{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T11:33:20Z","timestamp":1771328000525,"version":"3.50.1"},"reference-count":29,"publisher":"American Academy of Pediatrics (AAP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,7,1]]},"abstract":"<jats:sec><jats:title>OBJECTIVES:<\/jats:title><jats:p>To evaluate parent-child agreement on postconcussion symptom severity within 48 hours of injury and examine the comparative predictive power of a clinical prediction rule when using parent or child symptom reporting.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS:<\/jats:title><jats:p>Both patients and parents quantified preinjury and current symptoms using the Postconcussion Symptom Inventory (PCSI) in the pediatric emergency department. Two-way mixed, absolute measure intraclass correlation coefficients were calculated to evaluate the agreement between patient and parent reports. A multiple logistic regression was run with 9 items to determine the predictive power of the Predicting and Preventing Postconcussive Problems in Pediatrics clinical prediction rule when using the child-reported PCSI. Delong\u2019s receiver operating characteristic curve analysis was used to compare the area under the curve (AUC) for the child-report models versus previously published parent-report models.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS:<\/jats:title><jats:p>Overall parent-child agreement for the total PCSI score was fair (intraclass correlation coefficient = 0.66). Parent-child agreement was greater for (1) postinjury (versus preinjury) ratings, (2) physical (versus emotional) symptoms, and (3) older (versus younger) children. Applying the clinical prediction rule by using the child-reported PCSI maintained similar predictive power to parent-reported PCSI (child AUC = 0.70 [95% confidence interval: 0.67\u20130.72]; parent AUC = 0.71 [95% confidence interval: 0.68\u20130.74]; P = .23).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS:<\/jats:title><jats:p>Overall parent-child agreement on postconcussion symptoms is fair but varies according to several factors. The findings for physical symptoms and the clinical prediction rule have high agreement; information in these domains are likely to be similar regardless of whether they are provided by either the parent or child. Younger children and emotional symptoms show poorer agreement; interviewing both the child and the parent would provide more comprehensive information in these instances.<\/jats:p><\/jats:sec>","DOI":"10.1542\/peds.2019-2317","type":"journal-article","created":{"date-parts":[[2020,6,4]],"date-time":"2020-06-04T12:25:16Z","timestamp":1591273516000},"source":"Crossref","is-referenced-by-count":15,"title":["Parent-Child Agreement on Postconcussion Symptoms in the Acute Postinjury Period"],"prefix":"10.1542","volume":"146","author":[{"given":"Isabelle","family":"Gagnon","sequence":"first","affiliation":[{"name":"School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada;"},{"name":"Department of Pediatrics, Montreal Children\u2019s Hospital, McGill University Health Center, Montreal, Quebec, Canada;"},{"name":"Contributed equally as co-first 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Canada; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maegan","family":"Sady","sequence":"additional","affiliation":[{"name":"Division of Pediatric Neuropsychology, Children\u2019s National Medical Center, Washington, District of Columbia;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Vaughan","sequence":"additional","affiliation":[{"name":"Division of Pediatric Neuropsychology, Children\u2019s National Medical Center, Washington, District of Columbia;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roger","family":"Zemek","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada; and"},{"name":"Division of Emergency Medicine, Department of Pediatrics, University of Ottawa, Ottawa, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"PEDIATRIC EMERGENCY RESEARCH CANADA (PERC) 5P 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