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. 2019 Apr 25;14(4):e0215900.
doi: 10.1371/journal.pone.0215900. eCollection 2019.

Academic Outcomes Following Adolescent Sport-Related Concussion or Fracture Injury: A Prospective Cohort Study

Free PMC article

Academic Outcomes Following Adolescent Sport-Related Concussion or Fracture Injury: A Prospective Cohort Study

Kelly Russell et al. PLoS One. .
Free PMC article


Objectives: The objectives were 1) to compare the effects of adolescent sport-related concussion (SRC) and sport-related extremity fracture (SRF) on academic outcomes including change in school grades and school attendance; and 2) to determine which specific academic accommodations were most helpful during recovery from these injuries.

Methods: A prospective cohort study was conducted to compare changes in school grades, school attendance and academic accommodations among students (grades 8-12) with an SRC or SRF. School grades were extracted from student immediate pre- and post-injury report cards. Students completed attendance log books and an exit interview to determine which accommodations were helpful and how accommodating they perceived their school to be during their recovery.

Results: Overall, 124 students (92 with SRC and 32 with SRF) submitted both pre- and post-injury report cards. Students who sustained an SRC or SRF experienced similar decreases in grades post-injury (SRC: -1.0%; 95% CI: -2.1, 0.1 and SRF: -0.9%: 95% CI: -2.1, 0.3). Students with an SRC missed significantly more days of school compared to those with an SRF (median of 4 days [IQR: 1, 7] versus 1 day [IQR: 0, 4], p<0.0001). In total, 60/113 (53.1%) SRC students reported their school to be very accommodating while only 31/77 (40.3%) SRF students reported their school to be very accommodating (p = 0.082).

Conclusions: Students who sustain an SRC miss significantly more days of school but demonstrate similar changes in school grades post-injury compared to those with an SRF. Future studies are needed to identify the pre- and post-injury factors associated with poor academic functioning following concussion and identify measures that can be taken to help optimize academic outcomes in these patients.

Conflict of interest statement

The authors have declared that no competing interests exist.

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Grant support

Dr Russell received an Establishment Grant from The Manitoba Health Research Council (now Research Manitoba) and this funding was used to support this study; however, the funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.