Evidence map›Paper›PMID 33204493›Full record

ArticleConcussion (London, England)2020

The cost of a single concussion in American high school football: a retrospective cohort study.

Aaron M Yengo-Kahn, Patrick D Kelly, David C Liles, Lydia J McKeithan, Candace J Grisham, Muhammad Saad Khan, Timothy Lee, Andrew W Kuhn, Christopher M Bonfield, Scott L Zuckerman

Abstract read
In one paragraph

Article in Concussion (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
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  6. Review
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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

10 authors.

Aaron M Yengo-KahnDepartment of Neurological Surgery, Vanderbilt University Medical Center, Nashville, TN 37232, USA.ORCID https://orcid.org/0000-0002-5989-3064
Patrick D KellyDepartment of Neurological Surgery, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
David C LilesDepartment of Neurological Surgery, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Lydia J McKeithanVanderbilt Sport Concussion Center, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Candace J GrishamVanderbilt Sport Concussion Center, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Muhammad Saad KhanSchool of Medicine, Meharry Medical College, Nashville, TN 37208, USA.
Timothy LeeVanderbilt Sport Concussion Center, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Andrew W KuhnVanderbilt Sport Concussion Center, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Christopher M BonfieldDepartment of Neurological Surgery, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Scott L ZuckermanDepartment of Neurological Surgery, Vanderbilt University Medical Center, Nashville, TN 37232, USA.

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007347 · NIGMS · VANDERBILT UNIVERSITY · PI WILLIAMS, CHRISTOPHER S. · 1985 to 2023
$26.3M
Medical Scientist Training ProgramT32GM152284 · NIGMS · VANDERBILT UNIVERSITY · PI Christopher S. Williams · 2024 to 2026
$4.8M
NIGMS NIH HHS T32 GM007347NIGMS NIH HHS T32 GM152284
6 · The paper itself

Abstract

aimThe potential financial burden of American football-related concussions (FRC) is unknown. Our objective was to describe the healthcare costs associated with an FRC and determine factors associated with increased costs. METHODOLOGY/

resultsA retrospective cohort study of concussed high school football players presenting between November 2017 and March 2020 was undertaken; 144 male high school football players were included. Total costs were about $115,000, for an average direct healthcare cost of $800.10/concussion. Visiting the emergency department (β = 502.29, 95% CI: 105.79-898.61; p = 0.01), the initial post-concussion symptom scale score (β = 0.39, 95% CI: 0.11-0.66; p = 0.01) and a post-concussion syndrome diagnosis (β = 670.37, 95% CI: 98.96-1241.79; p = 0.02) were each independently associated with total costs.

conclusionA granular understanding of cost-driving factors associated with FRC is the first step in understanding the cost-effectiveness of prevention and treatment methods.

Indexed as

American footballhealthcare costspost-concussion symptom scalepost-concussion syndromesport-related concussion

Identifiers

PMID33204493
PMCPMC7653506

What OpenQuestion holds

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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.