@article{ref1,
title="Concussion symptom presentation and clinical recovery among pediatric athletes: comparing concussions sustained during school and summer months",
journal="Brain injury",
year="2024",
author="Wingerson, Mathew J. and Schmitz, Baylie and Smulligan, Katherine L. and Walker, Gregory A. and Magliato, Samantha and Wilson, Julie C. and Howell, David R.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: We examined post-concussion symptom presentation, exercise, and sleep among pediatric athletes who sustained concussion during the school year vs. summer months. <br><br>METHODS: We evaluated athletes 6-18 years old within 21-days of concussion. They reported symptoms (Health and Behavior Inventory), with cognitive/somatic domain sub-scores calculated, and indicated if they had exercised or experienced sleep problems since injury. We grouped patients by injury season: summer months (June-August) vs. school year (September-May). <br><br>RESULTS: 350 patients (14.4 ± 2.4 years old; 37% female; initial visit 8.8 ± 5.3 days post-concussion) were seen for care: 24% sustained a concussion during summer months, 76% during the school year. Lower cognitive (median = 7 [IQR = 1, 15] vs. 9.5 [4, 17]; p = 0.01), but not somatic (7 [2.5, 11] vs. 8 [4, 13]; p = 0.06), HBI scores were observed for patients injured during the summer. Groups were similar in proportion exercising (16% vs 17%) and endorsing sleep problems (29% vs 31%). After adjustments, sustaining a concussion during the summer predicted total (β=-3.43; 95%CI = -6.50, -0.36; p = 0.029) and cognitive (β = -2.29; 95%CI = -4.22, -0.36; p = 0.02), but not somatic (β=-1.46; 95%CI = -2.84, -0.08; p = 0.04), symptom severity. <br><br>CONCLUSION: Pediatric patients with concussion may present with greater cognitive symptoms during the school year, compared to summer months.<p /> <p>Language: en</p>",
language="en",
issn="0269-9052",
doi="10.1080/02699052.2024.2332770",
url="http://dx.doi.org/10.1080/02699052.2024.2332770"
}