5P: Predicting Persistent Postconcussive Problems in Pediatrics

The goal of the 5P study was to derive and validate easy to use prognosticators for clinicians to identify children and youth for risk of PPCS. A 12-point PPCS risk score was developed which includes nine diagnostic variables: sex, age, physician-diagnosed migraine history, prior concussion symptoms duration, headache, sensitivity to noise, fatigue, answering questions slowly, and errors on the Balance Error Scoring System tandem stance. Among children presenting to the emergency department with concussion and head injury within the previous 48 hours, the clinical risk score demonstrated modest ability to discriminate PPCS risk at 28 days.

本5P研究旨在为临床医生推导并验证易于使用的预后指标，以识别儿童和青少年患 PPCS 的风险。研究开发了一个包含九个诊断变量（性别、年龄、医师诊断的偏头痛病史、先前脑震荡症状持续时间、头痛、对噪音敏感度、疲劳、回答问题缓慢以及平衡错误评分系统中的错误）的12点 PPCS 风险评分。在过去的48小时内急诊科就诊的因脑震荡和头部损伤的儿童中，该临床风险评分在28天时展现出对 PPCS 风险的适度鉴别能力。