Concussion, Brain
Conditions
Keywords
screen time
Brief summary
This study will prospectively examine the effect of screen time on recovery from concussion. Patients 12 to 25 years of age presenting to the ED with a concussion will be randomized to allow for screen time as tolerated or to abstain from screen time for the first 48 hours of recovery. The amount of screen time use and duration of concussive symptoms will be assessed through daily surveys and a daily post-concussive symptom score (PCSS).
Interventions
BEHAVIORALScreen time permitted
Cohort will not be directed to abstain from screen time
BEHAVIORALScreen Time Abstain
Cohort will be directed to abstain from screen time
Sponsors
Theodore Macnow
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
12 Years to 25 Years
Healthy volunteers
No
Inclusion criteria
* Individuals presenting to the emergency department with a traumatic head injury sustained in the last 24 hours and diagnosed concussion as defined by Acute Concussion Evaluation tool (ACE-ED) * Between 12 and 25.99 years of age * English-speaking * Subject (and parent/guardian when applicable) is able and willing to provide informed consent and assent * pregnant women,
Exclusion criteria
* individuals who have a Glasgow Coma Scale score of 13 or less; * have brain abnormalities on imaging; * have severe preexisting neurological conditions; * a concussion diagnosed within the last 2 weeks; * have significant developmental delay; * are intoxicated; * require neurosurgical intervention, intubation, or hospital admission * individuals who do not meet the age criteria; * non-English speaking; * prisoners; * unable or unwilling to provide informed consent; * Are under the age of 18 and do not have a parent/guardian with them who is willing and able to consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Duration of concussive symptoms | From date of randomization until PCSS of less than 7 is achieved or up to 10 days, whichever comes first. | The average number of days from initial concussion diagnosis until participant has a Post Concussive Symptom Scale Score (PCSS) of less than 7 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of specific symptoms each day (Day 4-10) | Day 4 to day 10 | The average total number of symptoms as reported on the Post Concussive Symptom Scale (PCSS) by participant. |
| Severity of specific symptoms (Day 1-3) | Day 1 to day 3 | The average severity of symptoms as reported on the Post Concussive Symptom Scale (PCSS) by participant. |
| Number of specific symptoms (Day 1-3) | Day 1 to day 3 | The average total number of symptoms as reported on the Post Concussive Symptom Scale (PCSS) by participant. |
| Amount of screen time use | Randomization to 48 hours. | Average minutes of screen time (video games, television, computer, smartphone) as self-reported by participant on questionnaire. |
| Days until return to school/work and sports | From date of randomization to return to school/work and sports, up to day 10. | The average number of days until the participant is able to return to routine activities such as school/work and sports as self-reported on questionnaire. |
| Severity of specific symptoms (Day 4-10) | Day 4 to day 10 | The average severity of symptoms as reported daily by participant on the Post Concussive Symptom Scale (PCSS) by participant. |
Countries
United States
Outcome results
None listed