Juliet K Haarbauer-Krupa1, R Dawn Comstock2, Michael Lionbarger1, Shawn Hirsch3, Andrew Kavee3, Brooks Lowe3. 1. a National Center for Injury Prevention and Control , Centers for Disease Control and Prevention , Atlanta , GA , USA. 2. b Colorado School of Public Health , and University of Colorado School of Medicine , Aurora , CO , USA. 3. c SciMetrika LLC , Research Triangle Park , NC , USA.
Abstract
OBJECTIVES: To describe concussion rates in high school athletes and involvement of healthcare professionals in concussion diagnosis, management and compliance with return to play (RTP) guidelines. METHODS: Data were analysed from injury reports in the National High School Sports-Related Injury Surveillance System between 2009/2010 and 2012/2013 to identify student athletes with concussion and determine compliance with RTP guidelines. Compliance with RTP guidelines was examined using logistic regression, adjusting for sport and injury-related variables. RESULTS: There were 5611 concussions recorded during 15 712 475 athlete exposures (AEs), a rate of 3.6 concussions per 10 000 AEs. Rates were higher during competition and among girls compared to boys in gender equitable sports. Healthcare professionals were less likely to be present at the time of concussion for girls' sports, lower competition levels and practices. Compliance with RTP guidelines was higher for athletes with recurrent concussions, those sustained in collision sports, for athletes reporting more symptoms and when a physician made the RTP decision. CONCLUSIONS: Presence of healthcare professionals and compliance with RTP guidelines varied by sport, gender, level of play and exposure type. High school athletes with concussion are best served by assessment teams with athletic trainers and physicians working together to manage concussions and contribute to RTP decisions.
OBJECTIVES: To describe concussion rates in high school athletes and involvement of healthcare professionals in concussion diagnosis, management and compliance with return to play (RTP) guidelines. METHODS: Data were analysed from injury reports in the National High School Sports-Related Injury Surveillance System between 2009/2010 and 2012/2013 to identify student athletes with concussion and determine compliance with RTP guidelines. Compliance with RTP guidelines was examined using logistic regression, adjusting for sport and injury-related variables. RESULTS: There were 5611 concussions recorded during 15 712 475 athlete exposures (AEs), a rate of 3.6 concussions per 10 000 AEs. Rates were higher during competition and among girls compared to boys in gender equitable sports. Healthcare professionals were less likely to be present at the time of concussion for girls' sports, lower competition levels and practices. Compliance with RTP guidelines was higher for athletes with recurrent concussions, those sustained in collision sports, for athletes reporting more symptoms and when a physician made the RTP decision. CONCLUSIONS: Presence of healthcare professionals and compliance with RTP guidelines varied by sport, gender, level of play and exposure type. High school athletes with concussion are best served by assessment teams with athletic trainers and physicians working together to manage concussions and contribute to RTP decisions.
Entities:
Keywords:
Traumatic brain injury; athletic trainer; concussion; concussion management; healthcare professional; high school athletes; return to play
Authors: Andrew E Lincoln; Shane V Caswell; Jon L Almquist; Reginald E Dunn; Joseph B Norris; Richard Y Hinton Journal: Am J Sports Med Date: 2011-01-29 Impact factor: 6.202
Authors: Paul McCrory; Willem Meeuwisse; Mark Aubry; Bob Cantu; Jiří Dvořák; Ruben Echemendia; Lars Engebretsen; Karen Johnston; Jeff Kutcher; Martin Raftery; Allen Sills; Brian Benson; Gavin Davis; Richard Ellenbogen; Kevin Guskiewicz; Stanley A Herring; Grant Iverson; Barry Jordan; James Kissick; Michael McCrea; Andrew McIntosh; David Maddocks; Michael Makdissi; Laura Purcell; Margot Putukian; Kathryn Schneider; Charles Tator; Michael Turner Journal: Phys Ther Sport Date: 2013-05 Impact factor: 2.365
Authors: Riana R Pryor; Douglas J Casa; Lesley W Vandermark; Rebecca L Stearns; Sarah M Attanasio; Garrett J Fontaine; Alex M Wafer Journal: J Athl Train Date: 2015-02 Impact factor: 2.860
Authors: Jeffrey D Colvin; Cary Thurm; Brian M Pate; Jason G Newland; Matt Hall; William P Meehan Journal: Arch Dis Child Date: 2013-07-13 Impact factor: 3.791
Authors: Victor G Coronado; Tadesse Haileyesus; Tabitha A Cheng; Jeneita M Bell; Juliet Haarbauer-Krupa; Michael R Lionbarger; Javier Flores-Herrera; Lisa C McGuire; Julie Gilchrist Journal: J Head Trauma Rehabil Date: 2015 May-Jun Impact factor: 2.710
Authors: Luke M Gessel; Sarah K Fields; Christy L Collins; Randall W Dick; R Dawn Comstock Journal: J Athl Train Date: 2007 Oct-Dec Impact factor: 2.860
Authors: Kathryn L Van Pelt; Tim Puetz; Jennylee Swallow; Andrew P Lapointe; Steven P Broglio Journal: Sports Med Date: 2021-03-15 Impact factor: 11.136
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: Anna E Kerschner; Daniel L Huber; Benjamin L Brett; Timothy B Meier; Lindsay D Nelson; Michael A McCrea Journal: Clin J Sport Med Date: 2022-01-01 Impact factor: 3.638
Authors: Shawn R Eagle; Anthony P Kontos; Micky W Collins; Chris Connaboy; Shawn D Flanagan Journal: J Athl Train Date: 2021-02-04 Impact factor: 2.860