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Post-concussion symptoms in mild traumatic brain injury: findings from a paediatric outpatient clinic.

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  • Additional Information
    • Subject Terms:
    • Author-Supplied Keywords:
      brain concussion
      brain injuries
      paediatric hospitals
      post-concussion syndrome
    • NAICS/Industry Codes:
      621499 All other out-patient care centres
      621498 All Other Outpatient Care Centers
      621494 Community health centres
      622110 General Medical and Surgical Hospitals
      622310 Specialty (except Psychiatric and Substance Abuse) Hospitals
      622112 Paediatric hospitals
      334517 Irradiation Apparatus Manufacturing
    • Abstract:
      PurposeMild traumatic brain injury (mTBI) is common among children and is associated with a range of symptomatology and clinical presentations. This study uses data from a paediatric outpatient TBI clinic to (1) investigate characteristics associated with more severe post-concussive symptoms and (2) examine differences in the proportion of individuals endorsing specific post-concussion symptoms based on group (e.g., sex, type of injury, and psychiatric history).MethodsData from the Children’s Hospital of Richmond’s TBI outpatient programme were analysed (N = 157).ResultsGender and sports injury were associated with severity of symptoms. In addition, females endorsed a greater number of overall symptoms than males. A number of specific symptoms were found to be endorsed to a greater extent based on psychiatric history and type of injury; however, overall total number of symptoms endorsed did not differ based on these characteristics.ConclusionsFindings from this study provide further evidence that mTBI affects a wide range of youth and that associated symptomatology can indeed be varied. Moreover, results revealed differences in endorsement of specific symptoms and symptom severity based on patient and injury characteristics which have implications for concussion assessment and treatment. Implications for RehabilitationSymptoms following mild traumatic brain injury (mTBI) in children and adolescents can have varied presentation, ranging from minimal to severe.Females and those with non-sports-related injuries are more likely to endorse greater symptoms following concussion.Symptom evaluation is an essential component of the concussion assessment and treatment of paediatric patients following mTBI, and clinicians should be aware of patient characteristics associated with increased symptoms, especially when baseline symptom data are not available. [ABSTRACT FROM PUBLISHER]
    • Abstract:
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    • Author Affiliations:
      1Pediatric TBI Program, Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, VA, USA
      2Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA, USA
      3Department of Psychology, Illinois Institute of Technology, Chicago, IL, USA
      4Rehabilitation Research and Training Center, Virginia Commonwealth University Richmond, VA, USA
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