Screening for Orthostatic Intolerance in Symptomatic Children Presenting for Concussion Care

Christina Kokorelis; Beth Slomine; Peter C. Rowe; Stacy Suskauer

doi:10.1177/0009922819885656

Screening for Orthostatic Intolerance in Symptomatic Children Presenting for Concussion Care

Christina Kokorelis, Beth Slomine, Peter C. Rowe, Stacy Suskauer

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Following concussion, children often experience nonspecific symptoms that overlap with those of other common pediatric conditions, including orthostatic intolerance (OI). The primary goal of this study was to evaluate OI in youth presenting for clinical care for concussion and reporting symptoms frequently observed in OI. Eighty-two of 114 patients aged 10 to 22 years endorsed symptoms based on 8 screening questions, and 24 of those 82 patients met criteria for OI based on an active standing test. No screening question generated clinically useful likelihood ratios for predicting OI. The prevalence of OI in this cohort is considerably higher than estimates in the general pediatric population, suggesting a link between concussion and OI. Future work is needed to evaluate the best method of testing for OI, the natural history of OI symptoms in youth with concussion, and the response to intervention in children with both concussion and OI.

Original language	English (US)
Pages (from-to)	75-82
Number of pages	8
Journal	Clinical pediatrics
Volume	59
Issue number	1
DOIs	https://doi.org/10.1177/0009922819885656
State	Published - Jan 1 2020

Keywords

POTS
adolescents
concussion
orthostatic intolerance

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health

Access to Document

10.1177/0009922819885656

Cite this

@article{18d1d28183ce428d91855a25fb0fe8c1,

title = "Screening for Orthostatic Intolerance in Symptomatic Children Presenting for Concussion Care",

abstract = "Following concussion, children often experience nonspecific symptoms that overlap with those of other common pediatric conditions, including orthostatic intolerance (OI). The primary goal of this study was to evaluate OI in youth presenting for clinical care for concussion and reporting symptoms frequently observed in OI. Eighty-two of 114 patients aged 10 to 22 years endorsed symptoms based on 8 screening questions, and 24 of those 82 patients met criteria for OI based on an active standing test. No screening question generated clinically useful likelihood ratios for predicting OI. The prevalence of OI in this cohort is considerably higher than estimates in the general pediatric population, suggesting a link between concussion and OI. Future work is needed to evaluate the best method of testing for OI, the natural history of OI symptoms in youth with concussion, and the response to intervention in children with both concussion and OI.",

keywords = "POTS, adolescents, concussion, orthostatic intolerance",

author = "Christina Kokorelis and Beth Slomine and Rowe, {Peter C.} and Stacy Suskauer",

year = "2020",

month = jan,

day = "1",

doi = "10.1177/0009922819885656",

language = "English (US)",

volume = "59",

pages = "75--82",

journal = "Clinical pediatrics",

issn = "0009-9228",

publisher = "SAGE Publications Inc.",

number = "1",

}

TY - JOUR

T1 - Screening for Orthostatic Intolerance in Symptomatic Children Presenting for Concussion Care

AU - Kokorelis, Christina

AU - Slomine, Beth

AU - Rowe, Peter C.

AU - Suskauer, Stacy

PY - 2020/1/1

Y1 - 2020/1/1

N2 - Following concussion, children often experience nonspecific symptoms that overlap with those of other common pediatric conditions, including orthostatic intolerance (OI). The primary goal of this study was to evaluate OI in youth presenting for clinical care for concussion and reporting symptoms frequently observed in OI. Eighty-two of 114 patients aged 10 to 22 years endorsed symptoms based on 8 screening questions, and 24 of those 82 patients met criteria for OI based on an active standing test. No screening question generated clinically useful likelihood ratios for predicting OI. The prevalence of OI in this cohort is considerably higher than estimates in the general pediatric population, suggesting a link between concussion and OI. Future work is needed to evaluate the best method of testing for OI, the natural history of OI symptoms in youth with concussion, and the response to intervention in children with both concussion and OI.

AB - Following concussion, children often experience nonspecific symptoms that overlap with those of other common pediatric conditions, including orthostatic intolerance (OI). The primary goal of this study was to evaluate OI in youth presenting for clinical care for concussion and reporting symptoms frequently observed in OI. Eighty-two of 114 patients aged 10 to 22 years endorsed symptoms based on 8 screening questions, and 24 of those 82 patients met criteria for OI based on an active standing test. No screening question generated clinically useful likelihood ratios for predicting OI. The prevalence of OI in this cohort is considerably higher than estimates in the general pediatric population, suggesting a link between concussion and OI. Future work is needed to evaluate the best method of testing for OI, the natural history of OI symptoms in youth with concussion, and the response to intervention in children with both concussion and OI.

KW - POTS

KW - adolescents

KW - concussion

KW - orthostatic intolerance

UR - http://www.scopus.com/inward/record.url?scp=85074694004&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85074694004&partnerID=8YFLogxK

U2 - 10.1177/0009922819885656

DO - 10.1177/0009922819885656

M3 - Article

C2 - 31672071

AN - SCOPUS:85074694004

SN - 0009-9228

VL - 59

SP - 75

EP - 82

JO - Clinical pediatrics

JF - Clinical pediatrics

IS - 1

ER -

Screening for Orthostatic Intolerance in Symptomatic Children Presenting for Concussion Care

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this