在儿科急诊中识别持续性脑震荡后症状的风险：临床风险评分的检验。
Identifying Risks for Persistent Postconcussive Symptoms in a Pediatric Emergency Department: An Examination of a Clinical Risk Score.
出版信息
Arch Clin Neuropsychol. 2022 Jan 17;37(1):30-39. doi: 10.1093/arclin/acab032.
OBJECTIVE
External examination of a clinical risk score to predict persistent postconcussive symptoms (PPCS) in a pediatric emergency department (ED).
METHODS
Prospective cohort study of 5- to 18-year-old patients diagnosed with an acute concussion. Risk factors were collected at diagnosis and participants (n = 85) were followed to determine PPCS 30 days postinjury. Univariate logistic regression analyses were completed to examine associations of risk factors with PPCS.
RESULTS
Headache and total clinical risk score were associated with increased odds of PPCS in the univariate analyses, OR 3.37 (95% CI 1.02, 11.10) and OR 1.25 (95% CI 1.02, 1.52), respectively. Additionally, teenage age group, history of prolonged concussions, and risk group trended toward association with PPCS, OR 4.79 (95% CI 0.93, 24.7), OR 3.41 (95% CI 0.88, 13.20), and OR 2.23 (95% CI 0.88, 5.66), respectively.
CONCLUSION
Our study supports the use of multiple variables of a clinical risk score to assist with ED risk stratification for pediatric patients at risk for PPCS.
目的
对外科临床风险评分进行检查，以预测儿科急诊（ED）中持续性脑震荡后症状（PPCS）。
方法
对诊断为急性脑震荡的 5 至 18 岁患者进行前瞻性队列研究。在诊断时收集危险因素，并且随访参与者（n=85）以确定受伤后 30 天是否出现 PPCS。完成单变量逻辑回归分析，以检查危险因素与 PPCS 的关联。
结果
头痛和总临床风险评分与 PPCS 的发生风险增加有关，OR 3.37（95%CI 1.02，11.10）和 OR 1.25（95%CI 1.02，1.52）。此外，青少年年龄组、延长性脑震荡病史和风险组与 PPCS 呈趋势性关联，OR 4.79（95%CI 0.93，24.7）、OR 3.41（95%CI 0.88，13.20）和 OR 2.23（95%CI 0.88，5.66）。
结论
我们的研究支持使用临床风险评分的多个变量来帮助 ED 对有 PPCS 风险的儿科患者进行风险分层。
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