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Concussive head injury in children and adolescents related to sports and other leisure physical activities
  1. G J Browne1,
  2. L T Lam2
  1. 1The Children’s Hospital at Westmead, Sydney, NSW, Australia
  2. 2Royal Alexandra Hospital for Children, Sydney
  1. Correspondence to:
 Dr Browne
 The Children’s Hospital at Westmead, CHISM, Sydney, NSW 2145, Australia; garyb{at}chw.edu.au

Abstract

Objective: To compare the characteristics of children and adolescents with concussive head injury (CHI) sustained during organised sports or other leisure physical activity.

Methods: This was a case series study reviewing the medical records retrospectively over a four year period of children 6–16 years presenting to the emergency department with a CHI after participating in sport and/or recreation activity.

Results: There were 592 cases of sport and recreation related concussion over the study period (2000–2003). Most of the patients (n  =  424, 71.6%) were male, with half (n  =  304, 51.4%) being older than 10 years of age. A total of 152 (25.7%) cases of CHI were related to playing sports. Most cases (71.2%) were mild concussion. The cause of injury was a fall (n  =  322, 54.4%) or a collision. Nearly a quarter of the children (n  =  143, 24.2%) were admitted to hospital, with imaging performed in 134 (22.7%). Most children were treated appropriately and no adverse events were reported.

Conclusions: A severe CHI in a child is six times more likely to have resulted from organised sport than from other leisure physical activities. Outcomes for CHI in children is excellent, although their management places a considerable burden on emergency services. The need for activity restriction and the benefits of this in reducing long term cognitive effects of CHI are uncertain.

  • concussion
  • mild traumatic brain injury
  • children
  • brain
  • head

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Footnotes

  • Competing interests: none declared

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