Initial symptom burden predicts duration of symptoms after concussion
Initial symptom burden predicts duration of symptoms after concussion
复制标题
DOI：
10.1016/j.jsams.2015.12.002
复制
发表时间：
2016-09-01
影响因子：
4
通讯作者：
Mannix, Rebekah
中科院分区：
文献类型：
--
作者：
Meehan, William P., III;O'Brien, Michael J.;Mannix, Rebekah
目的：为了确定哪些变量预测延长（>28天）的持续时间的症状后Concussion.Design：我们进行了一项前瞻性队列研究的成人（> 18 yo）患者照顾专业concussionclinic.Methods：症状进行了评估，使用后脑震荡症状量表（PCSS）在第三届国际会议上开发的运动脑震荡。可能的预测因素包括年龄、性别、意识丧失、健忘症、既往脑震荡史、既往头痛治疗史、偏头痛史和脑震荡家族史，通过自我报告进行测量。我们记录了PCSS评分在每次临床访问和定义的时间症状解决的损伤日期和日期之间的天数的最后symptoms.Results：在研究中包括的64名成年患者，53.3%是男性，20.3%的报告经历了意识丧失的时间受伤，而23.4%的报告健忘症。患者年龄18 ~ 27岁，平均21.2岁。大多数脑震荡（92.2%）发生在运动过程中。症状持续超过28天的患者的平均初始PCSS评分显著高于症状在28天内消退的患者（42.5 vs. 19.2，p
Objectives: To determine which variables predict prolonged (>28 days) duration of symptoms after a concussion.Design: We conducted a prospective cohort study of adult (>18yo) patients cared for in a specialty concussion clinic.Methods: Symptoms were assessed using the Post-Concussion Symptom Scale (PCSS) developed at the 3rd International Conference on Concussion in Sports. Possible predictors including age, sex, loss of consciousness, amnesia, history of prior concussion, prior treatment for headaches, history of migraines, and family history of concussions, were measured by self-report. We recorded a PCSS score at each clinical visit and defined time to symptom resolution as the number of days between the date of injury and date of last symptoms.Results: Of 64 adult patients included in the study, 53.3% were male; 20.3% reported experiencing a loss of consciousness at the time of injury while 23.4% reported amnesia. Patients ranged in age from 18 to 27 years (mean 21 2 years). Most concussions (92.2%) occurred during sports. The mean initial PCSS score for those suffering symptoms for longer than 28 days was significantly higher than those who symptoms resolved within 28 days (42.5 vs. 19.2, p