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Retrospective chart review was completed for 88 children aged 6 to 18 years who were evaluated within 30 days postinjury. Hierarchical multiple regression was used to assess the association of physical, cognitive, emotional, and sleep symptoms with extent of school attendance. A subgroup multiple regression analysis was conducted to evaluate whether age affected the relationship of symptoms to school attendance. After controlling for demographic variables and total number of symptoms, a higher number of postconcussive sleep symptoms strongly predicted less school attendance. Specifically, older children (\u226514 years old) with more sleep symptoms demonstrated less school attendance. For children presenting for specialty care after concussion, sleep symptoms are unfavorably associated with return to school. Future work aimed at optimizing sleep regulation following concussion may assist with early reengagement in school as recommended by current concussion management guidelines.<\/jats:p>","DOI":"10.1177\/0009922820913960","type":"journal-article","created":{"date-parts":[[2020,4,16]],"date-time":"2020-04-16T10:11:16Z","timestamp":1587031876000},"page":"580-587","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Sleep Symptoms Predict School Attendance After Pediatric Concussion"],"prefix":"10.1177","volume":"59","author":[{"given":"Ghazala T.","family":"Saleem","sequence":"first","affiliation":[{"name":"Kennedy Krieger Institute, Baltimore, MD, USA"},{"name":"Johns Hopkins University, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth S.","family":"Slomine","sequence":"additional","affiliation":[{"name":"Kennedy Krieger Institute, Baltimore, MD, USA"},{"name":"Johns Hopkins University, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5009-5584","authenticated-orcid":false,"given":"Stacy J.","family":"Suskauer","sequence":"additional","affiliation":[{"name":"Kennedy Krieger Institute, Baltimore, MD, USA"},{"name":"Johns Hopkins University, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,4,16]]},"reference":[{"key":"bibr1-0009922820913960","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-4635"},{"key":"bibr2-0009922820913960","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2018.2853"},{"key":"bibr3-0009922820913960","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7250.1631"},{"key":"bibr4-0009922820913960","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2011.08.008"},{"key":"bibr5-0009922820913960","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-3434"},{"key":"bibr6-0009922820913960","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-2867"},{"key":"bibr7-0009922820913960","doi-asserted-by":"publisher","DOI":"10.1097\/00001199-199908000-00003"},{"key":"bibr8-0009922820913960","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-097699"},{"key":"bibr9-0009922820913960","volume-title":"Sports-Related Concussions in Youth: Improving the Science, Changing the Culture","author":"Committee on Sports-Related Concussions in Youth; Board on Children, Youth, and Families; Institute of Medicine; National Research Council","year":"2014"},{"key":"bibr10-0009922820913960","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2016.12.005"},{"key":"bibr11-0009922820913960","unstructured":"Gioia G, Collins M. 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