrics, Section of Emergency Medicine; Children’s Hospital Colorado.

“Many people, including health care providers, assume that more severe or more numerous symptoms at the time of injury suggest a higher likelihood of long-term sequelae. Our study shows that initial symptom severity alone is a poor predictor of delayed symptom resolution, thus making follow-up an important component of management for all children first seen in an ED after a concussion.”

In-Depth [prospective longitudinal cohort study]: This study evaluated 179 children ages 8 to 18 years old presenting to the ED with a concussion. Participants completed a symptom inventory score at the initial encounter and one month later. Twenty one percent of children from the study group met criteria for DSR and had a median initial graded symptom score of 10.5 as compared to 9 for the early symptom resolution (ESR) group.  A sensitivity analysis was performed to define the point separating low from high symptoms, allowing for classification of symptom severity. This best cut point was a score of 11 and it had a sensitivity of 63% and a specificity of 50% for DSR. However, DSR was not significantly associated with a score of 11 (P = .46). Researchers also performed a hierarchical cluster analysis, which aims to identify the features most characteristic of a group. Using this method, 3 of the 6 most characteristic symptoms (phonophobia, photophobia, and blurred/double vision) were shared by both the ESR and DSR groups, suggesting that the symptoms may not be telling of patients at risk of having DSR.

Image: PD

©2012-2014 2minutemedicine.com. All rights reserved. No works may be reproduced without expressed written consent from 2minutemedicine.com. Disclaimer: We present factual information directly from peer reviewed medical journals. No post should be construed as medical advice and is not intended as such by the authors, editors, staff or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT.  

Tags: Concussionmild traumatic brain injurypost-concussive symptoms
Previous Post

Most children excluded from daycare for illness seek acute medical care

Next Post

Caregiver-mediated autism interventions effective for low-resourced families

RelatedReports

Researchers validate scoring of postconcussive symptom measure to characterize duration 
Chronic Disease

Similar recovery course noted for both sports and non-sport-related concussion in children

May 19, 2025
Chronic Disease

Mild traumatic brain injury associated with detectably neuroimaging changes and depressive symptoms

October 3, 2024
The Scan by 2 Minute Medicine®:  Ultra-Trail du Mont-Blanc, Taylor Swift, NBA rookie Chet Holmgren and Magic Mushrooms!
The Scan by 2 Minute Medicine®

The Scan by 2 Minute Medicine®: Concussion Protocol, Monstrous Mosquitoes, Eye Transplants and Taking on 23andMe:

October 1, 2024
Quick Take: Association of a Schizophrenia-Risk Nonsynonymous Variant With Putamen Volume in Adolescents A Voxelwise and Genome-Wide Association Study
Chronic Disease

Plasma biomarkers may have a role in adolescent traumatic brain injuries

September 13, 2024
Next Post
Severe maternal childhood abuse associated with autism in offspring

Caregiver-mediated autism interventions effective for low-resourced families

Endovascular repair of ruptured AAAs no better than open repair

USPSTF recommends aneurysm screening in men who have ever smoked

Sunitinib showed no change in overall survival for metastatic prostate cancer

Obesity linked with prostate cancer progression

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • #VisualAbstract: Obicetrapib Reduced LDL Cholesterol in Patients at High Cardiovascular Risk
  • St. Louis hospital-based violence intervention program did not significantly affect reinjury outcomes
  • Glucagon-like peptide-1 receptor agonists may increase risk of reflux in patients with type 2 diabetes
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
No Result
View All Result

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.