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In which age groups should children with Sport Related Concussion be managed differently from adults?
- Not adequately addressed in literature.
- Consider 5-12 years old vs 13 and over for child vs. adult testing
Are there targeted subgroups who would benefit from closer outpatient and specialty follow-up?
Predictors of Prolonged Recovery in Children
- Female sex
- physician diagnosis of migraine
- Prior concussion with symptoms lasting longer than 1 weeks
- Multiple concussions
- ADHD/LD/Mood disorders
- Acute headache
- Age 13 or older
- Teenage and high school years represents the greatest age period for prolonged recovery
- Prior
- Dizziness
- Sensitivity to noise
- Fatigue
- Answering questions slowly
- 4 or more errors on BESS testing
References
Davis et al., 2017. What is the difference in concussion management in children as compared with adults? A systematic review.
Zemek et al., 2016. Clinical Risk Score for Persistent Postconcussion Symptoms Among Children With Acute Concussion in the ED.