Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba, Canada.
Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada.
PLoS One. 2019 Apr 25;14(4):e0215900. doi: 10.1371/journal.pone.0215900. eCollection 2019.
The objectives were 1) to compare the effects of adolescent sport-related concussion (SRC) and sport-related extremity fracture (SRF) on academic outcomes including change in school grades and school attendance; and 2) to determine which specific academic accommodations were most helpful during recovery from these injuries.
A prospective cohort study was conducted to compare changes in school grades, school attendance and academic accommodations among students (grades 8-12) with an SRC or SRF. School grades were extracted from student immediate pre- and post-injury report cards. Students completed attendance log books and an exit interview to determine which accommodations were helpful and how accommodating they perceived their school to be during their recovery.
Overall, 124 students (92 with SRC and 32 with SRF) submitted both pre- and post-injury report cards. Students who sustained an SRC or SRF experienced similar decreases in grades post-injury (SRC: -1.0%; 95% CI: -2.1, 0.1 and SRF: -0.9%: 95% CI: -2.1, 0.3). Students with an SRC missed significantly more days of school compared to those with an SRF (median of 4 days [IQR: 1, 7] versus 1 day [IQR: 0, 4], p<0.0001). In total, 60/113 (53.1%) SRC students reported their school to be very accommodating while only 31/77 (40.3%) SRF students reported their school to be very accommodating (p = 0.082).
Students who sustain an SRC miss significantly more days of school but demonstrate similar changes in school grades post-injury compared to those with an SRF. Future studies are needed to identify the pre- and post-injury factors associated with poor academic functioning following concussion and identify measures that can be taken to help optimize academic outcomes in these patients.
本研究旨在比较青少年运动相关性脑震荡（SRC）和运动相关性肢体骨折（SRF）对学业成绩的影响，包括学校成绩和出勤率的变化；并确定在这些损伤康复过程中哪些具体的学业支持最有帮助。
本研究采用前瞻性队列研究比较 SRC 和 SRF 患者的学校成绩、出勤率和学业支持的变化。通过学生受伤前后的即时报告卡提取学校成绩。学生填写出勤日志并进行离职访谈，以确定哪些支持是有帮助的，以及他们在康复期间认为学校的支持程度如何。
共有 124 名学生（92 名 SRC 和 32 名 SRF）提交了受伤前后的报告卡。患有 SRC 或 SRF 的学生在受伤后成绩相似下降（SRC：-1.0%；95%CI：-2.1，0.1 和 SRF：-0.9%；95%CI：-2.1，0.3）。患有 SRC 的学生比患有 SRF 的学生缺勤天数明显更多（中位数 4 天[IQR：1，7]与 1 天[IQR：0，4]，p<0.0001）。共有 60/113（53.1%）名 SRC 学生报告他们的学校非常支持，而只有 31/77（40.3%）名 SRF 学生报告他们的学校非常支持（p=0.082）。
与 SRF 患者相比，患有 SRC 的学生缺勤天数明显更多，但受伤后学校成绩的变化相似。未来需要研究哪些预伤和伤后因素与脑震荡后学业功能不良相关，并确定可用于优化这些患者学业结果的措施。
