{"id":"https://openalex.org/W2997592504","doi":"https://doi.org/10.1002/pmrj.12309","title":"Sleep Disturbances in the Acute Stage of Concussion are Associated With Poorer Long\u2010Term Recovery: A Systematic Review","display_name":"Sleep Disturbances in the Acute Stage of Concussion are Associated With Poorer Long\u2010Term Recovery: A Systematic Review","publication_year":2019,"publication_date":"2019-12-26","ids":{"openalex":"https://openalex.org/W2997592504","doi":"https://doi.org/10.1002/pmrj.12309","mag":"2997592504","pmid":"https://pubmed.ncbi.nlm.nih.gov/31876086"},"language":"en","primary_location":{"id":"doi:10.1002/pmrj.12309","doi":"https://doi.org/10.1002/pmrj.12309","is_oa":false,"landing_page_url":"https://doi.org/10.1002/pmrj.12309","pdf_url":null,"source":{"id":"https://openalex.org/S46247591","display_name":"PM&R","issn_l":"1934-1482","issn":["1934-1482","1934-1563"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"PM&R","raw_type":"journal-article"},"volume":null,"type":"review","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5072380277","display_name":"Rebecca L Ludwig","orcid":"https://orcid.org/0000-0002-0029-6361","observed_orcids":["https://orcid.org/0000-0002-0029-6361"]},"institutions":[{"id":"https://openalex.org/I4210128618","display_name":"University of Kansas Medical Center","ror":"https://ror.org/036c9yv20","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210128618"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rebecca Ludwig","raw_affiliation_strings":["Department of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, Kansas City, KS"],"raw_orcid":"https://orcid.org/0000-0002-0029-6361","affiliations":[{"raw_affiliation_string":"Department of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, Kansas City, KS","institution_ids":["https://openalex.org/I4210128618"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031907771","display_name":"Linda J. D\u2019Silva","orcid":"https://orcid.org/0000-0002-3827-0730","observed_orcids":["https://orcid.org/0000-0002-3827-0730"]},"institutions":[{"id":"https://openalex.org/I4210128618","display_name":"University of Kansas Medical Center","ror":"https://ror.org/036c9yv20","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210128618"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Linda D'Silva","raw_affiliation_strings":["Department of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, Kansas City, KS"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, Kansas City, KS","institution_ids":["https://openalex.org/I4210128618"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052913296","display_name":"Prasanna Vaduvathiriyan","orcid":"https://orcid.org/0000-0002-1680-0518","observed_orcids":["https://orcid.org/0000-0002-1680-0518"]},"institutions":[{"id":"https://openalex.org/I4210128618","display_name":"University of Kansas Medical Center","ror":"https://ror.org/036c9yv20","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210128618"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Prasanna Vaduvathiriyan","raw_affiliation_strings":["A.R. Dykes Library, University of Kansas Medical Center, Kansas City, KS"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"A.R. Dykes Library, University of Kansas Medical Center, Kansas City, KS","institution_ids":["https://openalex.org/I4210128618"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020993580","display_name":"Michael A. Rippee","orcid":"https://orcid.org/0000-0001-8000-7015","observed_orcids":["https://orcid.org/0000-0001-8000-7015"]},"institutions":[{"id":"https://openalex.org/I4210128618","display_name":"University of Kansas Medical Center","ror":"https://ror.org/036c9yv20","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210128618"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael A. Rippee","raw_affiliation_strings":["Department of Neurology, University of Kansas Medical Center, Kansas City, KS"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, University of Kansas Medical Center, Kansas City, KS","institution_ids":["https://openalex.org/I4210128618"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5057873633","display_name":"Catherine F Siengsukon","orcid":"https://orcid.org/0000-0002-7706-6804","observed_orcids":["https://orcid.org/0000-0002-7706-6804"]},"institutions":[{"id":"https://openalex.org/I4210128618","display_name":"University of Kansas Medical Center","ror":"https://ror.org/036c9yv20","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210128618"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Catherine Siengsukon","raw_affiliation_strings":["Department of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, Kansas City, KS"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, Kansas City, KS","institution_ids":["https://openalex.org/I4210128618"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5057873633"],"corresponding_institution_ids":["https://openalex.org/I4210128618"],"apc_list":{"value":3000,"currency":"USD","value_usd":3000},"apc_paid":null,"fwci":0.3645,"has_fulltext":false,"cited_by_count":43,"citation_normalized_percentile":{"value":0.39722166,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":99},"biblio":{"volume":"12","issue":"5","first_page":"500","last_page":"511"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10416","display_name":"Traumatic Brain Injury