| Title |
Immediate Removal From Activity After Sport-Related Concussion Is Associated With Shorter Clinical Recovery and Less Severe Symptoms in Collegiate Student-Athletes
|
|---|---|
| Published in |
The American Journal of Sports Medicine, March 2018
|
| DOI | 10.1177/0363546518757984 |
| Pubmed ID | |
| Authors |
Breton M. Asken, Russell M. Bauer, Kevin M. Guskiewicz, Michael A. McCrea, Julianne D. Schmidt, Christopher C. Giza, Aliyah R. Snyder, Zachary M. Houck, Anthony P. Kontos, Thomas W. McAllister, Steven P. Broglio, James R. Clugston, the CARE Consortium Investigators, Scott Anderson, Jeff Bazarian, Alison Brooks, Thomas Buckley, Sara Chrisman, Michael Collins, John DiFiori, Stefan Duma, Brian Dykhuizen, James T. Eckner, Luis Feigenbaum, April Hoy, Louise Kelly, T. Dianne Langford, Laura Lintner, Gerald McGinty, Jason Mihalik, Christopher Miles, Justus Ortega, Nicholas Port, Margot Putukian, Steve Rowson, Steven Svoboda |
| Abstract |
Timely removal from activity after concussion symptoms remains problematic despite heightened awareness. Previous studies indicated potential adverse effects of continuing to participate in physical activity immediately after sustaining a concussion. Hypothesis/Purpose: The purpose was to determine the effect of timing of removal from play after concussion on clinical outcomes. It was hypothesized that immediate removal from activity after sport-related concussion (SRC) would be associated with less time missed from sport, a shorter symptomatic period, and better outcomes on acute clinical measures. Cohort study; Level of evidence, 3. Data were reported from the National Collegiate Athletic Association and Department of Defense Grand Alliance: Concussion Awareness, Research, and Education (CARE) Consortium. Participants with 506 diagnosed SRCs from 18 sports and 25 institutions and military service academies were analyzed and classified as either immediate removal from activity (I-RFA) or delayed removal from activity (D-RFA). Outcomes of interest included time missed from sport attributed to their SRC, symptom duration, and clinical assessment scores. There were 322 participants (63.6%) characterized as D-RFA. I-RFA status was associated with significantly less time missed from sport ( R2change = .022-.024, P < .001 to P = .001) and shorter symptom duration ( R2change = .044-.046, P < .001 [all imputations]) while controlling for other SRC recovery modifiers. These athletes missed approximately 3 fewer days from sport participation. I-RFA athletes had significantly less severe acute SRC symptoms and were at lower risk of recovery taking ≥14 days (relative risk = .614, P < .001, small-medium effect size) and ≥21 days (relative risk = .534, P = .010, small effect size). I-RFA is a protective factor associated with less severe acute symptoms and shorter recovery after SRC. Conveying this message to athletes, coaches, and others involved in the care of athletes may promote timely injury reporting. |
X Demographics
The data shown below were collected from the profiles of 192 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 109 | 57% |
| Canada | 24 | 13% |
| United Kingdom | 4 | 2% |
| Australia | 2 | 1% |
| Japan | 2 | 1% |
| Spain | 2 | 1% |
| Netherlands | 1 | <1% |
| Ireland | 1 | <1% |
| France | 1 | <1% |
| Other | 3 | 2% |
| Unknown | 43 | 22% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 129 | 67% |
| Practitioners (doctors, other healthcare professionals) | 33 | 17% |
| Scientists | 27 | 14% |
| Science communicators (journalists, bloggers, editors) | 1 | <1% |
| Unknown | 2 | 1% |
Mendeley readers
The data shown below were compiled from readership statistics for 187 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 187 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 26 | 14% |
| Student > Bachelor | 20 | 11% |
| Researcher | 16 | 9% |
| Student > Ph. D. Student | 16 | 9% |
| Other | 12 | 6% |
| Other | 36 | 19% |
| Unknown | 61 | 33% |
| Readers by discipline | Count | As % |
|---|---|---|
| Sports and Recreations | 29 | 16% |
| Medicine and Dentistry | 23 | 12% |
| Neuroscience | 18 | 10% |
| Nursing and Health Professions | 17 | 9% |
| Social Sciences | 7 | 4% |
| Other | 20 | 11% |
| Unknown | 73 | 39% |
Attention Score in Context
This research output has an Altmetric Attention Score of 306. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 February 2023.
All research outputs
#113,866
of 25,703,943 outputs
Outputs from The American Journal of Sports Medicine
#33
of 5,989 outputs
Outputs of similar age
#2,781
of 348,997 outputs
Outputs of similar age from The American Journal of Sports Medicine
#2
of 87 outputs
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So far Altmetric has tracked 5,989 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 15.9. This one has done particularly well, scoring higher than 99% of its peers.
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