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The Role of Level of Play in Concussions in High School Athletes
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2024
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Source: J Public Health Manag Pract. 30(1):99-110
[PDF-541.91 KB]
Details:
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Alternative Title:J Public Health Manag Pract
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Personal Author:
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Description:Objectives:
To examine level of play (LOP) as a risk factor for concussion severity and recovery-related outcomes among high school athletes, stratified by sex, and among boys, by sport (football, non-football male sports).
Design/Setting:
Secondary analysis of data collected through the High School Reporting Information Online surveillance system for academic years 2007–2008 through 2018–2019.
Participants:
A total of 9916 concussions were reported between the academic years 2007–2008 and 2018–2019 from 9 sports (5189 from football; 2096 from non-football male sports; 2631 from female sports).
Main Outcome Measure:
Examined the association between LOP (Freshman, Junior Varsity [JV], and Varsity teams) and concussion outcomes (number of concussion symptoms, symptom resolution time [SRT], and time to return to play [RTP]).
Results:
Compared with Varsity football athletes, concussed JV football athletes had on average 0.19 fewer concussion symptoms, longer SRT (>1 week vs <1 week: odds ratio [OR] = 1.3; 95% confidence interval [CI], 1.1–1.5), and longer RTP (1–3 weeks vs <1 week: OR = 1.5; 95% CI, 1.2–1.9; >3 weeks vs <1 week: OR = 1.6; 95% CI, 1.1–2.3). Compared with Varsity football athletes, Freshman football athletes had on average 0.48 fewer concussion symptoms, longer SRT (OR = 1.3; 95% CI, 1.1–1.5), and longer RTP (1–3 weeks vs <1 week: OR = 1.5; 95% CI, 1.1–2.0; >3 weeks vs <1 week: OR = 2.0; 95% CI, 1.3–3.0). Similarly, compared with female athletes on Varsity teams, concussed JV female athletes had longer RTP (1–3 weeks vs <1 week: OR = 1.8; 95% CI, 1.2–2.7). Trend analyses revealed an increase in the number of concussion symptoms between 2015–2016 and 2018–2019, a decrease between 2009–2010 and 2018–2019 for SRT of less than 1 week, and an increase between 2014–2015 and 2018–2019 for RTP of less than 1 week among Varsity football athletes. Among Varsity female athletes, there was a linear decrease during the study period for RTP of less than 1 week.
Conclusions:
Despite a higher number of symptoms overall and in recent years, Varsity football players had shorter RTP than Freshman and JV athletes.
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Source:
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Pubmed ID:37566801
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Pubmed Central ID:PMC10712835
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Document Type:
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Funding:
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Volume:30
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Issue:1
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