Juliet Haarbauer-Krupa1, Kristy B Arbogast2, Kristina B Metzger3, Arlene I Greenspan4, Ronni Kessler3, Allison E Curry2, Jeneita M Bell4, Lara DePadilla4, Melissa R Pfeiffer3, Mark R Zonfrillo5, Christina L Master6. 1. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA. Electronic address: JHaarbauerKrupa@cdc.gov. 2. Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, PA; University of Pennsylvania Perelman School of Medicine, Philadelphia, PA. 3. Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, PA. 4. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA. 5. Hasbro Children's Hospital and Alpert Medical School of Brown University, Providence, RI. 6. Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, PA; University of Pennsylvania Perelman School of Medicine, Philadelphia, PA; Sports Medicine and Performance Center, The Children's Hospital of Philadelphia, PA.
Abstract
OBJECTIVES: To assess the distribution of injury mechanisms and activities among children with concussions in a large pediatric healthcare system. STUDY DESIGN: All patients, age 0-17 years, who had at least 1 clinical encounter with an International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis of concussion in the Children's Hospital of Philadelphia's electronic health record system from July 1, 2012 to June 30, 2014, were selected (N = 8233) and their initial concussion-related visit identified. Approximately, 20% of the patients (n = 1625) were randomly selected for manual record review to examine injury mechanisms and activities. RESULTS: Overall, 70% of concussions were sports related; however, this proportion varied by age. Only 18% of concussions sustained by children aged 0-4 were sports related, compared with greater proportions for older children (67% for age 5-11, 77% for age 12-14, and 73% for age 15-17). When the concussion was not sports related, the primary mechanisms of injury were struck by an object (30%) and falls (30%). CONCLUSIONS: Sports-related injuries in children older than 6 years of age contributed to the majority of concussions in this cohort; however, it is important to note that approximately one-third of concussions were from non-sports-related activities. Although there is increased participation in community and organized sports activities among children, a focus on prevention efforts in other activities where concussions occur is needed.
OBJECTIVES: To assess the distribution of injury mechanisms and activities among children with concussions in a large pediatric healthcare system. STUDY DESIGN: All patients, age 0-17 years, who had at least 1 clinical encounter with an International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis of concussion in the Children's Hospital of Philadelphia's electronic health record system from July 1, 2012 to June 30, 2014, were selected (N = 8233) and their initial concussion-related visit identified. Approximately, 20% of the patients (n = 1625) were randomly selected for manual record review to examine injury mechanisms and activities. RESULTS: Overall, 70% of concussions were sports related; however, this proportion varied by age. Only 18% of concussions sustained by children aged 0-4 were sports related, compared with greater proportions for older children (67% for age 5-11, 77% for age 12-14, and 73% for age 15-17). When the concussion was not sports related, the primary mechanisms of injury were struck by an object (30%) and falls (30%). CONCLUSIONS: Sports-related injuries in children older than 6 years of age contributed to the majority of concussions in this cohort; however, it is important to note that approximately one-third of concussions were from non-sports-related activities. Although there is increased participation in community and organized sports activities among children, a focus on prevention efforts in other activities where concussions occur is needed.
Authors: Michael W Kirkwood; Keith Owen Yeates; H Gerry Taylor; Christopher Randolph; Michael McCrea; Vicki A Anderson Journal: Clin Neuropsychol Date: 2007-09-01 Impact factor: 3.535
Authors: Daniel Theisen; Anne Frisch; Laurent Malisoux; Axel Urhausen; Jean-Louis Croisier; Romain Seil Journal: J Sci Med Sport Date: 2012-08-17 Impact factor: 4.319
Authors: Kristy B Arbogast; Allison E Curry; Melissa R Pfeiffer; Mark R Zonfrillo; Juliet Haarbauer-Krupa; Matthew J Breiding; Victor G Coronado; Christina L Master Journal: JAMA Pediatr Date: 2016-07-05 Impact factor: 16.193
Authors: Kirsten Bechtel; Kathleen Stoessel; John M Leventhal; Eileen Ogle; Barbara Teague; Sylvia Lavietes; Bruna Banyas; Karin Allen; James Dziura; Charles Duncan Journal: Pediatrics Date: 2004-07 Impact factor: 7.124
Authors: Allison E Curry; Kristy B Arbogast; Kristina B Metzger; Ronni S Kessler; Matthew J Breiding; Juliet Haarbauer-Krupa; Lara DePadilla; Arlene Greenspan; Christina L Master Journal: J Pediatr Date: 2019-05-14 Impact factor: 4.406
Authors: Juliet Haarbauer-Krupa; Lydie A Lebrun-Harris; Lindsey I Black; Philip Veliz; Jill Daugherty; Rebecca Desrocher; John Schulenberg; Diane Pilkey; Matthew Breiding Journal: Ann Epidemiol Date: 2020-11-21 Impact factor: 3.797
Authors: Juliet K Haarbauer-Krupa; Johna K Register-Mihalik; Aliza K Nedimyer; Avinash Chandran; Melissa C Kay; Paula Gildner; Zachary Y Kerr Journal: J Safety Res Date: 2021-05-20
Authors: Danielle C Hergert; Veronik Sicard; David D Stephenson; Sharvani Pabbathi Reddy; Cidney R Robertson-Benta; Andrew B Dodd; Edward J Bedrick; Gerard A Gioia; Timothy B Meier; Nicholas A Shaff; Davin K Quinn; Richard A Campbell; John P Phillips; Andrei A Vakhtin; Robert E Sapien; Andrew R Mayer Journal: J Int Neuropsychol Soc Date: 2021-08-11 Impact factor: 3.114
Authors: Keith O Yeates; Jennifer D Zwicker; Krystle Wittevrongel; Olesya Barrett; Isabelle Couloigner; Stefania Bertazzon; Brent Hagel; Kathryn J Schneider; David Johnson Journal: Pediatr Res Date: 2022-09-09 Impact factor: 3.953
Authors: Olivia E Podolak; Sofia Chaudhary; Juliet Haarbauer-Krupa; Kristina B Metzger; Allison E Curry; Ronni S Kessler; Melissa R Pfeiffer; Matthew J Breiding; Christina L Master; Kristy B Arbogast Journal: Pediatr Emerg Care Date: 2021-12-01 Impact factor: 1.602