Epidemiology of Sport-Related Concussions in High School Athletes: National Athletic Treatment, Injury and Outcomes Network (NATION), 2011–2012 Through 2013–2014

O’Connor, Kathleen L.; Baker, Melissa M.; Dalton, Sara L.; Dompier, Thomas P.; Broglio, Steven P.; Kerr, Zachary Y.

doi:10.4085/1062-6050-52.1.15

Cited by 179 publications

(185 citation statements)

References 49 publications

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“…Sports‐injury literature has also focused on head injuries and the range of clinical symptoms they can provoke. Recent studies in college athletes following concussion have shown an occurrence of dizziness and hyperacusis in up to 75% and 40% of individuals, respectively . Interestingly, these symptoms were also associated with duration of concussion symptoms and prolonged return to competition .…”

Section: Discussionmentioning

confidence: 97%

“…Recent studies in college athletes following concussion have shown an occurrence of dizziness and hyperacusis in up to 75% and 40% of individuals, respectively. 50,51 Interestingly, these symptoms were also associated with duration of concussion symptoms and prolonged return to competition. 15 Further characterization of hyperacusis in sports-related mTBI patients using hearing threshold and loudness discomfort level testing has also been studied.…”

Section: Fig 4 (A) Percentage Of Mtbi Versus Controls Patients Withmentioning

confidence: 99%

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Patient‐reported auditory handicap measures following mild traumatic brain injury

et al. 2019

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Objectives/Hypothesis Few studies have specifically addressed auditory complaints in patients with nonblast mild traumatic brain injury (mTBI). Herein, we aimed to investigate auditory symptoms in patients following mTBI using patient‐reported outcome measures. Study Design Retrospective analysis of prospectively collected data in a tertiary‐care hospital. Methods The patients included those with mTBI (cases) and those without mTBI (controls). Individuals (≥18 years old) with and without mTBI were screened. Exclusion criteria included history of otologic disorders, blast injury, or occupational noise exposure. Primary outcomes included the Hearing Handicap Inventory for Adults (HHIA), Tinnitus Handicap Inventory (THI), and Hyperacusis Questionnaire (HQ). Secondary outcomes included subjective auditory complaints. Results From September 2017 to September 2018, 52 patients with mTBI and 55 controls met inclusion and exclusion criteria. The mean time between mTBI and survey intake was 70.6 months. The mean age and gender were 51.5 years old and 73% female in the mTBI group, and 46.1 years old and 56.3% female in the control group (P = .112 and P = .105, respectively). Patients with mTBI reported hyperacusis (67.3% of all mTBI patients), hearing loss (61.5%), and tinnitus (61.5%), compared to 8.3%, 12.7%, and 16.4%, respectively, for control subjects (P < .0001). The mean HHIA score in the mTBI group was 38.3 versus 8.5 in controls (P = .002). The mean THI score was 27.4 in the mTBI group and 3.1 in controls (P < .0001). The mean HQ score was 26.5 in mTBI group and 7.3 in controls (P = .001). Conclusions Auditory symptoms and associated handicap were common in patients with nonblast mTBI compared to age‐matched controls. Findings have implications for the pathophysiology and management of symptoms in this patient population. Level of Evidence 3 Laryngoscope, 130:761–767, 2020

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Section: Discussionmentioning

confidence: 97%

Section: Fig 4 (A) Percentage Of Mtbi Versus Controls Patients Withmentioning

confidence: 99%

Patient‐reported auditory handicap measures following mild traumatic brain injury

et al. 2019

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“…Current research suggest that concussion rates are higher for female athletes compared to male athletes when examined on the basis of sports with comparable exposure types [77][78][79][80][81]. The relative risk of concussion in collegiate female athletes compared to male athletes has been reported to range from 53% higher in basketball and 83% higher in soccer to 265% higher in baseball/softball [81].…”

Section: Epidemiologymentioning

confidence: 99%

“…Higher incidence in females [77][78][79][80][81][82][83][84][85][86][87][88][89] Female risk factors include reduced neck girth and strength relative to head size compared to males [88][89][90][91][92][93][94] Females report more symptoms postinjury and have higher rates of postconcussive syndrome [110,111] RED-S ¼ relative energy deficiency in sport; BMI ¼ body mass index; BMD ¼ bone mineral density; BSI ¼ bone stress injury; ACL ¼ anterior cruciate ligament.…”

Section: Concussionmentioning

confidence: 99%

“…Several epidemiologic and observational studies have noted sex-based differences in concussion risk for different types of play exposures. Although playerversus-player contact is the most common overall mechanism of injury for both sexes, male athletes at both the high school and collegiate levels tend to have a higher proportion of concussions resulting from player-versus-player contact, whereas female athletes tend to have a higher proportion of concussions resulting from playing equipment (eg, lacrosse stick, ball)-to-head and surface-to-head mechanisms [77][78][79][80][81][102][103][104][105]. These relationships hold both for sports that have the same rules of play (eg, soccer, basketball) and for those with sex-based differences in rules of play (eg, lacrosse, ice hockey).…”

