The Role of Cerebral Oximetry in Pediatric Concussion Assessment

INCLUSION CRITERIA:

All Participants

- Age 10-18 years at time of visit

Concussion Group

- Present to JHH PED within the first 24 hours following trauma.

- Diagnosis of concussion as defined by the 3rd International Conference on Concussion
in Sport (McCrory), including the presence of any one or more of the following:

1. Symptoms (ie. headache, neck pain, nausea/vomiting, dizziness, blurred vision,
balance problems, sensitive to light, sensitivity to noise, feeling slowed down,
feeling in a fog, difficulty concentrating, difficulty remembering, fatigue,
confusion, drowsiness, more emotional, irritability, sadness, nervous)

2. Physical Signs (ie. loss of consciousness, unsteadiness)

3. Impaired brain function (ie. confusion)

- Glasgow Coma Score of 13-15 upon arrival to JHH PED.

- Loss of consciousness of less than 15 minutes (if applicable).

- No structural intracranial injuries identified on neuroimaging (if completed).

EXCLUSION CRITERIA

All Participants

- History of prior concussion or traumatic brain injury within preceding 6 weeks.

- History of prior intracranial disease or mass (ie. tumor, intraventricular
hemorrhage, etc.)

- Presence of intracranial hardware.

- Complaints of respiratory distress, tachypnea or hypoxia, which may affect regional
cerebral oxygen saturation.

- Inability to stand secondary to lower extremity disease or trauma, which is required
for completion of SCAT2.

- Inability to complete SCAT2 questionnaire secondary to developmental delay.

- Child in foster care or legal guardian not available.

- Participant known to be pregnant, which alters total body blood flow and likely
affects regional cerebral oxygen saturation.

- Non-English speaking.