دورية أكاديمية
أعرض في EDS

Analysis of Player Performance and Financial Costs Associated With Implementation of an Updated National Hockey League Concussion Protocol: A Retrospective Comparative Study.

التفاصيل البيبلوغرافية
العنوان: Analysis of Player Performance and Financial Costs Associated With Implementation of an Updated National Hockey League Concussion Protocol: A Retrospective Comparative Study.
المؤلفون: Gaudiani MA; Department of Orthopaedic Surgery, Henry Ford Health, Detroit, Michigan, USA., Castle JP; Department of Orthopaedic Surgery, Henry Ford Health, Detroit, Michigan, USA., Wolterink TD; School of Medicine, Wayne State University, Michigan, USA., Sprys-Tellner TJ; School of Medicine, Wayne State University, Michigan, USA., Haan JW; College of Human Medicine, Michigan State University, Michigan, USA., Sean Lynch T; Department of Orthopaedic Surgery, Henry Ford Health, Detroit, Michigan, USA.
المصدر: Orthopaedic journal of sports medicine [Orthop J Sports Med] 2024 Apr 24; Vol. 12 (4), pp. 23259671241231757. Date of Electronic Publication: 2024 Apr 24 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Sage on behalf of: The American Orthopaedic Society for Sports Medicine Country of Publication: United States NLM ID: 101620522 Publication Model: eCollection Cited Medium: Print ISSN: 2325-9671 (Print) Linking ISSN: 23259671 NLM ISO Abbreviation: Orthop J Sports Med Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Thousand Oaks, CA] : Sage on behalf of: The American Orthopaedic Society for Sports Medicine, [2013]-
مستخلص: Background: An updated National Hockey League (NHL) concussion protocol (NHLCP) was established in the 2016-2017 season to mitigate the negative outcomes of sport-related concussions. However, few studies on the effects of implementing the NHLCP have been performed.
Purpose: To define concussion incidence and investigate differences in NHL player performance after a concussion during periods before and after NHLCP implementation and assess the financial impact on NHL teams associated with NHLCP implementation.
Study Design: Cohort study; Level of evidence, 3.
Methods: This was a retrospective review of NHL players who sustained a concussion before (2000-2001 to 2015-2016 seasons) and after (2016-2017 to 2020-2021 seasons) implementing the NHLCP (pre-NHLCP and post-NHLCP groups). For each group, multiple performance metrics-including 30 days, 1 season, and 3 seasons before and after concussion-were compared for both groups. Return to play, total concussion cost, and association of return to play with cost were investigated using regression analysis.
Results: A total of 452 players (423 skaters, 29 goalies) sustained concussions during the study period, including 331 players (315 skaters, 16 goalies) in the pre-NHLCP group and 121 players (108 skaters, 13 goalies) in the post-NHLCP group. For both groups, no significant differences in standard performance were observed during the 30-day and 1-season periods before and after concussion. The mean return to play was significantly higher in the pre-NHLCP group than in the post-NHLCP group (20.1 vs 15.7 days; P = .022). The mean adjusted player salary was not different between groups; nonetheless, the mean adjusted replacement player salary was significantly higher in the post-NHLCP group ($744,505 vs $896,942; P = .032). The mean cost of time missed did not differ between groups. The mean return to play time significantly decreased over the entire study period ( R 2 = 0.33; P = .005), and the mean return to play time was positively associated with cost R 2 = 0.215; P = .030).
Conclusion: Concussion incidence did not change after implementation of the updated NHLCP; nonetheless, players had significantly less missed time from injury after protocol implementation. Changes in player performance 30 days and 1 year before and after concussion injury were not different before and after NHLCP implementation. No differences were found in the financial cost of concussions between the pre- and post-NHLCP groups, and missed time was significantly correlated with mean cost from missed time.
Competing Interests: One or more of the authors has declared the following potential conflict of interest or source of funding: M.A.G. has received education payments from Pinnacle. J.P.C. has received education payments from Pinnacle. T.S.L. has received education payments from Gotham Surgical Solutions & Devices; consulting fees from Smith & Nephew and KCI; and nonconsulting fees from Smith & Nephew, Arthrex, and Linvatec. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto. Ethical approval was not sought for the present study.
(© The Author(s) 2024.)
References: Sports Med. 2022 Aug;52(8):1751-1764. (PMID: 35113388)
Am J Sports Med. 2016 Aug;44(8):2152-7. (PMID: 27159319)
Orthop J Sports Med. 2017 Nov 27;5(11):2325967117740847. (PMID: 29226164)
Clin Sports Med. 2021 Jan;40(1):1-18. (PMID: 33187601)
J Neurotrauma. 2018 Oct 15;35(20):2391-2399. (PMID: 29648975)
Orthop J Sports Med. 2019 Jun 27;7(6):2325967119854199. (PMID: 31276004)
Orthop J Sports Med. 2020 Apr 14;8(4):2325967120913020. (PMID: 32313811)
Orthop J Sports Med. 2016 Jan 27;4(1):2325967115622621. (PMID: 26848481)
Front Neurosci. 2020 Jul 30;14:761. (PMID: 32848549)
CMAJ. 2011 May 17;183(8):905-11. (PMID: 21502355)
Concussion. 2015 Aug 6;1(1):CNC1. (PMID: 30202546)
Clin Sports Med. 2011 Jan;30(1):1-17, vii. (PMID: 21074078)
Brain Res Bull. 2020 Dec;165:56-62. (PMID: 33011196)
Orthop J Sports Med. 2019 Feb 20;7(2):2325967119825502. (PMID: 30815496)
Can J Neurol Sci. 2008 Nov;35(5):647-51. (PMID: 19235451)
Open Access J Sports Med. 2018 Nov 13;9:253-260. (PMID: 30519128)
Orthop J Sports Med. 2022 Jan 21;10(1):23259671211052069. (PMID: 35097141)
J Athl Train. 2017 Mar;52(3):309-317. (PMID: 28387556)
Inj Prev. 2014 Oct;20(5):347-9. (PMID: 24446078)
Concussion. 2020 Oct 28;5(4):CNC81. (PMID: 33204493)
Orthop J Sports Med. 2018 Dec 13;6(12):2325967118814238. (PMID: 30560144)
J Athl Train. 2021 Apr 1;56(4):404-407. (PMID: 33878175)
J Intern Med. 2019 Jun;285(6):624-634. (PMID: 30481401)
Cureus. 2018 Oct 31;10(10):e3530. (PMID: 30648064)
فهرسة مساهمة: Keywords: National Hockey League; concussion; concussion protocol; sport performance
تواريخ الأحداث: Date Created: 20240426 Latest Revision: 20240427
رمز التحديث: 20240427
مُعرف محوري في PubMed: PMC11044774
DOI: 10.1177/23259671241231757
PMID: 38665385
قاعدة البيانات: MEDLINE
الوصف
تدمد:2325-9671
DOI:10.1177/23259671241231757