Bramley Harry, Mcfarland Carol, Lewis Mechelle M, Shaffer Michele L, Cilley Robert, Engbrecht Brett, Santos Mary, Rzucidlo Susan, Shirk Beverly, Simmons Lynn, Dias Mark S
Penn State Milton S. Hershey Medical Center, Hershey, PA, USA
Penn State College of Medicine, Hershey, PA, USA.
Clin Pediatr (Phila). 2014 Jul;53(8):784-90. doi: 10.1177/0009922814533403. Epub 2014 May 1.
The outcomes of patients admitted to the hospital following a sport-related concussion are largely unknown. Medical records of patients admitted to the pediatric trauma service between 2008 and 2011 after sustaining a sport-related concussion were reviewed. In all, 59 participants were in the high-velocity activities group, and 21 in the field or court sport group. Abnormal CT scans were found in 14 patients in the high-velocity group and 2 in the field or court sport group. The majority of participants in the field or court sport group were football players, all of whom had normal CT scans. Headache was predictive of an abnormal CT scan. Among the patients, 56% clinically improved and were discharged the following day. Patients with field or court sport-related concussion admitted to a pediatric trauma service appear to be at low risk for clinically significant intracranial pathology and do well in the acute setting.
因与运动相关的脑震荡而住院的患者的预后情况大多未知。对2008年至2011年间因与运动相关的脑震荡而入住儿科创伤服务部门的患者的病历进行了回顾。总共有59名参与者在高速运动组，21名在田径或球类运动组。高速运动组有14名患者CT扫描异常，田径或球类运动组有2名患者CT扫描异常。田径或球类运动组的大多数参与者是足球运动员，他们的CT扫描结果均正常。头痛是CT扫描异常的预测指标。在这些患者中，56%在临床上有所改善，并于次日出院。入住儿科创伤服务部门的与田径或球类运动相关的脑震荡患者似乎发生具有临床意义的颅内病变的风险较低，在急性期恢复良好。
