دورية أكاديمية
أعرض في EDS

The Influence of the COVID-19 Pandemic on Baseline Concussion Symptom Assessments Among Adolescents.

التفاصيل البيبلوغرافية
العنوان: The Influence of the COVID-19 Pandemic on Baseline Concussion Symptom Assessments Among Adolescents.
المؤلفون: Rivera DK; Osteopathic Medicine, A. T. Still University School of Osteopathic Medicine, Mesa, USA., Brown J; Medicine, Kaweah Health Medical Center, Visalia, USA., Bay RC; Health Sciences, A. T. Still University School of Health Sciences, Mesa, USA., Valovich McLeod TC; Health Sciences, A. T. Still University School of Health Sciences, Mesa, USA.
المصدر: Cureus [Cureus] 2024 Mar 15; Vol. 16 (3), pp. e56235. Date of Electronic Publication: 2024 Mar 15 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Introduction The COVID-19 pandemic resulted in the cancellation of high school sports in spring 2020, a modified resumption of sports in the 2020-2021 academic year, and a return to pre-pandemic sports in 2021-2022. This cancellation had a major impact on the quality of life of adolescent athletes, but it is unknown exactly how these pandemic-driven sports disruptions on athlete baseline (preseason) symptoms affected quality of life. Therefore, the current study retrospectively evaluated symptom inventories from Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) assessments to determine whether the cancellation of sports during the COVID-19 pandemic affected baseline (preseason) self-reported symptoms among adolescent athletes. Methods Our study used a retrospective cohort design to evaluate high school athletes with complete ImPACT assessments in the academic years before (2018-2019 and 2019-2020), during (2020-2021), and after (2021-2022) the pandemic. Specifically, data from a 22-item symptom report called the Post-Concussion Symptom Scale (PCSS) assessed during ImPACT was collected and analyzed using generalized linear models with a Tweedie exponential dispersion model and post hoc Tukey's honestly significant difference tests. The main outcomes were the total symptom severity score and the affective cluster score. Secondary outcomes were the analysis of the vestibular-somatic, cognitive-sensory, and sleep-arousal symptom clusters. Results Of the 104,274 ImPACT assessments, the total symptom severity score on the PCSS was different across years (p<0.001). There were lower symptom scores in 2020-2021 (5.33, 95% CI = 5.13-5.54) than in 2018-2019 (6.82, 95% CI = 6.63-7.01), 2019-2020 (6.94, 95% CI = 6.75-7.14), and 2021-2022 (6.44, 95% CI = 6.25-6.64). The cluster scores on the PCSS for affective, cognitive-sensory, sleep-arousal, and vestibular-somatic were also lower (p<0.001) in 2020-2021 than in 2018-2019, 2019-2020, and 2021-2022. Conclusion Contrary to our expectations, total symptom severity and cluster scores on the PCSS during the pandemic (2020-2021) were significantly lower than during the years before and after the pandemic-driven sports disruptions, suggesting the pandemic did not negatively affect these athletes as expected. These results also suggested that self-reported symptoms utilized in the PCSS component of ImPACT may not be as sensitive to sports disruption among adolescent athletes as other quality-of-life measures, especially during the COVID-19 pandemic.
Competing Interests: The views expressed in this material are those of the authors and do not reflect the official policy or position of the U.S. Government, the Department of Defense, or the Department of the Air Force.
(Copyright © 2024, Rivera et al.)
References: Int J Environ Res Public Health. 2022 Aug 26;19(17):. (PMID: 36078376)
J Sch Health. 2008 Oct;78(10):545-53. (PMID: 18808474)
PLoS One. 2022 Oct 27;17(10):e0276737. (PMID: 36301903)
BMC Public Health. 2021 Mar 5;21(1):448. (PMID: 33673812)
Arch Clin Neuropsychol. 2019 Jun 1;34(4):563-574. (PMID: 30418516)
Int J Environ Res Public Health. 2022 Jun 28;19(13):. (PMID: 35805566)
Int J Environ Res Public Health. 2021 Mar 03;18(5):. (PMID: 33802278)
JAMA. 2010 Oct 27;304(16):1775-6. (PMID: 20978252)
J Sport Rehabil. 2010 Aug;19(3):237-48. (PMID: 20811075)
Lancet Psychiatry. 2020 Oct;7(10):883-892. (PMID: 32707037)
Pak J Med Sci. 2020 May;36(COVID19-S4):S67-S72. (PMID: 32582317)
JAMA Pediatr. 2014 Dec;168(12):1114-21. (PMID: 25347549)
J Head Trauma Rehabil. 1998 Apr;13(2):9-26. (PMID: 9575253)
Neurosurgery. 2014 Oct;75 Suppl 4:S131-5. (PMID: 25232878)
Am J Sports Med. 2012 Oct;40(10):2375-84. (PMID: 22904209)
BMJ Open. 2019 Sep 4;9(9):e028555. (PMID: 31488476)
J Athl Train. 2021 Aug 1;56(8):836-844. (PMID: 33887766)
Eur Child Adolesc Psychiatry. 2023 Jul;32(7):1151-1177. (PMID: 34406494)
Int J Environ Res Public Health. 2021 Sep 06;18(17):. (PMID: 34502010)
Ital J Pediatr. 2020 Jun 9;46(1):79. (PMID: 32517815)
فهرسة مساهمة: Keywords: concussion applications; coronavirus disease 2019 (covid-19); isolation and quarantine; quality of life (qol); youth sports
تواريخ الأحداث: Date Created: 20240415 Latest Revision: 20240425
رمز التحديث: 20240425
مُعرف محوري في PubMed: PMC11016293
DOI: 10.7759/cureus.56235
PMID: 38618453
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.56235