While a new study in Pediatrics confirms current best practice, media headlines might confuse families and healthcare providers. Here are messages to reaffirm.
concussion diagnosis and management
I recently co-authored a research article in the Journal of Pediatrics that identified pre-existing characteristics associated with prolonged recovery from concussions for children and youth (ages 5-18 years). Readers can use these data to further study risk factors for prolonged recovery, and to help with decision-making and care planning for concussion patients.
In a patient with direct trauma to the head and who presents with clear symptoms, the diagnosis of concussion is generally straightforward. However, it can be much more challenging to diagnose a subtle concussion, particularly among patients with multiple injuries or non-direct head trauma.
Published this week, a study in Pediatrics provides evidence for cognitive rest as an effective strategy following a concussion. Naomi Brown, MD, a Sports Medicine specialist at CHOP, found that study participants with the highest levels of activity suffered longer duration of symptoms than those with lower levels of cognitive activity. Kristy Arbogast, PhD speaks with Dr. Brown about the research questions that would help clinicians, as well as a new assessment tool called the Cognitive Activity Scale.
I recently co-authored a study that identified certain groups of children with poor quality of life outcomes after suffering a mild traumatic brain injury (mTBI). Children from low-income families, with Medicaid insurance, with less educated parents, or of Hispanic ethnicity were more likely to have poor outcomes at follow-up when compared to other children.
Although well-intentioned, helmets and playing/practice standards such as hit counts have jumped ahead of the science in concussion prevention. This and other topics are covered in release of the Institute of Medicine’s report on youth sports-related concussion, released today.
New series of infographics and posters provide best-practice state-of-the-science tips on recognizing symptoms and managing youth concussions in terms that youth can understand.
In order to help parents monitor their child's daily symptoms during recovery from a concussion injury, we have developed a simple calendar to help keep track of triggers of concussion symptoms and the characteristics of the symptoms, such as their duration. This and other resources available for parents, school staff, health care providers, and coaches.
The primary vocation for children and adolescents is school, in order to prepare for meaningful, full adult lives. Toward the goal of better communication and support for kids recovering from concussion, on Saturday, April 6, 2013, CHOP will host the first annual Continuing Medical Education concussion course, “Diagnosis and Management of Child and Adolescent Concussion: A Primer for Primary Care Providers and Educators.” In addition, we have just added substantial new content to our Concussion Care for Kids website and organized the content to make it easy for the different types people who support a child's recovery to get the customized information they need-- whether you need to increase your concussion knowledge as a parent, school administrator, teacher, coach or health care provider.