UMEM Educational Pearls

Category: Orthopedics

Title: Pediatric Concussion 2

Keywords: head injury, sports medicine (PubMed Search)

Posted: 11/10/2018 by Brian Corwell, MD (Updated: 4/19/2024)
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In which age groups should children with Sport Related Concussion be managed differently from adults?

Are there targeted subgroups who would benefit from closer outpatient and specialty follow-up?

Predictors of Prolonged Recovery in Children

Female sex
physician diagnosis of migraine
Prior concussion with symptoms lasting longer than 1 weeks
Multiple concussions
ADHD/LD/Mood disorders
Acute headache
Age 13 or older
- Teenage and high school years represents the greatest age period for prolonged recovery
Prior
Dizziness
Sensitivity to noise
Fatigue
Answering questions slowly
4 or more errors on BESS testing

Davis et al., 2017. What is the difference in concussion management in children as compared with adults? A systematic review.

Zemek et al., 2016. Clinical Risk Score for Persistent Postconcussion Symptoms Among Children With Acute Concussion in the ED.