Prevention of Concussion

August, Joshua; Torres, Alcy

doi:10.1016/j.spen.2019.03.015

Cited by 3 publications

(1 citation statement)

References 47 publications

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“…Although the majority of our patients were male, only 11.8% of the concussions were sports related compared with 30% in the global literature, with fall being the most common mechanism of injury, which stands in contrast with most published data. 3,[20][21][22] This difference may have been impacted by the denominator we chose, which includes only children with minor head injuries as per the PECARN rule, specifically excluding major trauma. However, most sports injuries are minor.…”

Section: Characteristics Of Children With Concussionmentioning

confidence: 99%

Misdiagnosis of Pediatric Concussions in the Emergency Department

Wazir¹,

Tamim

Wakil³

et al. 2022

Pediatr Emer Care

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ObjectiveWe aimed to determine the rate and predictors of correctly diagnosed concussions in the pediatric emergency department and to describe the characteristics, presentation, and management of concussions in children presenting for minor head injury.MethodsWe included 186 patients aged 5 to 18 years presenting within 24 hours of minor head injuries and met our diagnostic criteria for concussion. We compared patients correctly diagnosed with a concussion with those who were not. Our main outcome was the rate and predictors of misdiagnoses.ResultsOf the patients, 5.4% were correctly diagnosed. Amnesia was the only variable associated with correct diagnoses (40.0% vs 10.2%, P = 0.02). The most common mechanism of injury was fall (8.4%); the most frequent symptoms were nausea/vomiting (42.5%), and 48.4% had a brain computed tomography scan done.ConclusionsThe high rate of concussion misdiagnosis puts into question the usability of current concussion guidelines, their accuracy, and barriers to translation into clinical practice.

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Section: Characteristics Of Children With Concussionmentioning

confidence: 99%

Misdiagnosis of Pediatric Concussions in the Emergency Department

Wazir¹,

Tamim

Wakil³

et al. 2022

Pediatr Emer Care

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Improving outcome after paediatric concussion: challenges and possibilities

Beauchamp,

Dégeilh,

Rose

2023

The Lancet Child & Adolescent Health

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A Scoping Review of Registered Clinical Studies on Mild Traumatic Brain Injury and Concussion (2000 to 2019)

Furlan¹,

Radan²,

Tator³

2020

Neurosurg.

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BACKGROUND While many patients with mild traumatic brain injury (mTBI) or concussion recover completely, prolonged postconcussion symptoms remain a challenge for patients and an opportunity for clinical research. This has led to numerous research initiatives over the last 2 decades. OBJECTIVE To review the characteristics of clinical studies on management of mTBI/concussion; and to examine their definitions of mTBI/concussion. METHODS This scoping review included all clinical studies on diagnosis and management of patients with mTBI/concussion registered at www.clinicaltrials.gov from 2000 to June/2019. The terms “mild TBI/concussion” were used for the primary search. Definitions of mTBI/concussion were obtained from the protocols. When a definition was missing in the website, the study's investigators were contacted for clarification. RESULTS There were 225 interventional and 95 observational studies. Most of the studies are focused on treatment (54.7%) or diagnosis (37.5%), while 3.4% examined preventive measures, 2.8% evaluated prognostic instruments, and 1.6% developed registries. Most of the studies in this American database were single-center initiatives led by American and Canadian institutions. The definitions of mTBI/concussion differed widely among 109 studies. CONCLUSION The results of this review suggest that most of the clinical studies are focused on diagnosis and non-pharmacological therapies for patients with mTBI/concussion. The large number of differing definitions of mTBI/concussion among the studies creates significant limitations when comparing studies. The requirements for registering research protocols on mTBI/concussion should include the necessity to state the definition being used. There is a need for consensus on a uniform definition of concussion.

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Prevention of Concussion

Cited by 3 publications

References 47 publications

Misdiagnosis of Pediatric Concussions in the Emergency Department

Misdiagnosis of Pediatric Concussions in the Emergency Department

Improving outcome after paediatric concussion: challenges and possibilities

A Scoping Review of Registered Clinical Studies on Mild Traumatic Brain Injury and Concussion (2000 to 2019)

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