A Risk Stratification Model for Health and Academic Outcomes in Children With Concussion Based on Novel Symptom Trajectory Typologies
Duke University
Summary
This project will measure concussion symptoms, biological markers, and academic and social factors across the first year postconcussion to develop a model that enables early identification of and symptom management for children at higher risk for persistent postconcussive symptoms. Findings will provide novel insights into the longer-term effects of concussion on children's physical, psychological, and social well-being and support the development of personalized healthcare and school-based plans to reduce disparities in children's ability to return-to-learn and -play and improve postconcussion quality of life.
Description
Concussions occur at an alarming rate among U.S. schoolchildren, with one in five children experiencing a concussion by age 16. The number of children visiting emergency departments for concussions annually has increased by 50% over the past decade, with an estimated cost to the healthcare system of $1 billion/year. Compared to adults, children experience longer and more severe postconcussive symptoms (PCS). Severity and duration of PCS, however, vary considerably among children, complicating clinical care and return to learn and play. Persistent PCS including physical, emotional, and cognitiv…
Eligibility
- Age range
- 11–17 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Diagnosed with concussion that occurred within the past 7 days * Glasgow Coma Scale (GCS) score between 13-15 * English speaking Exclusion Criteria: * Diagnosed with moderate or severe traumatic brain injury * Polytrauma * Nontraumatic brain injury * Pregnancy
Location
- Duke University Health SystemDurham, North Carolina