TY - JOUR
T1 - Effect of Sleep Duration and Concussion History on Neurocognitive Testing Symptoms for Post-injury States
AU - Ezzat, Bahie
AU - Hrabarchuk, Eugene
AU - Lemonick, Michael
AU - Rentzeperis, Frederika
AU - Kalagara, Roshini
AU - Ali, Muhammad
AU - Carr, Matthew T.
AU - Schupper, Alexander J.
AU - Qureshi, Hanya M.
AU - Ratna, Sujay
AU - Brown, Cole
AU - Dara, Gabriel
AU - Gometz, Alex
AU - Lovell, Mark
AU - Choudhri, Tanvir F.
N1 - Publisher Copyright:
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2024
Y1 - 2024
N2 - Objective:Evaluate the influence of sleep duration and concussion history on postconcussion symptoms in adolescent athletes.Design:Observational retrospective study using the Immediate Post-Concussion Assessment and Cognitive Testing and Post-Concussion Symptom Scale (PCSS). Multivariable linear regression assessed sleep hours against 22 PCSS symptoms, controlling for demographic and health variables.Setting:Urban concussion centers in Colorado and Florida, 2009 to 2019.Participants:11 564 student-athletes aged 12 to 22, categorized by concussion history.Interventions:Analysis of sleep duration and concussion history in relation to neurocognitive and psychiatric symptom severity.Main Outcome Measures:Primary outcomes included neurocognitive, psychiatric, and total symptom scores. Secondary outcomes were specific PCSS symptoms.Results:Among 5349 student-athletes, 2671 (49.9%) had no prior concussions and 2678 (50.1%) had 1 or more. For those without prior concussions, sleep was negatively associated with age (β = -0.18, 95% confidence interval [CI], -0.22 to -0.13, P < 0.0001), vomiting (β = -0.22, 95% CI, -0.38 to -0.05, P = 0.012), and difficulty concentrating (β = -0.11, 95% CI, -0.19 to -0.35, P = 0.005). In athletes with a history of concussion, less sleep correlated with decreased age (β = -0.11, 95% CI, -0.14 to -0.07, P < 0.0001), headache (β = -0.065, 95% CI, -0.12 to -0.01, P = 0.031), irritability (β = -0.08, 95% CI, -0.15 to -0.01, P = 0.021), and difficulty concentrating (β = -0.08, 95% CI, -0.15 to -0.01, P = 0.031) but increased sensitivity to light (β = 0.10, 95% CI, 0.001-0.137, P = 0.048), numbness/tingling (β = 0.15, 95% CI, 0.04-0.26, P = 0.008), and feeling slowed down (β = 0.13, 95% CI, 0.05-0.21, P = 0.001).Conclusion:Sleep duration and concussion history are associated with variations in postconcussion symptom severity among adolescent athletes. This data underscore the need for individualized management strategies based on sleep patterns and concussion history.
AB - Objective:Evaluate the influence of sleep duration and concussion history on postconcussion symptoms in adolescent athletes.Design:Observational retrospective study using the Immediate Post-Concussion Assessment and Cognitive Testing and Post-Concussion Symptom Scale (PCSS). Multivariable linear regression assessed sleep hours against 22 PCSS symptoms, controlling for demographic and health variables.Setting:Urban concussion centers in Colorado and Florida, 2009 to 2019.Participants:11 564 student-athletes aged 12 to 22, categorized by concussion history.Interventions:Analysis of sleep duration and concussion history in relation to neurocognitive and psychiatric symptom severity.Main Outcome Measures:Primary outcomes included neurocognitive, psychiatric, and total symptom scores. Secondary outcomes were specific PCSS symptoms.Results:Among 5349 student-athletes, 2671 (49.9%) had no prior concussions and 2678 (50.1%) had 1 or more. For those without prior concussions, sleep was negatively associated with age (β = -0.18, 95% confidence interval [CI], -0.22 to -0.13, P < 0.0001), vomiting (β = -0.22, 95% CI, -0.38 to -0.05, P = 0.012), and difficulty concentrating (β = -0.11, 95% CI, -0.19 to -0.35, P = 0.005). In athletes with a history of concussion, less sleep correlated with decreased age (β = -0.11, 95% CI, -0.14 to -0.07, P < 0.0001), headache (β = -0.065, 95% CI, -0.12 to -0.01, P = 0.031), irritability (β = -0.08, 95% CI, -0.15 to -0.01, P = 0.021), and difficulty concentrating (β = -0.08, 95% CI, -0.15 to -0.01, P = 0.031) but increased sensitivity to light (β = 0.10, 95% CI, 0.001-0.137, P = 0.048), numbness/tingling (β = 0.15, 95% CI, 0.04-0.26, P = 0.008), and feeling slowed down (β = 0.13, 95% CI, 0.05-0.21, P = 0.001).Conclusion:Sleep duration and concussion history are associated with variations in postconcussion symptom severity among adolescent athletes. This data underscore the need for individualized management strategies based on sleep patterns and concussion history.
KW - adolescent athletes
KW - concussion
KW - impact testing
KW - post-concussion recovery
KW - sleep duration
UR - http://www.scopus.com/inward/record.url?scp=85212677570&partnerID=8YFLogxK
U2 - 10.1097/JSM.0000000000001323
DO - 10.1097/JSM.0000000000001323
M3 - Article
C2 - 39665644
AN - SCOPUS:85212677570
SN - 1050-642X
JO - Clinical Journal of Sport Medicine
JF - Clinical Journal of Sport Medicine
M1 - 10.1097/JSM.0000000000001323
ER -