5P risk classification predicts performance on self-reported but not objective clinical outcomes at 4 weeks postconcussion in children

Teel, E., Brossard-Racine, M., Corbin-Berrigan, L. A. et Gagnon, I. (2025). 5P risk classification predicts performance on self-reported but not objective clinical outcomes at 4 weeks postconcussion in children. Archives of Physical Medicine and Rehabilitation, 106 (7). pp. 1073-1080. ISSN 0003-9993 DOI 10.1016/j.apmr.2025.02.008

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Résumé

Abstract

Objective:

To determine if performance on symptom, cognitive, balance, fatigue, physical activity, and quality of life outcomes at 4 weeks postinjury in children with concussion differs based on acute Predicting and Preventing Postconcussive Problems in Pediatrics (5P) risk classification.

Design:

Prospective cohort.

Setting:

Laboratory.

Participants:

Sixty-two children (age: 13.27±2.50y; 29 [46.7%] women) with diagnosed concussion.

Interventions:

Not applicable.

Main Outcome Measures:

Patient demographics and postinjury assessments were completed within 72 hours of concussion and used to classify patients as “high,” “moderate,” or “low” persistent postconcussion symptoms risk. Children then completed a multimodal assessment battery at 4 weeks postconcussion. Kruskal–Wallis assessments analyzed whether study outcomes differed between 5P risk groups.

Results:

Significant group differences were observed in symptom (χ2(2)=9.76, P=.008), fatigue (χ2(2)=14.60, P<.001), physical activity (χ2(2)=15.76, P<.001), and quality of life (χ2(2)=7.82, P=.02) outcomes. The low-risk group had fewer symptoms and less fatigue but increased physical activity levels and quality of life compared with the high-risk group. No significant differences in cognitive or balance outcomes were observed (P>.05).

Conclusions:

The 5P rule provides clinicians with valuable prognostic information related to persistent postconcussion symptoms and self-reported outcomes 4 weeks postconcussion, but not objective cognitive or balance outcomes. This information may help clinicians prioritize treatment resources to children most at risk of prolonged concussion recovery. © 2025 The Authors

Type de document:	Article
Mots-clés libres:	Adolescents Brain injury (traumatic) Children Fatigue Prognosis Rehabilitation
Date de dépôt:	20 juill. 2026 13:34
Dernière modification:	20 juill. 2026 13:34
Version du document déposé:	Version officielle de l'éditeur
URI:	https://depot-e.uqtr.ca/id/eprint/13064

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