Research","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10416","display_name":"Traumatic Brain Injury Research","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10316","display_name":"Sleep and related disorders","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10706","display_name":"Traumatic Brain Injury and Neurovascular Disturbances","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/concussion","display_name":"concussion","score":0.9890000224113464},{"id":"https://openalex.org/keywords/sleep-disturbance","display_name":"sleep disorders","score":0.9670000076293945},{"id":"https://openalex.org/keywords/sleep-quality","display_name":"sleep quality","score":0.7480000257492065},{"id":"https://openalex.org/keywords/long-term-recovery","display_name":"long-term recovery","score":0.8619999885559082},{"id":"https://openalex.org/keywords/acute-concussion","display_name":"acute concussion","score":0.7360000014305115},{"id":"https://openalex.org/keywords/sleep-assessment","display_name":"sleep assessment","score":0.6930000185966492},{"id":"https://openalex.org/keywords/children","display_name":"children","score":0.42100000381469727},{"id":"https://openalex.org/keywords/post-concussion-symptoms","display_name":"post-concussion symptoms","score":0.5289999842643738}],"concepts":[{"id":"https://openalex.org/C2778426673","wikidata":"https://www.wikidata.org/wiki/Q326921","display_name":"Concussion","level":4,"score":0.7372747659683228},{"id":"https://openalex.org/C2781145037","wikidata":"https://www.wikidata.org/wiki/Q5011772","display_name":"CINAHL","level":3,"score":0.6966310739517212},{"id":"https://openalex.org/C2777466982","wikidata":"https://www.wikidata.org/wiki/Q5227287","display_name":"Data extraction","level":3,"score":0.6732965707778931},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6071767210960388},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.5488376021385193},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4733569622039795},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.3382211923599243},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.2602745294570923},{"id":"https://openalex.org/C190385971","wikidata":"https://www.wikidata.org/wiki/Q373494","display_name":"Injury prevention","level":3,"score":0.26006656885147095},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.22319895029067993},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.19625890254974365},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.12382054328918457},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001924","descriptor_name":"Brain Concussion","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012893","descriptor_name":"Sleep Wake Disorders","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1002/pmrj.12309","doi":"https://doi.org/10.1002/pmrj.12309","is_oa":false,"landing_page_url":"https://doi.org/10.1002/pmrj.12309","pdf_url":null,"source":{"id":"https://openalex.org/S46247591","display_name":"PM&R","issn_l":"1934-1482","issn":["1934-1482","1934-1563"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"PM&R","raw_type":"journal-article"},{"id":"pmid:31876086","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31876086","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"PM & R : the journal of injury, function, and rehabilitation","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"score":0.5899999737739563,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"}],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"}],"awards":[{"id":"https://openalex.org/G1799932054","display_name":"Kansas University Training Program in Neurological and Rehabilitation Sciences","funder_award_id":"T32HD057850","funder_id":"https://openalex.org/F4320337611","funder_display_name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development"},{"id":"https://openalex.org/G3446382160","display_name":"Kansas Intellectual and Developmental Disabilities Research Center","funder_award_id":"U54HD090216","funder_id":"https://openalex.org/F4320337611","funder_display_name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development"},{"id":"https://openalex.org/G5520574995","display_name":"Acute exercise and the cerebral metabolic response in aging and Alzheimer's Disease","funder_award_id":"R01AG062548","funder_id":"https://openalex.org/F4320337337","funder_display_name":"National Institute on Aging"}],"funders":[{"id":"https://openalex.org/F4320337337","display_name":"National Institute on Aging","ror":"https://ror.org/049v75w11"},{"id":"https://openalex.org/F4320337611","display_name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","ror":"https://ror.org/04byxyr05"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":74,"referenced_works":["https://openalex.org/W1481387574","https://openalex.org/W1485940075","https://openalex.org/W1707893729","https://openalex.org/W1849721597","https://openalex.org/W1852185365","https://openalex.org/W1966398643","https://openalex.org/W1967164782","https://openalex.org/W1969009328","https://openalex.org/W1970735673","https://openalex.org/W1976012674","https://openalex.org/W1978820940","https://openalex.org/W1990514899","https://openalex.org/W1990545071","https://openalex.org/W1997819451","https://openalex.org/W2001603929","https://openalex.org/W2008448683","https://openalex.org/W2009601785","https://openalex.org/W2013217719","https://openalex.org/W2015783057