Clinical risk score for persistent postconcussion symptoms among children with acute concussion in the ED

Zemek, Roger; Barrowman, Nick; Freedman, Stephen B.; Gravel, Jocelyn; Gagnon, Isabelle; McGahern, Candice; Aglipay, Mary; Sangha, Gurinder; Boutis, Kathy; Beer, Darcy; Craig, William; Burns, Emma; Farion, Ken J.; Mikrogianakis, Angelo; Barlow, Karen; Dubrovsky, Alexander S.; Meeuwisse, Willem; Gioia, Gerard; Meehan, William P.; Beauchamp, Miriam H.; Kamil, Yael; Grool, Anne M.; Hoshizaki, Blaine; Anderson, Peter; Brooks, Brian L.; Yeates, Keith Owen; Vassilyadi, Michael; Klassen, Terry; Keightley, Michelle; Richer, Lawrence; DeMatteo, Carol

oai:espace.library.uq.edu.au:UQ:855cc8c

Clinical risk score for persistent postconcussion symptoms among children with acute concussion in the ED

Authors: Roger Zemek
Nick Barrowman
Stephen B. Freedman
Jocelyn Gravel
Isabelle Gagnon
Candice McGahern
Mary Aglipay
Gurinder Sangha
Kathy Boutis
Darcy Beer
William Craig
Emma Burns
Ken J. Farion
Angelo Mikrogianakis
Karen Barlow
Alexander S. Dubrovsky
Willem Meeuwisse
Gerard Gioia
William P. Meehan
Miriam H. Beauchamp
Yael Kamil
Anne M. Grool
Blaine Hoshizaki
Peter Anderson
Brian L. Brooks
Keith Owen Yeates
Michael Vassilyadi
Terry Klassen
Michelle Keightley
Lawrence Richer
Carol DeMatteo
Publication date: 8 March 2016
Publisher: 'American Medical Association (AMA)'
Doi

Abstract

IMPORTANCE Approximately one-third of children experiencing acute concussion experience ongoing somatic, cognitive, and psychological or behavioral symptoms, referred to as persistent postconcussion symptoms (PPCS). However, validated and pragmatic tools enabling clinicians to identify patients at risk for PPCS do not exist. OBJECTIVE To derive and validate a clinical risk score for PPCS among children presenting to the emergency department. DESIGN, SETTING, AND PARTICIPANTS Prospective, multicenter cohort study (Predicting and Preventing Postconcussive Problems in Pediatrics [5P]) enrolled young patients (aged 5

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