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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:
      Adolescent
      brain concussion
      brain injuries
      child
      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:
      Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • 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
    • ISSN:
      0963-8288
    • Accession Number:
      10.3109/09638288.2016.1152602
    • Accession Number:
      120687046
  • Citations
    • ABNT:
      DILLARD, C. et al. Post-concussion symptoms in mild traumatic brain injury: findings from a paediatric outpatient clinic. Disability & Rehabilitation, [s. l.], v. 39, n. 6, p. 544–550, 2017. DOI 10.3109/09638288.2016.1152602. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=120687046&custid=s8280428. Acesso em: 20 out. 2020.
    • AMA:
      Dillard C, Ditchman N, Nersessova K, et al. Post-concussion symptoms in mild traumatic brain injury: findings from a paediatric outpatient clinic. Disability & Rehabilitation. 2017;39(6):544-550. doi:10.3109/09638288.2016.1152602
    • APA:
      Dillard, C., Ditchman, N., Nersessova, K., Foster, N., Wehman, P., West, M., Riedlinger, B., Monasterio, E., Shaw, B., & Neblett, J. (2017). Post-concussion symptoms in mild traumatic brain injury: findings from a paediatric outpatient clinic. Disability & Rehabilitation, 39(6), 544–550. https://doi.org/10.3109/09638288.2016.1152602
    • Chicago/Turabian: Author-Date:
      Dillard, Charles, Nicole Ditchman, Karine Nersessova, Nicola Foster, Paul Wehman, Michael West, Brendalin Riedlinger, Eugenio Monasterio, Bill Shaw, and Julie Neblett. 2017. “Post-Concussion Symptoms in Mild Traumatic Brain Injury: Findings from a Paediatric Outpatient Clinic.” Disability & Rehabilitation 39 (6): 544–50. doi:10.3109/09638288.2016.1152602.
    • Harvard:
      Dillard, C. et al. (2017) ‘Post-concussion symptoms in mild traumatic brain injury: findings from a paediatric outpatient clinic’, Disability & Rehabilitation, 39(6), pp. 544–550. doi: 10.3109/09638288.2016.1152602.
    • Harvard: Australian:
      Dillard, C, Ditchman, N, Nersessova, K, Foster, N, Wehman, P, West, M, Riedlinger, B, Monasterio, E, Shaw, B & Neblett, J 2017, ‘Post-concussion symptoms in mild traumatic brain injury: findings from a paediatric outpatient clinic’, Disability & Rehabilitation, vol. 39, no. 6, pp. 544–550, viewed 20 October 2020, .
    • MLA:
      Dillard, Charles, et al. “Post-Concussion Symptoms in Mild Traumatic Brain Injury: Findings from a Paediatric Outpatient Clinic.” Disability & Rehabilitation, vol. 39, no. 6, Mar. 2017, pp. 544–550. EBSCOhost, doi:10.3109/09638288.2016.1152602.
    • Chicago/Turabian: Humanities:
      Dillard, Charles, Nicole Ditchman, Karine Nersessova, Nicola Foster, Paul Wehman, Michael West, Brendalin Riedlinger, Eugenio Monasterio, Bill Shaw, and Julie Neblett. “Post-Concussion Symptoms in Mild Traumatic Brain Injury: Findings from a Paediatric Outpatient Clinic.” Disability & Rehabilitation 39, no. 6 (March 15, 2017): 544–50. doi:10.3109/09638288.2016.1152602.
    • Vancouver/ICMJE:
      Dillard C, Ditchman N, Nersessova K, Foster N, Wehman P, West M, et al. Post-concussion symptoms in mild traumatic brain injury: findings from a paediatric outpatient clinic. Disability & Rehabilitation [Internet]. 2017 Mar 15 [cited 2020 Oct 20];39(6):544–50. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=120687046&custid=s8280428