By: Lewis First, MD, MS; Editor-in-Chief
It is rare not to have a study in our journal on some new aspect of concussion usually focused on the diagnosis and treatment of this serious head injury. The after-effects of concussion in children seem not to get as much attention as the acute presentation, but this week Ransom et al. (doi: 10.1542/peds.2014-3434) report on their study of almost 350 children and teens for whom parents reported academic concerns in the aftermath of the injury as documented on a structured questionnaire completed by parents within four weeks of the event.
The authors also measured the presence or absence of post-concussive symptoms as well as recovery status and level of schooling. The results suggest that the more severe the symptoms are upon return to school or the higher the academic grade level, the more parents raised concern about academic learning and performance in their child. Can a school-based plan based on severity of symptoms for returning to the classroom as well as the level of activity recommended reduce the impact of injury on school performance as well as improve time to recovery?
Reading this study suggests that would be the next step in your local school district—so hopefully with guidance from the AAP’s 2013 clinical report on “Returning to Learning Following a Concussion” (REF) and sharing of this study with your local school district, a more unified evidence-based approach to reducing academic difficulties post-concussion can be achieved.
- Use of Modified Acute Concussion Evaluation Tools in the Emergency Department
- Postconcussive Symptom Exaggeration After Pediatric Mild Traumatic Brain
- InjuryReturning to Learning Following a Concussion