","https://openalex.org/W2018891183","https://openalex.org/W2023554203","https://openalex.org/W2037283540","https://openalex.org/W2042028457","https://openalex.org/W2044540853","https://openalex.org/W2044589295","https://openalex.org/W2046296512","https://openalex.org/W2067287674","https://openalex.org/W2068260202","https://openalex.org/W2076713270","https://openalex.org/W2076925035","https://openalex.org/W2082850379","https://openalex.org/W2090020945","https://openalex.org/W2094057355","https://openalex.org/W2100047352","https://openalex.org/W2105540437","https://openalex.org/W2111279030","https://openalex.org/W2122814783","https://openalex.org/W2130447834","https://openalex.org/W2131910848","https://openalex.org/W2132215355","https://openalex.org/W2134330937","https://openalex.org/W2145062984","https://openalex.org/W2145099405","https://openalex.org/W2150079860","https://openalex.org/W2150888222","https://openalex.org/W2151487996","https://openalex.org/W2153042227","https://openalex.org/W2157263045","https://openalex.org/W2190599599","https://openalex.org/W2192686839","https://openalex.org/W2200852743","https://openalex.org/W2289157755","https://openalex.org/W2306237590","https://openalex.org/W2336786475","https://openalex.org/W2341705847","https://openalex.org/W2397880922","https://openalex.org/W2467275648","https://openalex.org/W2484962704","https://openalex.org/W2513771625","https://openalex.org/W2532218750","https://openalex.org/W2536171077","https://openalex.org/W2540485887","https://openalex.org/W2594611510","https://openalex.org/W2614313076","https://openalex.org/W2614961738","https://openalex.org/W2762430769","https://openalex.org/W2765273370","https://openalex.org/W2770531616","https://openalex.org/W2786956372","https://openalex.org/W2805805612","https://openalex.org/W2808432095","https://openalex.org/W2911657645","https://openalex.org/W3006359658","https://openalex.org/W3094721569"],"related_works":["https://openalex.org/W2976464234","https://openalex.org/W3175017864","https://openalex.org/W2765565225","https://openalex.org/W2536171077","https://openalex.org/W4286383158","https://openalex.org/W7165043775","https://openalex.org/W3208844752","https://openalex.org/W4391384495","https://openalex.org/W7167929183","https://openalex.org/W7172247491"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"examine":[2],"the":[3,8,48,87,141,154,192],"association":[4],"between":[5],"sleep":[6,173,190,209,234,244],"during":[7],"acute":[9,193],"stage":[10,194],"of":[11,35,148,153,195,215,229],"concussion":[12,180,196,248],"and":[13,33,44,66,102,127,133,146,163,203,219,232],"long-term":[14,201],"outcomes.":[15,252],"LITERATURE":[16],"SURVEY:":[17],"Literature":[18],"searches":[19],"were":[20,55,59,83],"performed":[21],"1":[22,26],"July":[23],"2018":[24,28],"to":[25,68,139,217],"August":[27],"in":[29,191,208],"Ovid":[30],"MEDLINE,":[31],"CINAHL,":[32],"Web":[34],"Science,":[36],"along":[37],"with":[38,176,199],"hand":[39],"searching":[40],"for":[41,91,99,131,143],"gray":[42],"literature":[43],"cited":[45],"references.":[46],"Of":[47],"610":[49],"search":[50],"results,":[51],"359":[52],"unique":[53],"references":[54],"reviewed":[56,65,123],"after":[57],"duplicates":[58],"removed.":[60],"METHODOLOGY:":[61],"Two":[62,152],"reviewers":[63,90,126],"independently":[64,85],"came":[67],"consensus":[69,128],"on":[70],"which":[71],"titles/abstracts":[72],"met":[73],"inclusion/exclusion":[74],"criteria":[75],"(n":[76],"=":[77],"23).":[78],"The":[79,118,206,227],"23":[80],"full-text":[81],"articles":[82,98,155],"assessed":[84],"by":[86,124],"same":[88],"two":[89,125,164],"eligibility.":[92],"Consensus":[93],"was":[94,122,129,137,174,197],"achieved,":[95],"leaving":[96],"four":[97],"quality":[100,147],"assessment":[101],"data":[103,109,119,224],"extraction.":[104],"One":[105],"person":[106],"extracted":[107],"relevant":[108],"from":[110],"each":[111],"study":[112],"using":[113],"a":[114,166],"standard":[115,230],"data-extraction":[116],"table.":[117],"extraction":[120],"table":[121],"achieved":[130],"completeness":[132],"accuracy.":[134],"Quality":[135],"appraisal":[136],"conducted":[138],"assess":[140],"risk":[142],"potential":[144],"bias":[145],"included":[149,156,165,222],"articles.":[150],"SYNTHESIS:":[151],"children":[157],"younger":[158],"than":[159],"16":[160],"years":[161],"old":[162],"wide":[167],"age":[168,185],"range.":[169],"In":[170,187],"general,":[171],"poorer":[172,177,189,200],"associated":[175,198],"outcomes":[178,202],"following":[179,247],"at":[181],"reassessments":[182],"across":[183],"any":[184],"population.":[186],"addition,":[188],"recovery.":[204],"CONCLUSIONS:":[205],"variability":[207],"assessments":[210,235],"used,":[211],"symptoms":[212],"assessed,":[213],"length":[214],"time":[216],"reassessments,":[218],"comparator":[220],"group":[221],"made":[223],"synthesis":[225],"challenging.":[226],"use":[228],"valid":[231],"reliable":[233],"is":[236],"recommended.":[237],"Future":[238],"studies":[239],"may":[240],"consider":[241],"if":[242],"addressing":[243],"disturbances":[245],"early":[246],"will":[249],"improve":[250],"longer-term":[251]},"counts_by_year":[{"year":2026,"cited_by_count":7},{"year":2025,"cited_by_count":8},{"year":2024,"cited_by_count":9},{"year":2023,"cited_by_count":9},{"year":2022,"cited_by_count":8},{"year":2021,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2020-01-10T00:00:00"}