RESUMO
Investigators from The Pediatric Emergency Research Canada (PERC) Concussion Team developed a clinical risk score for predicting persistent post-concussion symptoms (PPCS) at 28 days post injury in a large cohort of children initially evaluated at the emergency department (ED) within 48 hours of injury.
RESUMO
El síndrome postconmocional consiste en una triada de síntomas físicos, cognitivos y psicológicos que ocurren después de un trauma craneoencefálico y que pueden causar una incapacidad ocupacional o social significativa. Tal síndrome es un trastorno muy presente y relevante en la actividad forense, que suele acompañar a los traumatismos craneoncefálicos, principalmente a los de leve intensidad, los cuales ocasionan un grave problema de salud por ser causa tanto de mortalidad como de repercusiones por discapacidad especialmente en gente joven. Pese a las investigaciones realizadas, aún no existe una definición conceptual clara y no se cuenta con criterios válidos universalmente aceptados, por lo que se pretende realizar una revisión del tema y brindar recomendaciones al momento de realizar la valoración médico legal de tal síndrome.
The postconcussion syndrome is a triad of physical, cognitive and psychological symptoms that occur after a head trauma and can cause significant social or occupational disability. Such syndrome is a very present and relevant in forensic activity disorder that often accompanies trauma craneoncefálicos, mainly mild, which cause a serious health problem cause of both mortality and disability impact especially young people. Despite investigations, there is still no clear conceptual definition and there is no universally accepted criteria valid, so it aims to review the issue and make recommendations at the time of the forensic assessment of such syndrome.
Assuntos
Humanos , Traumatismos Craniocerebrais , Medicina LegalRESUMO
OBJECTIVE: The purpose of this article is to provide a summary of the development of the American Chiropractic Board of Sports Physicians (ACBSP) Position Statement on Concussion in Athletics regarding the management of concussion in sport and to offer suggestions to qualifying doctors of chiropractic (DCs) to make return-to-play decisions and clarify common concepts pertaining to evaluating and managing concussion in sport. METHODS: A literature review of position statements from sports medicine organizations was performed. The authors reviewed each statement for content. Key issues in the management of concussion in sport were identified with special consideration to concussion management by DCs. A position statement on the management of concussion in sport was drafted by the authors and submitted to the Board of Directors of the ACBSP for review. The Board of Directors called for minor revision; and after all revisions were made, the document was resubmitted. The Board of Directors of the ACBSP accepted the document for publication and presentation. The document was presented and disseminated to certificants by the ACBSP at the 2011 Chiropractic Sports Sciences Symposium. RESULTS: The 2012 ACBSP Position Statement on Concussion in Athletics was accepted by the ACBSP Board of Directors. CONCLUSION: The Position Statement on Concussion in Athletics has been accepted by the ACBSP. This document offers guidance on the management of concussion in sport and provides qualifying DCs information to make return-to-play decisions.