Return to play and risk of repeat concussion in collegiate football players: comparative analysis from the NCAA Concussion Study (1999-2001) and CARE Consortium (2014-2017)
Return to play and risk of repeat concussion in collegiate football players: comparative analysis from the NCAA Concussion Study (1999-2001) and CARE Consortium (2014-2017)
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DOI：
10.1136/bjsports-2019-100579
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发表时间：
2020-01-01
影响因子：
18.4
通讯作者：
Lintner, Laura
中科院分区：
文献类型：
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作者：
McCrea, Michael;Broglio, Steven;Lintner, Laura
目的比较全国大学体育协会(NCAA)震荡研究(1999-2001)和NCAA-国防部震荡评估、研究和教育(CARE)联盟(2014-2017)的数据，以检验在过去15年中大学足球运动员的临床管理、重返赛场(RTP)和重复脑震荡风险的变化。方法我们分析了报道的症状持续时间、无症状等待时间(SFWP)、NCAA研究(n=184)和CARE(n=701)中确诊为脑震荡的大学生足球运动员的RTP和赛季内重复脑震荡的发生率。与NCAA研究运动员相比，NCAA研究运动员(NCAA中位数=2.00天，IQR=1.00-4.00天)、SFWP(护理中位数=6.00天，IQR=3.49-9.00天；NCAA中位数=0.98天，IQR=0.00-4.00天)和RTP(护理中位数=12.23天，IQR=8.04-18.92天；NCAA中位数=3.00天，IQR=1.00-8.00天)
Objective We compared data from the National Collegiate Athletic Association (NCAA) Concussion Study (1999-2001) and the NCAA-Department of Defense Concussion Assessment, Research and Education (CARE) Consortium (2014-2017) to examine how clinical management, return to play (RTP) and risk of repeat concussion in collegiate football players have changed over the past 15 years.Methods We analysed data on reported duration of symptoms, symptom-free waiting period (SFWP), RTP and occurrence of within-season repeat concussion in collegiate football players with diagnosed concussion from the NCAA Study (n=184) and CARE (n=701).Results CARE athletes had significantly longer symptom duration (CARE median=5.92 days, IQR=3.02-9.98 days; NCAA median=2.00 days, IQR=1.00-4.00 days), SFWP (CARE median=6.00 days, IQR=3.49-9.00 days; NCAA median=0.98 days, IQR=0.00-4.00 days) and RTP (CARE median=12.23 days, IQR=8.04-18.92 days; NCAA median=3.00 days, IQR=1.00-8.00 days) than NCAA Study athletes (all p