Section: Risk Factorsmentioning

confidence: 99%

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Sex Differences in Common Sports Injuries

Lin

Casey

Herman

et al. 2018

PM&R

101

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Common sports injuries include bone stress injuries (BSIs), anterior cruciate ligament (ACL) injuries, and concussions. Less commonly recognized are the specific sex differences in epidemiology, risk factors, and outcomes of these conditions by sex. An understanding of these factors can improve their clinical management, from prescribing appropriate prehabilitation to guiding postinjury rehabilitation and return to play. This narrative review summarizes the sex differences in the diagnosis and management of BSIs, ACL injuries, and concussions. Although BSIs are more common in female athletes, risk factors for both sexes include prior injury and relative energy deficiency in sport (RED-S). Risk factors in female athletes include smaller calf girth, femoral adduction, and higher rates of loading. Female athletes are also at greater risk for developing ACL injuries in high school and college, but their injury rate is similar in professional sports. Increased lateral tibial slope, smaller ACL size, and suboptimal landing mechanics are additional risk factors more often present in female athletes. Male athletes are more likely to have ACL surgery and have a higher rate of return to sport. Concussions occur more commonly in female athletes; however, female athletes are also more likely to report concussions. Male athletes more commonly sustain concussion through contact with another player. Female athletes more commonly sustain injury from contact with playing equipment. Managing post-concussion symptoms is important, and female athletes may have prolonged symptoms. An understanding of the sex-specific differences in these common sports injuries can help optimize their prehabilitation and rehabilitation. LEVEL OF EVIDENCE: IV.

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Characteristics of Pediatric Mild Traumatic Brain Injury and Recovery in a Concussion Clinic Population

et al. 2020

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IMPORTANCEPediatric mild traumatic brain injury (TBI) and concussion are a public health challenge with up to 30% of patients experiencing prolonged recovery. Pediatric patients presenting to concussion clinics often have ongoing impairments and may be at increased risk for persistent symptoms. Understanding this population is critical for improved prognostic estimates and optimal treatment. OBJECTIVE To describe pediatric patients presenting to concussion clinics and characterize factors associated with their recovery. DESIGN, SETTING, AND PARTICIPANTS This prospective cohort study included patients enrolled at multicenter concussion specialty clinics from the Four Corners Youth Consortium from December 2017 to July 2019, with up to 12-month follow-up. Patients were eligible if they were aged 5 to 18.99 years with a diagnosis of mild TBI or concussion presenting to participating clinics within 8 weeks of injury. Patients were excluded if the patient or their parents were unable to read or sign the consent document, or if the patient had a Glasgow Coma Scale score less than 13 or a penetrating injury. Data were analyzed from February 2019 to April 2020. EXPOSURES Diagnosis of mild TBI or concussion. MAIN OUTCOMES AND MEASURES This study used National Institute of Neurological Disorders and Stroke common data elements, including data on demographic characteristics, injury details, history, neurological and neuropsychological assessments, and treatment. RESULTS A total of 600 patients were consecutively enrolled, among whom 324 (54.0%) were female and 435 (72.5%) were adolescents (ie, aged 13-18 years). A higher proportion of girls and women (248 patients [76.5%]) were adolescents compared with boys and men (187 patients [67.8%]) (P = .02), and girls and women reported significantly more preexisting anxiety compared with boys and men (80 patients [26.7%] vs 46 patients [18.7%]; P = .03). Significantly more adolescents reported preexisting migraines compared with preadolescents (82 patients [20.9%] vs 15 patients [10.9%]; P = .01). Girls and women recovered more slowly than boys and men (persistent symptoms after injury: week 4, 217 patients [81.6%] vs 156 patients [71.2%]; week 8, 146 patients [58.9%] vs 89 patients [44.3%]; week 12, 103 patients [42.6%] vs 58 patients [30.2%]; P = .01). Patients with history of migraine or anxiety or depression recovered more slowly than those without, regardless of sex.(continued) Key Points Question What factors are associated with recovery in pediatric patients with mild traumatic brain injury or concussion? Findings In this cohort study of 600 pediatric patients presenting to concussion clinics in 3 centers, girls and women experienced slower recovery and were more likely to have preexisting anxiety compared with boys and men. Independent of sex, patients with anxiety or depression or migraine recovered more slowly than those without these comorbidities. Meaning These findings suggest that factors, such as sex and comorbidities, in pediatric patients with mild traumatic brain ...

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Epidemiology of Sport-Related Concussions in High School Athletes: National Athletic Treatment, Injury and Outcomes Network (NATION), 2011–2012 Through 2013–2014

Cited by 179 publications

References 49 publications

Patient‐reported auditory handicap measures following mild traumatic brain injury

Patient‐reported auditory handicap measures following mild traumatic brain injury

Sex Differences in Common Sports Injuries

Characteristics of Pediatric Mild Traumatic Brain Injury and Recovery in a Concussion Clinic Population

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