Epidemiology of Sports-Related Concussions in National Collegiate Athletic Association Athletes From 2009-2010 to 2013-2014
Epidemiology of Sports-Related Concussions in National Collegiate Athletic Association Athletes From 2009-2010 to 2013-2014
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2009-2010年至2013-2014年美国大学田径协会运动员运动相关脑震荡流行病学分析
DOI：
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发表时间：
2016
影响因子：
4.8
通讯作者：
T. Covassin
中科院分区：
文献类型：
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作者：
E. Wasserman;Z. Kerr;S. Zuckerman;T. Covassin
背景：在大学生运动员中，关于运动相关脑震荡（SRC）结局的流行病学数据有限，如症状、症状缓解时间和恢复比赛时间。目的：本研究使用美国大学体育协会（NCAA）损伤监测项目（ISP）来描述25个大学体育项目中SRC结果的流行病学。研究设计：描述性流行病学研究。方法：分析2009-2010学年至2013-2014学年NCAA ISP的SRC数据，包括症状、症状缓解时间和恢复比赛时间。研究结果还按性别可比较的运动（如冰球、足球、篮球、长曲棍球、棒球/垒球）的性别分层，以及src是否复发。结果：2009-2010学年至2013-2014学年共报告1670例脑震荡，平均（±SD）为5.29±2.94例，其中以头痛（92.2%）和头晕（68.9%）最为常见。大多数脑震荡症状在1周内消退（60.1%）；然而，6.2%的患者症状缓解时间超过4周。此外，8.9%的脑震荡患者需要超过4周才能恢复比赛。回归前至少需要1周时间的src比例从2009-2010年的42.7%上升到2013-2014年的70.2%（线性趋势，P < 0.001）。在性别比较的运动分析中，症状的平均次数和症状消退时间没有性别差异。然而，男性运动员的脑震荡包括健忘症和定向障碍的比例更大；女运动员脑震荡的更大比例包括头痛、过度嗜睡和恶心/呕吐。共有151例（9.0%）报告为复发性。复发性src患者的平均症状数（5.99±3.43）大于非复发性src患者（5.22±2.88;P = 0.01）。与非复发性src相比，更大比例的复发性src还导致较长的症状消退时间（分别为14.6%和5.4%,P < 0.001）和较长的重返游戏时间（分别为21.2%和7.7%,P < 0.001）。结论：恢复比赛时间的趋势可能表明脑震荡管理实践的改变，即球队医务人员不让球员参加更长时间以确保症状得到解决。脑震荡的症状可能因性别和复发而异。未来的研究应继续检查症状解决时间和恢复游戏时间的趋势和差异。
Background: Limited data exist among collegiate student-athletes on the epidemiology of sports-related concussion (SRC) outcomes, such as symptoms, symptom resolution time, and return-to-play time. Purpose: This study used the National Collegiate Athletic Association (NCAA) Injury Surveillance Program (ISP) to describe the epidemiology of SRC outcomes in 25 collegiate sports. Study Design: Descriptive epidemiology study. Methods: SRC data from the NCAA ISP during the 2009-2010 to 2013-2014 academic years were analyzed regarding symptoms, time to resolution of symptoms, and time to return to play. Findings were also stratified by sex in sex-comparable sports (ie, ice hockey, soccer, basketball, lacrosse, baseball/softball) and whether SRCs were reported as recurrent. Results: Of the 1670 concussions reported during the 2009-2010 to 2013-2014 academic years, an average (±SD) of 5.29 ± 2.94 concussion symptoms were reported, with the most common being headache (92.2%) and dizziness (68.9%). Most concussions had symptoms resolve within 1 week (60.1%); however, 6.2% had a symptom resolution time of over 4 weeks. Additionally, 8.9% of concussions required over 4 weeks before return to play. The proportion of SRCs that required at least 1 week before return to play increased from 42.7% in 2009-2010 to 70.2% in 2013-2014 (linear trend, P < .001). Within sex-comparable sports analyses, the average number of symptoms and symptom resolution time did not differ by sex. However, a larger proportion of concussions in male athletes included amnesia and disorientation; a larger proportion of concussions in female athletes included headache, excess drowsiness, and nausea/vomiting. A total of 151 SRCs (9.0%) were reported as recurrent. The average number of symptoms reported with recurrent SRCs (5.99 ± 3.43) was greater than that of nonrecurrent SRCs (5.22 ± 2.88; P = .01). A greater proportion of recurrent SRCs also resulted in a long symptom resolution time (14.6% vs 5.4%, respectively; P < .001) and long return-to-play time (21.2% vs 7.7%, respectively; P < .001) compared with nonrecurrent SRCs. Conclusion: Trends in return-to-play time may indicate changing concussion management practices in which team medical staff members withhold players from participation longer to ensure symptom resolution. Concussion symptoms may differ by sex and recurrence. Future research should continue to examine the trends and discrepancies in symptom resolution time and return-to-play time.