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Revista Médica La Paz
On-line version ISSN 1726-8958
Abstract
URQUIETA MALDONADO, Miguel Ángel; MEJIAS SALAS, Héctor T. and SALINAS SANCHEZ, Dalton Ademar. PREVALENCE OF POST CONCUSSION SYNDROME IN PATIENTS CARED FOR IN THE CHILDREN’S HOSPITAL. A LONGITUDINAL STUDY FROM JULY TO OCTOBER 2019. Rev. Méd. La Paz [online]. 2022, vol.28, n.2, pp.20-30. Epub Dec 30, 2022. ISSN 1726-8958.
INTRODUCTION.
Post-concussion syndrome (PPS) is a very common sequela of concussion (CC). Diagnosis is challenging because symptoms vary from patient to patient, are self-reported, subtle, and conventional imaging studies may or may not reveal minimal abnormalities. What is the prevalence of post-concussion syndrome in patients who were treated at the Hospital del Niño Dr. Ovidio Aliaga Uría?
MATERIAL AND METHOD.
Longitudinal descriptive study, which enrolled 45 patients from 1 to 15 years of age, during the months of July to October 2019. The modified SCAT5 tool was used for screening, diagnosis and follow-up of the PPS. Each patient was evaluated individually in 5 planned interviews. The descriptive analysis used measures of central tendency and dispersion. Correlation tests were used for inferential analysis.
RESULTS.
A prevalence of 22.2% (n = 10) was found in the second month of follow-up, which reduces to 6.6% (n = 3) until the third month.
DISCUSSION.
The most widely accepted definitions of SPC are from the International Classification of Diseases 10th revision (ICD-10) and the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5). Nausea and drowsiness are very common after shock and resolve quickly (hours to days). Headache spans the entire spectrum and occurs immediately after injury and frequently becomes chronic.
CONCLUSION.
The patients suffered from SPC, there is no institutional diagnostic and management protocol for staggered recovery.
Keywords : child; concussion; headache; head trauma.