1. Characteristics of adolescent athletes seeking early versus late care for sport-related concussion.
- Author
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Germann, Darrin, Cancelliere, Carol, and Kazemi, Mohsen
- Subjects
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HISTORICAL research , *PHYSICAL diagnosis , *PEARSON correlation (Statistics) , *STATISTICAL models , *GOODNESS-of-fit tests , *INDEPENDENT living , *STATISTICAL hypothesis testing , *T-test (Statistics) , *ATTENTION-deficit hyperactivity disorder , *HOCKEY injuries , *SPORTS injuries , *INDEPENDENT variables , *SAMPLE size (Statistics) , *LOGISTIC regression analysis , *HEADACHE , *TREATMENT effectiveness , *DESCRIPTIVE statistics , *CHI-squared test , *ANXIETY , *ATHLETES , *LONGITUDINAL method , *ODDS ratio , *FOOTBALL injuries , *COMBINED modality therapy , *ELECTRONIC health records , *HEALTH facilities , *SOCIODEMOGRAPHIC factors , *DATA analysis software , *CONFIDENCE intervals , *BRAIN concussion , *MENTAL depression , *LEARNING disabilities , *RUGBY football injuries , *DISEASE complications - Abstract
Objectives: 1) To determine which characteristics of adolescent athletes with SRC are associated with 'early' versus 'late' presentation for multimodal treatment; 2) to build a propensity score to investigate the effects of treatment timing during the management of SRCs. Methods: Associations between early (0-7 days) versus late (8-28 days) presentation for treatment and pre-specified sociodemographic, pre-injury and injury characteristics were investigated in a historical cohort study of 2949 multi-sport athletes across Canada aged 12-18 years diagnosed with a SRC in community-based healthcare clinics. Results: Early presentation was associated with being male, completing a pre-injury baseline assessment, and responding 'yes' or 'no' to having a diagnosed learning disability. Older athletes who reported previous SRCs were less likely to present early. The propensity score demonstrated an area under the curve of 0.71 (95% CI, 0.69 to 0.73). Conclusions: Male athletes with a completed baseline assessment were more likely to seek early treatment following a SRC, and older athletes who reported a greater number of previous SRCs were less likely to present early. External validation of the propensity score is needed before examining the impact of treatment timing on adolescent athlete recovery outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2021