Post-concussion symptoms in mild traumatic brain injury: findings from a paediatric outpatient clinic
Post-concussion symptoms in mild traumatic brain injury: findings from a paediatric outpatient clinic
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DOI：
10.3109/09638288.2016.1152602
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发表时间：
2017-01-01
影响因子：
2.2
通讯作者：
Neblett, Julie
中科院分区：
文献类型：
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作者：
Dillard, Charles;Ditchman, Nicole;Neblett, Julie
目的轻度创伤性脑损伤（mTBI）在儿童中很常见，并与一系列的神经病学和临床表现有关。本研究使用来自儿科门诊TBI诊所的数据来（1）调查与更严重的脑震荡后症状相关的特征，以及（2）检查基于组的认可特定脑震荡后症状的个体比例的差异（例如，性别、损伤类型和精神病史）。方法对来自里士满儿童医院TBI门诊项目的数据进行分析（N=157）。结果性别、运动损伤与症状严重程度相关。此外，女性赞同比男性更多的整体症状。根据精神病史和损伤类型，发现一些特定症状在更大程度上得到认可;然而，根据这些特征，认可的症状总数没有差异。结论本研究结果提供了进一步的证据表明，mTBI影响范围广泛的青年和相关的神经病学确实可以变化。此外，结果显示，根据患者和损伤特征，对特定症状和症状严重程度的认可存在差异，这对脑震荡评估和治疗有影响。
Purpose Mild 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). Methods Data from the Children's Hospital of Richmond's TBI outpatient programme were analysed (N=157). Results Gender 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. Conclusions Findings 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.