Evaluation and Management of Pediatric Concussion in the Acute Setting

被引：5

作者：

Corwin, Daniel J. ^{[1
]}

Grady, Matthew F. ^{[2
]}

Master, Christina L. ^{[2
]}

Joffe, Mark D. ^{[1
]}

Zonfrillo, Mark R. ^{[3
,4
,5
]}

机构：

[1] Childrens Hosp Philadelphia, Div Emergency Med, Philadelphia, PA 19103 USA

[2] Childrens Hosp Philadelphia, Sports Med & Performance Ctr, Philadelphia, PA 19103 USA

[3] Brown Univ, Dept Emergency Med, Alpert Med Sch, Providence, RI 02912 USA

[4] Brown Univ, Dept Pediat, Alpert Med Sch, Providence, RI 02912 USA

[5] Hasbro Childrens Hosp, Providence, RI USA

来源：

PEDIATRIC EMERGENCY CARE | 2021年 / 37卷 / 07期

关键词：

concussion; mild traumatic brain injury; visiovestibular examination; persistent postconcussion symptoms; TRAUMATIC BRAIN-INJURY; SPORTS-RELATED CONCUSSION; DEFICIT HYPERACTIVITY DISORDER; POSTTRAUMATIC-STRESS-DISORDER; NEAR-INFRARED SPECTROSCOPY; HEALTH-CARE UTILIZATION; MOTOR SCREENING VOMS; EMERGENCY-DEPARTMENT; HIGH-SCHOOL; BASE-LINE;

D O I：

10.1097/PEC.0000000000002498

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Concussion, a type of mild traumatic brain injury, is a common injury encountered by providers caring for pediatric patients in the emergency department (ED) setting. Our understanding of the pathophysiologic basis for symptom and recovery trajectories for pediatric concussion continues to rapidly evolve. As this understanding changes, so do recommendations for optimal management of concussed youth. As more and more children present to EDs across the country for concussion, it is imperative that providers caring for children in these settings remain up-to-date with diagnostic recommendations and management techniques. This article will review the definition, epidemiology, pathophysiology, diagnosis, and management of pediatric concussion in the ED setting.

引用

页码：371 / 379

页数：9

共 102 条

[1] A Positive Vestibular/Ocular Motor Screening (VOMS) Is Associated With Increased Recovery Time After Sports-Related Concussion in Youth and Adolescent Athletes [J].

Anzalone, Anthony J. ;

Blueitt, Damond ;

Case, Tami ;

McGuffin, Tiffany ;

Pollard, Kalyssa ;

Garrison, J. Craig ;

Jones, Margaret T. ;

Pavur, Robert ;

Turner, Stephanie ;

Oliver, Jonathan M. .

AMERICAN JOURNAL OF SPORTS MEDICINE, 2017, 45 (02) :474-479

[2] Improving Primary Care Provider Practices in Youth Concussion Management [J].

Arbogast, Kristy B. ;

Curry, Allison E. ;

Metzger, Kristina B. ;

Kessler, Ronni S. ;

Bell, Jeneita M. ;

Haarbauer-Krupa, Juliet ;

Zonfrillo, Mark R. ;

Breiding, Matthew J. ;

Master, Christina L. .

CLINICAL PEDIATRICS, 2017, 56 (09) :854-865

[3] Point of Health Care Entry for Youth With Concussion Within a Large Pediatric Care Network [J].

Arbogast, Kristy B. ;

Curry, Allison E. ;

Pfeiffer, Melissa R. ;

Zonfrillo, Mark R. ;

Haarbauer-Krupa, Juliet ;

Breiding, Matthew J. ;

Coronado, Victor G. ;

Master, Christina L. .

JAMA PEDIATRICS, 2016, 170 (07)

[4] Effects of the New York State Concussion Management and Awareness Act ("Lystedt Law") on Concussion-Related Emergency Health Care Utilization Among Adolescents, 2005-2015 [J].

Baker, David R. ;

Kulick, Erin R. ;

Boehme, Amelia K. ;

Noble, James M. .

AMERICAN JOURNAL OF SPORTS MEDICINE, 2018, 46 (02) :396-401

[5] The Molecular Pathophysiology of Concussive Brain Injury - an Update [J].

Barkhoudarian, Garni ;

Hovda, David A. ;

Giza, Christopher C. .

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA, 2016, 27 (02) :373-+

[6] Efficacy of Melatonin for Sleep Disturbance in Children with Persistent Post-Concussion Symptoms: Secondary Analysis of a Randomized Controlled Trial [J].

Barlow, Karen Maria ;

Kirk, Valerie ;

Brooks, Brian ;

Esser, Michael Joachim ;

Yeates, Keith Owen ;

Zemek, Roger ;

Kirton, Adam ;

Mikrogianakis, Angelo ;

MacMaster, Frank ;

Nettel-Aguirre, Alberto ;

Hutchison, James ;

Turley, Brenda ;

Cameron, Candice ;

Hill, Michael ;

Boyd, Roslyn ;

Dewey, Deborah .

JOURNAL OF NEUROTRAUMA, 2021, 38 (08) :950-959

[7] Mild Traumatic Brain Injury and Attention-Deficit Hyperactivity Disorder in Young Student Athletes [J].

Biederman, Joseph ;

Feinberg, Leah ;

Chan, James ;

Adeyemo, Bamidele O. ;

Woodworth, K. Yvonne ;

Panis, Walter ;

McGrath, Neal ;

Bhatnagar, Saurabha ;

Spencer, Thomas J. ;

Uchida, Mai ;

Kenworthy, Tara ;

Grossman, Rebecca ;

Zafonte, Ross ;

Faraone, Stephen V. .

JOURNAL OF NERVOUS AND MENTAL DISEASE, 2015, 203 (11) :813-819

[8] Postconcussive symptoms in hospitalized pediatric patients after mild traumatic brain injury [J].

Blinman, Thane A. ;

Houseknecht, Eileen ;

Snyder, Caitlin ;

Wiebe, Douglas J. ;

Nance, Michael L. .

JOURNAL OF PEDIATRIC SURGERY, 2009, 44 (06) :1223-1228

[9] Demographics and Treatment of Adolescent Posttraumatic Headache in a Regional Concussion Clinic [J].

Bramley, Harry ;

Heverley, Steven ;

Lewis, Mechelle M. ;

Kong, Lan ;

Rivera, Rowena ;

Silvis, Matthew .

PEDIATRIC NEUROLOGY, 2015, 52 (05) :493-498

[10]

Bretzin AC., 2021, J ATHL TRAINING

← 1 2 3 4 5 6 7 8 9 10 →