Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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Frequency of Post-Concussion Syndrome in Korean Patients with Minor Head Injury

  • Lee, Ji Young (Department of Emergency Medicine, Korea University, Guro Hospital) ;
  • Yoon, Young Hoon (Department of Emergency Medicine, Korea University, Guro Hospital) ;
  • Lewis, Roger J. (Department of Emergency Medicine, Harbor-UCLA Medical Center) ;
  • Tolles, Juliana (Department of Emergency Medicine, Harbor-UCLA Medical Center)
  • Received : 2017.05.15
  • Accepted : 2017.05.15
  • Published : 2017.06.30
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Abstract

Purpose: To determine the incidence of post-concussion syndrome (PCS) in Korean patients after minor traumatic brain injury. Methods: We conducted an observational cohort study of a convenience sample of patients presenting to the emergency department of a major academic Korean hospital. Patients who visited the Emergency Department for head trauma were screened. A researcher questioned the subject regarding his or her symptoms. Subjects were contacted by phone approximately 2 weeks after their Emergency Department visit and questioned about subsequent symptoms and subsequent visits for medical care. Results: Only 8% of subjects reported any post-concussion symptoms. Only 0.4% had three or more symptoms which might have met criteria for PCS. The median peak onset of symptoms was 3 days after injury. Conclusion: The incidence of PCS is Korean patients is much lower than that documented for patients in the United States or other western countries. On the other hand, this study results could give an idea that mild trauma could also cause the PCS. Further study is needed to replicate this finding and investigate possible explanations for this difference.

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