ArticleCanadian family physician Medecin de famille canadien2022
Assessment of a collaborative concussion management strategy in a school-based sport program: Prospective cohort study.
Article in Canadian family physician Medecin de famille canadien, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Incidence of Sports-Related Concussion in Children and Adolescents: A Systematic Review and Meta-Analysis.Sports medicine - open · 2025Pooled it
- Collaboration is key to concussion management in family medicine.Canadian family physician Medecin de famille canadien · 2022Article
- Article
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Authors and funding
4 authors.
Funding
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Abstract
objectiveTo analyze the implementation of a concussion management protocol in which a team physiotherapist is involved in the identification of concussions and return-to-play (RTP) decisions.
designA prospective injury surveillance cohort study in a school-based Canadian football program (4 teams; grades 8 to 12) over 4 years. For years 1 to 2, the team physician made all RTP decisions; over years 3 to 4, the team physiotherapist was allowed to make some RTP decisions using pre-established criteria defined in the protocol.
settingA high school in Québec, Que.
participantsMale student athletes between 11 and 17 years old.
main outcome measuresSame-season recurrence (SSR) of concussion symptoms following RTP.
resultsA total of 119 concussions were identified (55 during the first 2 years and 64 during the last 2 years) during 27,741 athlete-exposures in 672 athlete-years for an incidence rate of 4.3 per 1000 athlete-exposures. During years 1 to 3, no SSR was observed following RTP clearance. During year 4 there was 1 case of SSR that occurred 11 days after clearance. The overall SSR rate of concussion symptoms following RTP clearance was 0.8%.
conclusionA very low rate of SSR was achieved whether the team physician made all RTP decisions or the team physiotherapist was allowed to make some of the RTP decisions through the terms of the protocol.
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