Academic Outcomes in High-School Students after a Concussion: A Retrospective Population-Based Analysis.
Academic Outcomes in High-School Students after a Concussion: A Retrospective Population-Based Analysis.
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高中生脑震荡后的学习成绩： 基于人群的回顾性分析。
DOI：
10.1371/journal.pone.0165116
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发表时间：
2016
期刊：
影响因子：
3.7
通讯作者：
Ellis MJ
中科院分区：
文献类型：
--
作者：
Russell K;Hutchison MG;Selci E;Leiter J;Chateau D;Ellis MJ
许多脑震荡症状，如头痛，视力问题，或记忆或集中困难可能会严重影响学校的运作。我们的目标是确定在学生遭受脑震荡的学年中，与前一年相比，他们没有遭受脑震荡时的学习成绩是否较低。使用马尼托巴卫生和马尼托巴教育数据，我们进行了一项基于人口的，控制前后研究，从2005-2006年至2010-2011学年。9-12年级脑震荡ICD 9/10代码的学生与非脑震荡对照组相匹配。平均成绩（GPA）的总体变化进行了比较，为学年前的脑震荡发生（或可能发生在非脑震荡匹配的学生）。总体而言，8240名学生（1709名脑震荡，6531名非脑震荡学生）被纳入。脑震荡和非脑震荡的学生从一年到下一年都表现出较低的整体GPA。持续脑震荡导致GPA下降-0.90%（95%CI：-1.88，0.08）。在同一时期，非脑震荡匹配的学生的GPA下降了-0.57%（95%CI：-1.32，0.19）。在高中期间遭受脑震荡的学生与非脑震荡的同龄人一样有可能在四年内毕业（ORadj：0.84; 95% CI：0.73，1.02）。我们发现，在人口水平上，脑震荡对高中期间的学习成绩的长期影响最小。虽然学术住宿和返回学习计划是儿科脑震荡管理的重要组成部分，但需要进行研究，以确定脑震荡后学习成绩差的风险因素，以及谁应该接受这些计划。
Many concussion symptoms, such as headaches, vision problems, or difficulty remembering or concentrating may deleteriously affect school functioning. Our objective was to determine if academic performance was lower in the academic calendar year that students sustain a concussion compared to the previous year when they did not sustain a concussion. Using Manitoba Health and Manitoba Education data, we conducted a population-based, controlled before-after study from 2005–2006 to 2010–2011 academic years. Grade 9–12 students with an ICD9/10 code for concussion were matched to non-concussed controls. Overall changes in grade point average (GPA) were compared for the academic year prior to the concussion to the academic year the concussion occurred (or could have occurred among non-concussed matched students). Overall, 8240 students (1709 concussed, 6531 non-concussed students) were included. Both concussed and non-concussed students exhibited a lower overall GPA from one year to the next. Having sustained a concussion resulted in a -0.90% (95% CI: -1.88, 0.08) reduction in GPA. Over the same period, non-concussed matched students’ GPA reduced by -0.57% (95% CI: -1.32, 0.19). Students who sustained a concussion during high school were just as likely to graduate within four years as their non-concussed peers (ORadj: 0.84; 95% CI: 0.73, 1.02). We found that, at a population level, a concussion had minimal long-term effects on academic performance during high school. While academic accommodations and Return-to-Learn programs are an important component of pediatric concussion management, research is needed to identify risk factors for poor academic performance after a concussion and who should receive these programs.
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影响因子：
1.9
作者：
Ellis, Michael J.;Cordingley, Dean;Russell, Kelly
通讯作者：
Russell, Kelly
影响因子：
3.3
作者：
Broglio, Steven P.;Cantu, Robert C.;McLeod, Tamara C. Valovich
通讯作者：
McLeod, Tamara C. Valovich
影响因子：
1.9
作者：
Ellis, Michael J.;Leddy, John J.;Willer, Barry
通讯作者：
Willer, Barry
DOI：
10.1097/00005373-200111000-00034
发表时间：
2001-11-01
影响因子：
--
作者：
Cushman, JG;Agarwal, N;Salotto, AG
通讯作者：
Salotto, AG
影响因子：
3.3
作者：
Majerske, Cynthia W.;Mihalik, Jason P.;Wagner, Amy K.
通讯作者：
Wagner, Amy K.