التفاصيل البيبلوغرافية
| العنوان: |
Premorbid Risk Factors and Acute Injury Characteristics of Sport-Related Concussion Across the National Collegiate Athletic Association: Findings from the Concussion Assessment, Research, and Education (CARE) Consortium. |
| المؤلفون: |
Memmini, Allyssa K., Mosesso, Kelly M., Perkins, Susan M., Brett, Benjamin L., Pasquina, Paul F., McAllister, Thomas W., McCrea, Michael A., Broglio, Steven P., CARE Consortium Investigators, Hoy, April, Kelly, Louise A., Ortega, Justus D., Port, Nicholas, Susmarski, Adam, Estevez, Carlos, Cameron, Kenneth L., Giza, Christopher C., Buckley, Thomas, Kaminski, Thomas W., Clugston, James R. |
| المصدر: |
Sports Medicine; Jul2023, Vol. 53 Issue 7, p1457-1470, 14p |
| مصطلحات موضوعية: |
ATHLETIC ability & psychology, BRAIN concussion diagnosis, COLLEGE athletes, ACADEMIC medical centers, CONFIDENCE intervals, SPORTS injuries, SPORTS, LOSS of consciousness, RISK assessment, SEX distribution, COMPARATIVE studies, PSYCHOSOCIAL factors, DESCRIPTIVE statistics, RESEARCH funding, ODDS ratio, LONGITUDINAL method, EPIDEMIOLOGICAL research, MENTAL illness, DISEASE complications |
| مستخلص: |
Background: Previous sport-related concussion research highlights post-injury characteristics that influence recovery trajectories; however, there is limited information regarding premorbid factors that affect sport-related concussion risk. Objective: We aimed to (a) compare premorbid demographic factors among a large cohort of collegiate student athletes who did or did not sustain a sport-related concussion and (b) assess differences in acute injury characteristics based on biological sex and contact level. Methods: We conducted a cohort study of university student athletes from 22 sports enrolled in the Concussion Assessment, Research, and Education (CARE) Consortium study from 2014 to 2021 (n = 1804 student athletes with sport-related concussions; n = 21,702 student athletes without sport-related concussions). Results: Statistical analyses indicated student athletes who self-identified as Black (odds ratio [OR] = 1.61; 95% confidence interval [CI] = 1.42, 1.81) or multiracial (OR = 1.32; 95% CI 1.10, 1.59) demonstrated greater odds of experiencing sport-related concussions than White-identifying student athletes. Additional findings suggest male athletes (OR = 1.47; 95% CI 1.20, 1.81) and contact sport student athletes (OR = 1.40; 95% CI 1.16, 1.70) may be at increased odds for sport-related concussions if they were previously diagnosed with attention deficit hyperactive disorder. Notable post-injury characteristics across sexes included differences in the incident loss of consciousness (male: 5.9%, female: 2.6%; p < 0.001), post-traumatic amnesia (male: 13.6%, female: 5.1%; p < 0.001), and retrograde amnesia (male: 6.8%, female: 2.8%; p < 0.001). A greater proportion of contact-sport student athletes experienced an altered mental status (52.7%) than limited contact (36.2%) and non-contact (48.6%) [p < 0.001]. Last, student athletes participating at lower contact levels were more likely to have a longer delay in removal from activity following injury (contact: 73.6 ± 322.2 min; limited contact: 139.1 ± 560.0 min; non-contact: 461.4 ± 1870.8 min; p = 0.005). Conclusions: The present study provides contemporary pre- and post-sport-related concussion injury characteristics using a considerably sized cohort of collegiate student athletes. These findings support previous work suggesting sport-related concussion results in complex individualized clinical presentations, which may influence management strategies. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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