McPherson Jacob I, Nowak Andrew, Chizuk Haley, Leddy John J, Haider Mohammad N
Department of Rehabilitation Science, School of Public Health and Health Professions, State University of New York at Buffalo, Buffalo, New York, USA.
Department of Physical Medicine & Rehabilitation, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Brain Inj. 2025 Mar;39(5):420-426. doi: 10.1080/02699052.2024.2441846. Epub 2024 Dec 17.
To compare clinical characteristics in patients with concussions sustained by prevalent, but understudied, mechanisms (work-related concussion [WRC] and motor vehicle collision [MVC]-related concussion) to sport-related concussion (SRC).
Retrospective review of 281 electronic medical records from an outpatient concussion clinic. Time since injury (days), duration of care (days), amount of care (number of visits), and perceived health (Short-Form 12) were collected.
The time between injury and clinic presentation was significantly greater in WRC and MVC-related concussion compared to SRC. These groups were also older, had a longer duration of care, required more referrals for outside clinical services, and reported worse perceived mental and physical health versus SRC.
These results suggest that clinical courses may be significantly different for individuals with SRC, WRC and MVC-related concussion, and that different management approaches and expectations may be necessary for these groups. Further research is indicated.
比较由常见但研究不足的机制（工作相关脑震荡[WRC]和机动车碰撞[MVC]相关脑震荡）导致的脑震荡患者与运动相关脑震荡（SRC）患者的临床特征。
对一家门诊脑震荡诊所的281份电子病历进行回顾性研究。收集受伤后的时间（天）、护理时长（天）、护理量（就诊次数）以及健康感知情况（简短健康调查问卷12项）。
与SRC相比，WRC和MVC相关脑震荡患者从受伤到就诊的时间明显更长。这些患者群体年龄也更大，护理时长更长，需要更多外部临床服务转诊，并且报告的心理健康和身体健康状况比SRC患者更差。
这些结果表明，SRC、WRC和MVC相关脑震荡患者的临床病程可能存在显著差异，并且可能需要针对这些群体采取不同的管理方法和预期措施。需要进一步开展研究。
