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. 2020 Sep;30(5):e154-e155.
doi: 10.1097/JSM.0000000000000732.

The Economic Burden of Pediatric Postconcussive Syndrome

Daniel J Corwin  1   2 , Christina L Master  2   3 , Matthew F Grady  3 , Mark R Zonfrillo  4
Affiliations

The Economic Burden of Pediatric Postconcussive Syndrome

Daniel J Corwin et al. Clin J Sport Med. 2020 Sep.

Abstract

Objective: To estimate the direct costs of pediatric postconcussive syndrome (PCS).

Design: Retrospective cohort study.

Setting: Subspecialty sports medicine clinics of a large pediatric tertiary care network in the United States.

Patients: One hundred fifty-four patients aged 5 to 18 years with PCS, evaluated between 2010 and 2011.

Assessment of independent variables: Direct costs included visits to sports medicine clinic, visio-vestibular therapy, homebound education, subspecialist referral, and prescription-only medications (amantadine and amitriptyline), all measured beginning at 28 days after injury.

Main outcome measures: Postconcussive syndrome was defined as persistence beyond 28 days from injury.

Results: The cost incurred by each PCS patient for sports medicine visits was $1575, for visio-vestibular therapy was $985, for homebound tutoring was $55, for prescription medications was $22, and for subspecialist referral was $120, totaling $3557 per patient, with a 95% confidence interval range of $2886 to $4257.

Conclusions: Given the high economic costs of PCS determined in this study, therapies that mitigate this syndrome may have the potential to be cost-effective and even cost saving.

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References

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    1. DiFazio M, Silverberg ND, Kirkwood MW, et al. Prolonged activity restriction after concussion: are we worsening outcomes? Clin Pediatr (Phila). 2016;55:443–451.
    1. Ellis MJ, Ritchie LJ, Koltek M, et al. Psychiatric outcomes after pediatric sports-related concussion. J Neurosurg Pediatr. 2015;16:709–718.
    1. Corwin DJ, Zonfrillo MR, Master CL, et al. Characteristics of prolonged concussion recovery in a pediatric subspecialty referral population. J Pediatr. 2014;165:1207–1215.

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