Evidence map›Paper›PMID 29167908›Full record

ArticleSingapore medical journal2018

Pilot single-centre cross-sectional study to determine emergency physicians' knowledge and management of sports concussion: an experience from Singapore.

Dinesh Sirisena, Joy Walter, Joo Haw Ong, Joanne Probert

Open access · diamondAbstract read
In one paragraph

Article in Singapore medical journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 81% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Heads up for concussion, what do emergency physicians know? A scoping review.BMC sports science, medicine & rehabilitation · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Dinesh SirisenaSports Medicine Centre, Khoo Teck Puat Hospital, Singapore.
Joy WalterAsia Rugby, Singapore.
Joo Haw OngSports Medicine Centre, Khoo Teck Puat Hospital, Singapore.
Joanne ProbertSports Medicine Centre, Khoo Teck Puat Hospital, Singapore.
Khoo Teck Puat Hospital · SGIrish Rugby Football Union · IEWorld Rugby · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSports concussion remains challenging to manage despite changes to policy and practice since the 2012 International Consensus Conference on Concussion in Sport. Emergency physicians (EPs) are usually the first line of medical care for athletes in amateur and youth collision sports. This single-centre cross-sectional study aimed to establish EPs' understanding and management of concussion in Singapore.

methodsAn anonymised, 17-item online questionnaire was sent to EPs requesting for information on their clinical experience, training, exposure to concussion cases in the emergency department (ED) and assessed knowledge of the condition.

resultsOut of 65 EPs, 52 (80%) responded, 25 (48.1%) of whom were medical officers. Over 90% had not received formal training in concussion management, and 73.1% regularly assessed concussion. 40 (76.9%) EPs recognised that loss of consciousness was not essential for diagnosis and only 24 (46.2%) knew the most common symptom. 26 (50.0%) incorrectly reported that they would perform brain imaging. Among those who indicated onward referral, 29 (55.8%) would refer concussed patients to neurosurgery. There were no significant differences between clinical grade or training in concussion and positive responses for definition, imaging modality or most common symptom of concussion.

conclusionConcussion is a common presentation to EDs in Singapore. However, understanding of the condition, its clinical diagnosis, investigation and onward management is limited. Although EPs reported training in concussion, it is likely to be insufficient. Commencing relevant education programmes for undergraduate and postgraduate medical students may enable progressive acquisition of knowledge and thereby improve patient management in the future.

Indexed as

Emergency Service, HospitalPractice Patterns, Physicians'AthletesAthletic InjuriesBrain ConcussionCross-Sectional StudiesEmergency MedicineHumansPhysiciansPilot ProjectsSingaporeSportsSports MedicineSurveys and Questionnairesclinical pathwayseducation (medical)emergency departmentemergency medicinesports concussion

Identifiers

PMID29167908
PMCPMC6024222
OpenAlexW2767436356

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.