UMEM Educational Pearls

Category: Orthopedics

Title: Concussion & Screen Time

Keywords: Concussion, head injury, recovery, cognitive rest (PubMed Search)

Posted: 8/27/2022 by Brian Corwell, MD
Click here to contact Brian Corwell, MD

Limited data are available to guide recommendations re screen time after concussion.

A recent ED study looked at screen time effects on concussion recovery.

Population:  125 patients aged 12 to 25 years presenting to the ED <24h after injury. Mean age 17. Approximately 51% male.

Intervention:  Patients were placed in a screen time allowed group and a screen time not allowed group for the first 48 hours. Total minutes reported after the study were 630 minutes vs 130 minutes.

Outcome:  Time to symptom resolution. Patients took daily symptom scoring tests for 10 days.

Result: Screen time allowed group had a significantly longer time to recovery (8 days) vs screen time not allowed (3.5 days).

Strength: Good attempt at quantifying effects on early screen time exposure on symptom recovery in an ED population.

Weakness:  This was a small study. Many patients (>25%) were lost to follow-up and it relies on symptom self-reporting.

 

References

Macnow T, et al. Effect of Screen Time on Recovery From Concussion: A Randomized Clinical Trial. JAMA Pediatr. Nov 2021.