Traumatic brain injury history and baseline symptoms outweigh sex differences for risk of concussion in a sample of collegiate athletes.
Traumatic brain injury history and baseline symptoms outweigh sex differences for risk of concussion in a sample of collegiate athletes.
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在大学运动员样本中，外伤性脑损伤史和基线症状超过了脑震荡风险的性别差异。
DOI：
10.1080/02699052.2023.2203521
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发表时间：
2023
期刊：
影响因子：
1.9
通讯作者：
Dams-O'Connor,Kristen
中科院分区：
文献类型：
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作者：
Race,MeaghanK;Hahn-Ketter,AmandaE;Spielman,LisaA;Selmanovic,Enna;Sy,KarlaLTherese;Wellington,Robin;Dams-O'Connor,Kristen
目的检验大学季前赛前有创伤性脑损伤（TBI）史与再损伤风险相关的假设。我们还调查了性别差异、认知功能和自我报告的脑震荡症状及其与脑震荡风险的关系。MethodsA纵向队列研究，由完成连续季前评估的大学运动员（n= 212）组成（P1和P2）2012年至2015年，平均12.9（SD = 4.2）months apart.ResultsThere有40个新的脑震荡记录P1和P2之间，其中21（53%）是在运动员谁报告了一生的历史，轻度TBI/脑震荡在P1。24%的女性运动员（n= 23）和15%的男性运动员（n= 17）发生了新的P1-P2脑震荡。TBI和女性性别的历史P1和P2之间的新的脑震荡显着的预测因素，但是，在调整后的模型中，列入冲动控制和PCSS总症状评分衰减的影响，性别的风险为新injure.ConclusionCollegiate运动员TBI的一生的历史有一个显着较高的风险持续随后的脑震荡。季前情绪和身体健康可能会导致意外脑震荡的风险。研究结果强调了在解释性别差异和评估脑震荡风险时考虑终生头部损伤暴露和基线脑损伤学的重要性。
ObjectiveTo test the hypothesis that a history of traumatic brain injury (TBI) prior to the collegiate pre-season is associated with risk for re-injury. We also investigate sex differences, cognitive functioning, and self-reported concussion symptoms and their associations with concussion risk.MethodsA longitudinal cohort study consisting of collegiate athletes (n= 212) who completed consecutive preseason evaluations (P1 and P2) between 2012 and 2015, averaging 12.9 (SD = 4.2) months apart.ResultsThere were 40 new concussions recorded between P1 and P2, 21 (53%) of which were among athletes who reported a lifetime history of mild TBI/concussion at P1. New P1-P2 concussions occurred in 24% of female athletes (n= 23) and 15% of male athletes (n= 17). History of TBI and female sex were significant predictors of new concussion between P1 and P2; however, in adjusted models, the inclusion of Impulse Control and PCSS Total symptom scores attenuated the effect of sex on the risk for new injury.ConclusionCollegiate athletes with a lifetime history of TBI had a significantly higher risk of sustaining a subsequent concussion. Pre-season emotional and somatic symptomology may contribute to incident concussion risk. The findings highlight the importance of considering lifetime head injury exposure and baseline symptomatology when interpreting sex differences and evaluating concussion risk.