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Two acute symptoms may predict prolonged concussion recovery (Feeling like "in a fog" and sadness at 14 day point)
Medical Xpress / American Journal of Physical Medicine & Rehabilitation ^ | Feb. 24, 2022 | Michael Robinson et al

Posted on 02/28/2022 10:05:13 PM PST by ConservativeMind

A decision tree model may be used by clinicians to help identify patients who are most likely to experience a prolonged recovery following a sport-related concussion, according to a study.

Michael Robinson, Ph.D., from the University of Western Ontario in London, Canada, and colleagues examined the 22 variables from the Sport Concussion Assessment Tool 5th Edition Symptom Evaluation using a decision tree analysis to identify those most likely to predict prolonged recovery after a sport-related concussion. The analysis included 273 patients (52% men; mean age, 21 years) initially assessed by either an emergency medicine or sport medicine physician within 14 days of concussion.

The researchers found that only two of the 22 variables contributed toward the predictive splits: feeling like "in a fog" and sadness. When these two factors were present, there was a greater risk for prolonged recovery (≥28 days). There was statistically significant accuracy of 0.7636, sensitivity of 0.6429, specificity of 0.8889, positive predictive value of 0.8571, and negative predictive value of 0.7059.

"The data required for the application of this decision tree is often readily available to clinicians at the time of their initial patient assessment," the authors write. "It is unlikely to contribute meaningfully to the length of the clinical encounter or result in undue burden for either the clinician or patient."

(Excerpt) Read more at medicalxpress.com ...


TOPICS: Health/Medicine
KEYWORDS:
If these conditions are described of someone with a likely concussion at 14 days, then prepare them for a longer recovery.

Otherwise, you can tell them it will pass soon!

1 posted on 02/28/2022 10:05:13 PM PST by ConservativeMind
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To: Pete from Shawnee Mission; Mazey; ckilmer; goodnesswins; Jane Long; BusterDog; jy8z; ...

The “Take Charge Of Your Health” Ping List

This potentially high volume ping list is for health articles and studies which describe something you or your doctor, when informed, may be able to implement for your benefit.

Now keeping a new list for conditions expected to concern at least 1% of the population. Ask to be on the “Common Issues” list.

Please email or private message me if you want on or off of a list and of which list you desire.

2 posted on 02/28/2022 10:05:50 PM PST by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: ConservativeMind

please add me to the take charge of health ping list

also NAC both cures and prevents concussions


3 posted on 03/01/2022 12:43:39 AM PST by impimp ( )
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To: ConservativeMind

“... you can tell them it will pass soon...”

May I add this: concussions aren’t seen as individual incidents. One concussion and you can be fine. However, if you get another concussion... the two are added together in terms of issues relating to the head injury especially if those head injuries happen more closely together in terms of time.


4 posted on 03/01/2022 4:20:30 AM PST by momtothree
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To: ConservativeMind

To me, this article highlights the pathetic state of medical science, particularly in the digital age. Of course, it bookends upon a broken medical treatment system, so it shouldn’t be surprising that it’s taken decades to arrive at this established conclusion, let alone how long it took to understand the dangers of double concussions (NFL, etc.).

It will probably take decades longer to establish what I already know about concussions which is in no medical literature anywhere. A hint:

I was told that if my concussion symptoms didn’t abate in 6-8 months, they would be permanent. In one respect, they were correct: The symptoms persisted for over 5 years.

In another respect, they were egregiously wrong: I reversed the primary symptoms almost overnight and undertook what, in hindsight, has now been a >5-year healing process with improvement every year, something which I was told was impossible.

All from a rear-ender accident at 5mph.

Until someone takes charge to change ‘medicine’ and medical research in this country, you & I will continue to be the suffering guinea pigs who, unfortunately, also have to pay for this broken system.


5 posted on 03/01/2022 6:02:25 AM PST by logi_cal869 (-cynicus the "concern troll" a/o 10/03/2018 /!i!! &@$%&*(@ -)
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To: ConservativeMind

Was in a wreck a year ago Christmas. Took a hell of a shot with back end of my PU hitting flush with a retaining wall hard enough that my seat broke and frame well bent...totalled. Not sure if I was knocked unconscious or not. Took me a while to remember where I was and where and why I was going. EMS checked my iris function and hospital x-ray showed nothing broken so I was shown the door.
Confusion became very common for a couple of months. Ability to concentrate is still not where it was before.
If it matters, I was 76 at the time.


6 posted on 03/01/2022 7:10:09 AM PST by Roccus (First we beat the Nazis........Then we defeated the Soviets....... Now, we are them.w)
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To: ConservativeMind

5 years ago last week I was in bad accident. Put into a PIT maneuver at 70 mph (the speed limit). Then hit a second time by the same person which caused my car to fly up in the air and roll. Landed on the wheels (thank you Subaru). So my brains were sloshing around at 70+ MPH along two different axes. I’m still dealing with concussion issues. Some things are better; others not so much. I was 59 at the time of the accident.

After that experience, I understand a bit of what it must feel like to have Alzheimer’s.


7 posted on 03/01/2022 10:07:56 AM PST by iceskater (I'm in the control group. ;))
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