Abstract Details

Title Risk Factors for Post-Traumatic Headaches after Sport-Related TBI in a Pediatric Subspecialty Clinic Population

Topic Sports Neurology

Presentation(s) IN5 - (-)

Poster/Presentation
Number 001

Objective

Background It is estimated that between 30-45 million children and adolescents participate in organized sports, and over the last decade, there has been an increase in sport-related traumatic brain injuries (TBI). Of the estimated 300,000-3 million sport-related TBIs that occur each year, the majority occur in pediatric patients. While most of these injuries are mild, more severe injuries do occur. The most prevalent and often debilitating post-traumatic symptom is headache. PTHA can lead to poor school performance, disruption in social function, and familial hardships.

Design/Methods Data was prospectively collected from individuals 5-22yrs of age presenting to clinic with sport-related TBI. 78 patients had 6mo post-TBI follow-up.

Results Sport-related TBI severity included 48 mild, 25 moderate and 5 severe patients. Headache was a presenting symptom in 54% of the patients coming to clinic after a sport-related TBI. Those that suffered a PTHA were 3.9 times (95%CI 1.5-10.7) more likely to have experienced a mild injury. PTHA occurred 3.1 times (95%CI 1.2-8.1) more often in athletes who played contact sports, and mild injuries were 22.7 times (95%CI 7.0-94.2) more likely to be due to contact sports participation. Chronic daily headaches were also 6.5 times (95%CI 1.6-47.5) more likely to occur in patients who sustained mild injury. Prior history of TBI (p=0.01) and prior history of neurocognitive impairment (p=0.05) were also associated with PTHA. Statistical analyses were performed using R version 2.15.1 and EpiTools: R Package (v0.5-7).

Conclusions Careful risk factor assessment may help to identify patients more likely to develop persistent PTHA who would benefit from early pediatric neurology clinic referral and intervention.

Authors/Disclosures
Meeryo Choe, MD, FAAN PRESENTER	Dr. Choe has received personal compensation for serving as an employee of Harvard-Westlake School. Dr. Choe has received personal compensation in the range of $10,000-$49,999 for serving as an Expert Witness for Legal Cases. The institution of Dr. Choe has received research support from NIH. Dr. Choe has a non-compensated relationship as a Board of Directors with NABIS that is relevant to AAN interests or activities. Dr. Choe has a non-compensated relationship as a Consultant with USA Swimming Concussion Task Force that is relevant to AAN interests or activities.
Jesse Fischer	No disclosure on file
	No disclosure on file
	No disclosure on file
Christopher Giza, MD, FAAN (UCLA, Depts of Pediatrics and Neurosurgery)	Dr. Giza has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Medical Network Speakers Bureau. Dr. Giza has stock in Highmark Interactive. The institution of Dr. Giza has received research support from UCLA: Brain Injury Research Center, Steve Tisch BrainSPORT Program, Easton Clinic for Brain Health. Dr. Giza has received publishing royalties from a publication relating to health care. Dr. Giza has a non-compensated relationship as a Advisory Board with Major League Soccer that is relevant to AAN interests or activities. Dr. Giza has a non-compensated relationship as a Advisory Board with National Basketball Association that is relevant to AAN interests or activities. Dr. Giza has a non-compensated relationship as a Consultant with United States Soccer Federation that is relevant to AAN interests or activities. Dr. Giza has a non-compensated relationship as a Co-founder & Advisor with Symptomwise that is relevant to AAN interests or activities.
Richard Zorowitz	No disclosure on file

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