An Examination of 4 Questions Assessing Self-reported Concussions Among High School Students Participating in Team Sports

Q: What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Concussion (n=6055). Intervention: Team sports participation. Primary outcome: Self-reported concussion in the past 12 months.

Lara DePadilla; Gabrielle F. Miller; Sherry Everett Jones

doi:10.1097/phh.0000000000000901

November 29, 2018Journal of Public Health Management and PracticeOpen Access

An Examination of 4 Questions Assessing Self-reported Concussions Among High School Students Participating in Team Sports

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Key result

Among high school students participating in team sports, the prevalence of self-reported concussions in the past 12 months ranged from 17.6% to 20.1% across four different survey questions.

Why the study?

Prevalence estimates of youth sports-related concussions are inconsistent due to variations in methodology and potentially unreported concussions.

Study Design

Type

Cross-Sectional (n=6,055)

Multicenter

Yes

Structured PICO

P

Population

6,055 high school students in grades 9 through 12 from Connecticut, Ohio, and Utah, surveyed to assess the prevalence of self-reported concussions over the past 12 months.

E

Exposure

Four different survey questions assessing self-reported concussions (referencing recognition by student, identification by doctor, or suspicion by coach) added to the Youth Risk Behavior Survey.

O

Outcome

Prevalence of self-reported concussions during the 12 months before the survey.patient reported

Limitations

Data were collected in only three states and limited to students who played on a sports team, limiting generalizability.
Concussions were self-reported and not verified by medical records.
Athletes may have recalled concussions that occurred more than 12 months before the survey, or reported symptoms not caused by a concussion.
Findings may not be generalizable to other states, elementary/middle school students, students not enrolled in school, or those in private/alternative schools.
Some students played on more than one team, which likely increases the risk for concussion.
Concussions were not verified by medical records.

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Implication

Self-reported concussion prevalence among high school athletes ranges from 17.6% to 20.1%, which is higher than rates diagnosed in emergency departments or reported by athletic trainers, suggesting previous estimates underestimate the burden.

Abstract

OBJECTIVE: Current prevalence estimates of youth sports-related concussions are inconsistent because of variation in methodology and potentially unreported concussions. METHODS: In 2013, Connecticut, Ohio, and Utah each added different questions that assessed self-reported concussions to the Youth Risk Behavior Survey. Two questions referenced recognition of a concussion by the student, 1 referenced identification by a doctor, and 1 referenced suspicion by a coach. Chi-square analyses were used to identify whether there was an association between demographic characteristics and the concussion questions among high school students who played on at least 1 sports team. RESULTS: The percentage of students who reported concussions ranged from 17.6% to 20.1%. CONCLUSIONS: These estimates are higher than rates of concussions diagnosed in emergency departments or reported by athletic trainers but were similar across the 4 questions. The field would benefit from a better understanding of the impact of question wording and format on estimates of concussion prevalence.

Discussion

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Cite This Study

DePadilla et al. (2018) conducted a cross-sectional in Concussion (n=6,055). Team sports participation was evaluated on Self-reported concussion in the past 12 months. Among high school students participating in team sports, the prevalence of self-reported concussions in the past 12 months ranged from 17.6% to 20.1% across four different survey questions.

synapsesocial.com/papers/6a95dad7092dd7497d92c866 https://doi.org/10.1097/phh.0000000000000901

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An Examination of 4 Questions Assessing Self-reported Concussions Among High School Students Participating in Team Sports

Study Design

Structured PICO

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

An Examination of 4 Questions Assessing Self-reported Concussions Among High School Students Participating in Team Sports

Study Design

Structured PICO

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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