Patient Reported Outcomes Measurement Information System (PROMIS) As a Measure of Emotional Functioning in Pediatric Concussions

S. Seetharama, No Disclosures: I Have Nothing To Disclose. The clinical utility of a psychological measure used to address emotional functioning in adolescent and preadolescent athletes who have sustained a concussion. An observational study, longitudinal quantitative and qualitative observations of emotional functioning. Outpatient concussion clinic. 37 subjects, with a mean age of 15 (range 10-18) years. The sample consisted of 23 males and 14 females, 7 non-sports related concussions and 30 sports related concussions. Participants were evaluated acutely within a median time frame of 9 days post injury (range 1-50 days). For those injured in sports, return to play occurred within a median of 31 days (range 5-71). Patient reported Outcomes Measurement Information System (PROMIS). Consists of six psychological domains: Anxiety, Anger, Depression, Fatigue, Pain, and Peer relationship. Acute concussions were associated with heightened levels of psychological distress in most PROMIS domains. Lower levels of psychological distress were reported at the time of return to play. At initial evaluation anxiety mean score for the sample was 7 (0-25) as compared to 0.6 (0-6) at time of return to play. The initial anger mean score was 5.2 (2-11) as compared to 0.86 (0-6) at return to play. Initial depression mean score was 3.7 (0-19) as compared to 0.32 (0-11) at return to play. At initial evaluation, fatigue mean score was 12.5 (2-30) as compared to 1.83 (0-14) at return to play. Pain, at initial evaluation, had a mean score of 10.5 (2-24) as compared to 1.08 (0-9) at return to play. Peer relationship mean score at initial evaluation was 28.4 (13-32) as compared to 32 (21-32) at return to play. The PROMIS pediatric self reported assessment provides a useful tool to measure and track the psychological effects of concussion in adolescents and preadolescents. This self reported measure is used to inform clinicians about treatment, return to school and play issues.