Children with concussions may no longer have to sit quietly in a dark room for days. New research suggests that prolonged absences from school and other activities may impede recovery from concussions. Returning to ER may reduce the burden of symptoms and lead to a faster recovery. JAMA network opened.
This analysis was based on data from a prospective study of the Persistent Post-Concussion Problems Prediction (5P) Study in Pediatrics conducted between August 2013 and June 2015 in nine Canadian pediatric emergency departments. I’m here. All participants (n = 3063) were aged 5–18 years and presented with her ED within 48 hours of his having a concussion. None of the children had a Glasgow Coma Score below her 13, had abnormal brain CT or magnetic resonance imaging findings, or required hospitalization for multiple organ injury or neurosurgical intervention.
In this study, we analyzed data from a cohort of 1,630 participants who recorded specific school days. Participants had no long absences (>20 days) and no injuries during school closures, including holidays. and summer vacation. This study was designed to examine the relationship between timing of return to school and symptom burden in the 14 days after injury.
The primary outcome was symptom burden 14 days after injury, assessed using the Post-Concussion Symptom Inventory (PSCI). Children were categorized into her three age groups (ages 5–7, 8–12, and 13–18 years) and given various versions of her PCSI containing 13, 17, and 20 items, respectively, and each Items were rated on a scale. 0-2, 0-2, and 0-6 respectively. The possible PCSI score ranges for these versions are 0-26, 0-34, and 0-120, respectively, the study authors explained.
Early Return to School Leads to Improved Grades
Early return to school (0-2 days absent) was recorded for 875 children (53.7%). The average number of days absent in all groups increased with age (5-7 years, 2.61 days). [5.2]8-12 years, 3.26 [4.9]13–18 years, 4.71 [6.1]).
Early return to school compared with late return to school (absence of ≥3 days; table) increased symptom burden 14 days after experiencing a concussion in the 8–12 and 13–18 year old groups. It was related to less. The association between early return to school and reduced symptom burden was strongest among children aged 8-18 years with high initial symptom levels.
table.Effect of early and late return to school on symptoms 14 days after concussion by age group.
|Age group||PCSI score, early and late RTS in SMD (95% CI)||P. worth|
|5-7 years old||-0.709 (-1.430 to 0.013)||.05|
|8-12 years old||-1.668 (-2.339 to -0.997)||<.001|
|13-18 years old||-3.145 (-5.247 to -1.043)||.003|
CSI, post-concussion symptom inventory. RTS, back to school. SMD, standardized mean difference.
Source: Vaughan et al.
The association between early return to school and reduced symptoms may relate to benefits of socialization, reduced stress from less school absence, adherence to a normal sleep-wake schedule, and return to physical activity. Researchers point out that there is Findings also show that prolonged activity restriction increases the risk of mood disorders such as depression and anxiety. Additionally, skipping school increases screen time, which can interfere with recovery.
“Differences in injury, symptoms, and activity tolerance should be considered when providing individualized clinical guidance,” the study authors concluded. “These findings support current guidelines, and early [return to school] It can benefit physical and mental health.early recommended [return to school] We will provide accommodation if required. ”
Vaughan CG, Ledoux A, Sady MD, et al. Association between early return to school after acute concussion and symptom burden 2 weeks after injury. JAMA net opened. 2023;6(1):e2251839.doi:10.1001/jamanetworkopen.2022.51839