Return to Sport Following Adolescent Concussion: Epidemiologic Findings From a High School Population
Jildeh TR, Okoroha KR, Denha E, Eyers C, Johnson A, Shehab R, Moutzouros V. Return to Sport Following Adolescent Concussion: Epidemiologic Findings From a High School Population. Orthopedics 2020; 43(4):306-306.
High school athletes sustaining a concussion require careful attention when determining return-to-sport (RTS) readiness. The purpose of this study was to determine epidemiological and RTS data of a large cohort of high school athletes who sustained 1 or more concussions. Records of 357 consecutive youth patients who sustained concussions and presented to a single health care system between September 2013 and December 2016 were reviewed. Demographic data, RTS, and concussion-related variables were obtained via chart review. Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) scores at baseline and following concussions were performed by neuropsychologists. The average age at injury was 15.5 years (range, 14-18 years), 61.9% of patients were male, 6.7% reported a loss of consciousness, and 14.3% reported amnesia, requiring 30.4±23.3 days of recovery prior to RTS. The most common sport of injury was football (27.7%). There was a high incidence of previous concussion (33.1%), and 32 athletes sustained a recurrent concussion. A multivariate model demonstrated that females, players with a history of concussion, and those diagnosed in-clinic rather than in-game required increased time to RTS. Memory ImPACT scores were found to increase as players had recurrent concussions. Visual motor speed and reaction time scores decreased with recurrent concussions.
Medical Subject Headings
Adolescent; Athletic Injuries; Brain Concussion; Female; Humans; Incidence; Male; Michigan; Prevalence; Recurrence; Retrospective Studies; Return to Sport; Risk Factors; Time Factors; Youth Sports