Academic Difficulty and Vision Symptoms in Children with Concussion.
Academic Difficulty and Vision Symptoms in Children with Concussion.
复制标题
脑震荡儿童的学业困难和视力症状。
DOI：
10.1097/opx.0000000000000977
复制
发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Swanson,Erin
中科院分区：
文献类型：
--
作者：
Swanson,MarkW;Weise,KatherineK;Dreer,LauraE;Johnston,James;Davis,RichardD;Ferguson,Drew;Hale,MatthewHeath;Gould,SaraJ;Christy,JenniferB;Busettini,Claudio;Lee,SarahD;Swanson,Erin
目的据报告，患有长期脑震荡后症状的儿童会出现学业困难。尽管越来越多的证据表明前庭眼和视觉特异性功能障碍在脑震荡后的儿童中很常见，但在重返学习方案中却很少提及视力。该项目的目的是评估一组患有长期脑震荡后症状的儿童，以确定视力症状是否与那些报告学业困难的儿童有关。方法数据是从 2007 年 1 月至 2013 年 10 月期间阿拉巴马州儿童脑震荡诊所 REDCap 数据集中获得的。在这个包含 1033 起脑震荡事件的数据集中，有 276 名年龄在 5 岁至 18 岁之间且出现三种或以上脑震荡相关症状的儿童组成的队列。已确定 10 天或更长时间。进行了一项横断面队列研究，以评估脑震荡症状、SCAT2 评分以及人口统计和脑震荡严重程度标记与报告的长期脑震荡后症状儿童的教育困难之间的关联。使用单变量和多变量逻辑回归技术来模拟所报告的教育困难与自我报告的视力异常之间的关联。结果平均年龄为 13.8 岁。脑震荡事件发生后的中位时间为 21 天，其中 33% (95/276) 在数据收集前 30 天以上报告脑震荡。 29%（79/270）报告学业困难，46%（128/274）报告视力异常。模型缩小后，视力症状（OR 2.17，95% CI 1.02，4.62）、听力障碍（OR 2.39，95% CI 1.06，5.36）和注意力不集中（OR 21.62，95% CI 9.50，44.47）仍然与学业困难相关。对于脑震荡后 30 天或更长时间出现症状的患者，只有视力（OR 3.15，95% CI 1.06，9.38）和注意力集中困难（OR 15.33，95% CI 4.99，47.05）仍具有统计学意义。 结论 脑震荡儿童中常见视力问题，并且与那些报告学业困难的儿童独立相关。在报告学业困难的儿童和制定重返学习方案时应考虑全面的视力评估。
PurposeAcademic difficulty is reported in children with prolonged post-concussive symptoms. Despite growing evidence that vestibular-ocular and vision-specific dysfunction are common in children after concussion, vision is rarely mentioned in return-to-learn protocols. The purpose of this project was to evaluate a cohort of children with prolonged post-concussive symptoms to determine if vision symptoms are associated with those reporting academic difficulty.MethodsData were obtained from the Children’s of Alabama Concussion Clinic REDCap dataset from the period January 2007 to October 2013. From this dataset of 1033 concussion events, a cohort of 276 children aged 5 to 18 years with three or more concussion-related symptoms present for 10 days or more was identified. A cross-sectional cohort study was undertaken to evaluate the association of concussion symptoms, SCAT2 scores, and demographic and concussion severity markers to reported educational difficulty among children with prolonged post-concussive symptoms. Univariate and multivariate logistic regression techniques were used to model the association of reported educational difficulty to self-reported vision abnormalities.ResultsMean age was 13.8 years. Median time since the concussive event was 21 days, with 33%(95/276) reporting their concussion more than 30 days before data collection. Academic difficulty was reported by 29%(79/270) and vision abnormalities in 46%(128/274). After model reduction, vision symptoms (OR 2.17, 95% CI 1.02, 4.62), hearing disturbance (OR 2.39, 95% CI 1.06, 5.36), and concentration difficulty (OR 21.62, 95% CI 9.50, 44.47) remained associated with academic difficulty. For those with symptoms 30 days or more after concussion, only vision (OR 3.15, 95% CI 1.06, 9.38) and concentration difficulty (OR 15.33, 95% CI 4.99, 47.05) remained statistically significant.ConclusionsVision problems were commonly reported in children with concussions and were independently associated with those reporting academic difficulty. Comprehensive vision assessment should be considered in children reporting academic difficulty and in the development of return-to-learn protocols.
登录
查看更多内容
在退伍军人事务部多发伤网站上跟踪患者的视觉功能：电子病历审查。
影响因子：
--
作者：
J. Stelmack;T. Frith;D. Van Koevering;S. Rinne;T. Stelmack
通讯作者：
T. Stelmack
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：
1.6
作者：
Purcell, Laura;Harvey, Janice;Seabrook, Jamie A.
通讯作者：
Seabrook, Jamie A.
运动医学和健身委员会
DOI：
--
发表时间：
2016
期刊：
Pediatric Clinical Practice Guidelines & Policies
影响因子：
--
作者：
L. Purcell
通讯作者：
L. Purcell
获得的脑损伤患者样本中出现眼部和视觉功能障碍。
DOI：
--
发表时间：
1999
期刊：
Journal of the American Optometric Association
影响因子：
--
作者：
I. Suchoff;N. Kapoor;R. Waxman;W. Ference
通讯作者：
W. Ference