@article{ref1,
title="Analysis of serum cortisol to predict recovery in paediatric sport-related concussion",
journal="Brain injury",
year="2018",
author="Ritchie, E. V. and Emery, C. and Debert, C. T.",
volume="32",
number="4",
pages="523-528",
abstract="OBJECTIVE: To study the relationship between acute serum cortisol following pediatric sport-related concussion (SRC) and clinical outcome measures of symptom burden and length to return to sport (RTS) Methods: Prospective observational study of ice hockey players ages 11-12 recruited prior to the hockey season. Players sustaining a SRC were assessed by a sports medicine physician completed a child Sport Concussion Assessment Tool-3 (childSCAT-3) and serum cortisol samples. <br><br>RESULTS: Of 636 ice hockey players enrolled, 41 sustained a SRC. In total, 22 serum cortisol samples were collected, with 14 (63.6%) meeting inclusion criteria. Four players presented with abnormally low cortisol and were more likely to experienced more symptoms (17.8 ± 1.9 vs. 7.5 ± 6.0) more severe symptoms (28.5 ± 5.8 vs. 10.2. ±8.8) and took longer RTS (23 ± 13.6 vs. 14.0.7 ± 7.9.). <br><br>CONCLUSION: Paediatric ice hockey players following SRC with abnormally low cortisol may be more susceptible to experiencing increase symptom burden and take longer to return to sport than players with population-based normal cortisol.<p /> <p>Language: en</p>",
language="en",
issn="0269-9052",
doi="10.1080/02699052.2018.1429662",
url="http://dx.doi.org/10.1080/02699052.2018.1429662"
}