Health status, not head injury, predicts concussion symptoms after minor injury.


Journal Article

OBJECTIVE: Postconcussion (PC) syndrome etiology remains poorly understood. We sought to examine predictors of persistent PC symptoms after minor injury. METHODS: Health status, symptom, and injury information were obtained on a sample of patients presenting to the emergency department after minor injury. Postconcussion and cognitive symptoms were assessed at 1, 3, and 12 months. RESULTS: Among 507 patients enrolled, 339 had head injury. Repeated-measures logistic regression modeling of PC and cognitive symptom presence across time indicated that baseline mental health status and physical health status were most predictive of persistent symptoms. In contrast, head injury presence did not predict persistent PC syndrome. DISCUSSION: Baseline mental health status and physical health status were associated with persistent PC syndrome after minor injury, but head injury status was not. Further studies of PC syndrome pathogenesis are needed.

Full Text

Duke Authors

Cited Authors

  • McLean, SA; Kirsch, NL; Tan-Schriner, CU; Sen, A; Frederiksen, S; Harris, RE; Maixner, W; Maio, RF

Published Date

  • February 2009

Published In

Volume / Issue

  • 27 / 2

Start / End Page

  • 182 - 190

PubMed ID

  • 19371526

Pubmed Central ID

  • 19371526

Electronic International Standard Serial Number (EISSN)

  • 1532-8171

Digital Object Identifier (DOI)

  • 10.1016/j.ajem.2008.01.054


  • eng

Conference Location

  • United States