Canadian Concussion Centre, University Health Network, Toronto, ON, Canada.
Hamilton Health Sciences, Hamilton, ON, Canada.
Sci Rep. 2023 Oct 20;13(1):17955. doi: 10.1038/s41598-023-44095-6.
Identifying vulnerability factors for developing persisting concussion symptoms is imperative for determining which patients may require specialized treatment. Using cross-sectional questionnaire data from an Ontario-wide observational concussion study, we compared patients with acute concussion (≤ 14 days) and prolonged post-concussion symptoms (PPCS) (≥ 90 days) on four factors of interest: sex, history of mental health disorders, history of headaches/migraines, and past concussions. Differences in profile between the two groups were also explored. 110 patients with acute concussion and 96 patients with PPCS were included in our study. The groups did not differ on the four factors of interest. Interestingly, both groups had greater proportions of females (acute concussion: 61.1% F; PPCS: 66.3% F). Patient profiles, however, differed wherein patients with PPCS were significantly older, more symptomatic, more likely to have been injured in a transportation-related incident, and more likely to live outside a Metropolitan city. These novel risk factors for persisting concussion symptoms require replication and highlight the need to re-evaluate previously identified risk factors as more and more concussions occur in non-athletes and different risk factors may be at play.
确定导致持续性脑震荡症状的易损因素对于确定哪些患者可能需要特殊治疗至关重要。我们使用安大略省一项观察性脑震荡研究的横断面问卷调查数据，比较了急性脑震荡（≤14 天）和持续性脑震荡后症状（PPCS）（≥90 天）患者的四个感兴趣因素：性别、心理健康障碍史、头痛/偏头痛史和既往脑震荡史。还探讨了两组之间的特征差异。我们的研究纳入了 110 例急性脑震荡患者和 96 例 PPCS 患者。两组在四个感兴趣的因素上没有差异。有趣的是，两组女性比例均较高（急性脑震荡：61.1% F；PPCS：66.3% F）。然而，患者特征不同，PPCS 患者年龄较大、症状更严重、更有可能因交通相关事故受伤，且更有可能居住在大都市区以外。这些持续性脑震荡症状的新的风险因素需要进一步验证，并强调需要重新评估以前确定的风险因素，因为越来越多的脑震荡发生在非运动员身上，并且可能存在不同的风险因素。
