Evidence map›Paper›PMID 33453430›Full record

ArticleJournal of sport and health science2021

Detailed description of Division I ice hockey concussions: Findings from the NCAA and Department of Defense CARE Consortium.

Kathryn L Van Pelt, Jaclyn B Caccese, James T Eckner, Margot Putukian, M Alison Brooks, Kenneth L Cameron, Megan N Houston, Matthew A Posner, Jonathan C Jackson, Gerald T McGinty and 5 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of sport and health science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
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  8. 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

15 authors.

Kathryn L Van PeltSanders-Brown Center on Aging, University of Kentucky, Lexington, KY 40536-0230, USA. Electronic address: kloc223@uky.edu.
Jaclyn B CacceseCollege of Medicine School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH 43210, USA.
James T EcknerDepartment of Physical Medicine and Rehabilitation, Michigan Medicine, University of Michigan, Ann Arbor, MI 48108, USA.
Margot PutukianUniversity Health Services, Princeton University, McCosh Health Center, Princeton, NJ 08544, USA.
M Alison BrooksDepartment of Orthopedics and Rehabilitation, Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI 53705-2281, USA.
Kenneth L CameronKeller Army Hospital, United States Military Academy, West Point, NY 10996, USA.
Megan N HoustonKeller Army Hospital, United States Military Academy, West Point, NY 10996, USA.
Matthew A PosnerKeller Army Hospital, United States Military Academy, West Point, NY 10996, USA.
Jonathan C Jackson10th Medical Group, United States Air Force Academy, Colorado Springs, CO 80840-4000, USA.
Gerald T McGintySports Medicine, Athletic Department, United States Air Force Academy, U.S. Air Force Academy, CO 80840-9500, USA.
Cameron J HillisNovant Health, Charlotte Independence Soccer Club, Cornelius, NC 28031, USA.
Thomas W McAllisterDepartment of Psychiatry, Indiana University, Indianapolis, IN 46202, USA.
Michael A McCreaNeurosurgery, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
Steven P BroglioMichigan Concussion Center, University of Michigan, Ann Arbor, MI 48109, USA.
Thomas A BuckleyKinesiology and Applied Physiology, University of Delaware, Newark, DE 19713, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSince concussion is the most common injury in ice hockey, the objective of the current study was to elucidate risk factors, specific mechanisms, and clinical presentations of concussion in men's and women's ice hockey.

methodsIce hockey players from 5 institutions participating in the Concussion Assessment, Research, and Education Consortium were eligible for the current study. Participants who sustained a concussion outside of this sport were excluded. There were 332 (250 males, 82 females) athletes who participated in ice hockey, and 47 (36 males, 11 females) who sustained a concussion.

resultsPrevious concussion (odds ratio (OR) = 2.00; 95% confidence interval (95% CI): 1.02‒3.91) was associated with increased incident concussion odds, while wearing a mouthguard was protective against incident concussion (OR = 0.43; 95%CI: 0.22‒0.85). Overall, concussion mechanisms did not significantly differ between sexes. There were specific differences in how concussions presented clinically across male and female ice hockey players, however. Females (9.09%) were less likely than males (41.67%) to have a delayed symptom onset (p = 0.045). Additionally, females took significantly longer to reach asymptomatic (p = 0.015) and return-to-play clearance (p = 0.005). Within the first 2 weeks post-concussion, 86.11% of males reached asymptomatic, while only 45.50% of females reached the same phase of recovery. Most males (91.67%) were cleared for return to play within 3 weeks of their concussion, compared to less than half (45.50%) of females.

conclusionThe current study proposes possible risk factors, mechanisms, and clinical profiles to be validated in future concussions studies with larger female sample sizes. Understanding specific risk factors, concussion mechanisms, and clinical profiles of concussion in collegiate ice hockey may generate ideas for future concussion prevention or intervention studies.

Indexed as

Asymptomatic DiseasesBrain ConcussionConfidence IntervalsFemaleHockeyHumansMaleMouth ProtectorsOdds RatioProspective StudiesReturn to SportRisk FactorsRisk-TakingSex FactorsStudentsUniversitiesConcussion riskInjury mechanismRecovery

Identifiers

PMID33453430
PMCPMC7987562

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.