Evidence map›Paper›PMID 36653178›Full record

Observational studyNeurology2023

Characteristics and Outcomes of Athletes With Slow Recovery From Sports-Related Concussion: A CARE Consortium Study.

Thomas W McAllister, Steven P Broglio, Barry P Katz, Susan M Perkins, Michelle LaPradd, Wenxian Zhou, Michael A McCrea, Concussion Assessment, Research and Education (CARE) Consortium

Abstract readObservational Study
In one paragraph

Observational study in Neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

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

  1. Pooled it
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  11. Biomarkers and Endophenotypes of Post-traumatic Headaches.Current pain and headache reports · 2024
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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

8 authors.

Thomas W McAllisterFrom the Department of Psychiatry (T.W.M.), Indiana University School of Medicine, Indianapolis; School of Kinesiology (S.P.B.), University of Michigan, Ann Arbor; Department of Biostatistics and Health Data Science (B.P.K., S.M.P., M.L., W.Z.), Indiana University School of Medicine, Indianapolis; and Department of Neurosurgery (M.A.M.), Medical College of Wisconsin, Milwaukee. twmcalli@iupui.edu.ORCID 0000-0003-0267-3076
Steven P BroglioFrom the Department of Psychiatry (T.W.M.), Indiana University School of Medicine, Indianapolis; School of Kinesiology (S.P.B.), University of Michigan, Ann Arbor; Department of Biostatistics and Health Data Science (B.P.K., S.M.P., M.L., W.Z.), Indiana University School of Medicine, Indianapolis; and Department of Neurosurgery (M.A.M.), Medical College of Wisconsin, Milwaukee.
Barry P KatzFrom the Department of Psychiatry (T.W.M.), Indiana University School of Medicine, Indianapolis; School of Kinesiology (S.P.B.), University of Michigan, Ann Arbor; Department of Biostatistics and Health Data Science (B.P.K., S.M.P., M.L., W.Z.), Indiana University School of Medicine, Indianapolis; and Department of Neurosurgery (M.A.M.), Medical College of Wisconsin, Milwaukee.
Susan M PerkinsFrom the Department of Psychiatry (T.W.M.), Indiana University School of Medicine, Indianapolis; School of Kinesiology (S.P.B.), University of Michigan, Ann Arbor; Department of Biostatistics and Health Data Science (B.P.K., S.M.P., M.L., W.Z.), Indiana University School of Medicine, Indianapolis; and Department of Neurosurgery (M.A.M.), Medical College of Wisconsin, Milwaukee.
Michelle LaPraddFrom the Department of Psychiatry (T.W.M.), Indiana University School of Medicine, Indianapolis; School of Kinesiology (S.P.B.), University of Michigan, Ann Arbor; Department of Biostatistics and Health Data Science (B.P.K., S.M.P., M.L., W.Z.), Indiana University School of Medicine, Indianapolis; and Department of Neurosurgery (M.A.M.), Medical College of Wisconsin, Milwaukee.
Wenxian ZhouFrom the Department of Psychiatry (T.W.M.), Indiana University School of Medicine, Indianapolis; School of Kinesiology (S.P.B.), University of Michigan, Ann Arbor; Department of Biostatistics and Health Data Science (B.P.K., S.M.P., M.L., W.Z.), Indiana University School of Medicine, Indianapolis; and Department of Neurosurgery (M.A.M.), Medical College of Wisconsin, Milwaukee.
Michael A McCreaFrom the Department of Psychiatry (T.W.M.), Indiana University School of Medicine, Indianapolis; School of Kinesiology (S.P.B.), University of Michigan, Ann Arbor; Department of Biostatistics and Health Data Science (B.P.K., S.M.P., M.L., W.Z.), Indiana University School of Medicine, Indianapolis; and Department of Neurosurgery (M.A.M.), Medical College of Wisconsin, Milwaukee.
Concussion Assessment, Research and Education (CARE) Consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesSome athletes experience a slow recovery after sport-related concussion (SRC). There is little agreement on what constitutes slow recovery, however, and minimal data on the prevalence, predictors, or prognosis for this group. The objectives of this study were to apply an operationalized definition of slow recovery and characterize predictors and long-term prognosis of these individuals.

methodsThis is a prospective multisite observational study of collegiate athletes. Participants underwent multimodal assessments preseason and 5 additional time points after SRC. Time from injury to initiation of return to play progression (asymptomatic timepoint) and from injury to return to play (RTP) were the primary markers of recovery.

resultsOne thousand seven hundred fifty-one concussed male and female collegiate athletes were studied. Eighty percent of participants reached the asymptomatic and/or RTP time points by days 14 and 24, respectively. Slow recovery was thus defined as exceeding 1 or both of those intervals (n = 399). This group was statistically more likely to be female (41.1% vs 35.6%, DISCUSSION: This study suggests an overall favorable prognosis for slowly recovering athletes and provides data for athletes and medical teams to consider in calibrating RTP expectations and making decisions about medical disqualification vs ongoing engagement in their sport.

Indexed as

Athletic InjuriesBrain ConcussionAthletesFemaleHumansMaleNeuropsychological TestsProspective Studies

Identifiers

PMID36653178
PMCPMC10104617

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.