ArticleSports health2014
Athletic trainers' management practices and referral patterns for adolescent athletes after sport-related concussion.
Article in Sports health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 40 citations in OpenAlex.
- Case Characterization and Perceptions of Athletic Trainers Regarding Medical Disqualification Following Concussion.Journal of athletic training · 2024Article
- Physical Therapists' Assessment of Patient Self-Efficacy for Home Exercise Programs.International journal of sports physical therapy · 2021Article
- Effects of exercise on symptoms, vestibular/ocular motor screening and postural stability in a college-aged sample.Concussion (London, England) · 2020Article
- Disparities in baseline neurocognitive testing for student concussion management in Massachusetts high schools.BMJ open sport & exercise medicine · 2020Article
- Emergency Preparedness of Secondary School Athletic Programs in Arizona.Journal of athletic training · 2019Article
- Filling the Gaps in Adolescent Care and School Health Policy-Tackling Health Disparities through Sports Medicine Integration.Healthcare (Basel, Switzerland) · 2018Article
- The Influence of Athletic Trainers on the Incidence and Management of Concussions in High School Athletes.Journal of athletic training · 2018Article
- The Self-Efficacy of Certified Athletic Trainers in Assessing and Managing Sport-Related Concussions.Journal of athletic training · 2018Article
- Use of the stepwise progression return-to-play protocol following concussion among practicing athletic trainers.Journal of sport and health science · 2018Article
- Comparison of baseline and postconcussion SCAT3 scores and symptoms in varsity athletes: an investigation into differences by sex and history of concussion.BMJ open sport & exercise medicine · 2018Article
- Analysis of Baseline Computerized Neurocognitive Testing Results among 5-11-Year-Old Male and Female Children Playing Sports in Recreational Leagues in Florida.International journal of environmental research and public health · 2017Article
- Concussion diagnosis and management: Knowledge and attitudes of family medicine residents.Canadian family physician Medecin de famille canadien · 2017Article
- Neuropsychological Assessment Following Concussion: an Evidence-Based Review of the Role of Neuropsychological Assessment Pre- and Post-Concussion.Current pain and headache reports · 2016Review
- Examining Academic Support After Concussion for the Adolescent Student-Athlete: Perspectives of the Athletic Trainer.Journal of athletic training · 2016Article
- Concussion-Management Practice Patterns of National Collegiate Athletic Association Division II and III Athletic Trainers: How the Other Half Lives.Journal of athletic training · 2015Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAthletic trainers (ATs) play an important role in the evaluation, management, and referral of student-athletes after sport-related concussion. Understanding factors that influence ATs' patient care decisions is important to ensure best practices are followed. PURPOSE: To identify ATs' current concussion management practices and referral patterns for adolescent student-athletes after sport-related concussion as well as the factors associated with those practices. STUDY
designCross-sectional study. LEVEL OF EVIDENCE: Level 3.
methodsA total of 851 participants from a convenience sample of 3286 ATs employed in the secondary school setting (25.9% response rate) completed the Athletic Trainers' Beliefs, Attitudes, and Knowledge of Pediatric Athletes with Concussions (BAKPAC-AT) survey. The BAKPAC-AT consists of several questions to assess ATs' concussion management, referral practices, and established relationships with other health care professionals.
resultsThe majority of ATs had a written concussion policy (82.4%, n = 701) and standing orders approved by their directing physician (67.3%, n = 573); 75.1% (n = 639) of ATs conduct baseline testing, with the majority using computerized neurocognitive tests (71.2%, n = 606). Follow-up concussion testing was employed by 81.8% (n = 696). Years of certification (P = 0.049) and type of secondary school (P = 0.033) predicted ATs' use of baseline testing. Nearly half of the respondents (48.8%, n = 415) refer 100% of concussion cases to a physician. The most influential factors that lead to a referral were state law (40.3%, n = 343), personal preference (34.7%, n = 295), and school district policy (24.8%, n = 211).
conclusionOf the ATs surveyed, most were engaged in baseline and follow-up testing, primarily with neurocognitive tests. Most ATs refer patients to physicians after concussion. While state regulation and personal preference were primary factors influencing referral decisions, it is unclear at what point of care the referral occurs.
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