Evidence map›Paper›PMID 36755244›Full record

ArticleThe journal of headache and pain2023

A multicenter, longitudinal survey of headaches and concussions among youth athletes in the United States from 2009 to 2019.

Muhammad Ali, Nek Asghar, Theodore Hannah, Alexander J Schupper, Adam Li, Nickolas Dreher, Muhammad Murtaza-Ali, Vikram Vasan, Zaid Nakadar, Husni Alasadi and 9 more

Open access · goldAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in The journal of headache and pain, 2023. 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.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 19% 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

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

  1. Pooled it
  2. Review
  3. Review
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

19 authors at 8 institutions in 1 country.

Muhammad AliDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, 10021, NY, USA. muhammad.ali@icahn.mssm.edu.
Nek AsgharDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, 10021, NY, USA.
Theodore HannahDepartment of Neurosurgery, Lewis Katz School of Medicine at Temple University, 19140, Philadelphia, PA, USA.
Alexander J SchupperDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, 10021, NY, USA.
Adam LiDepartment of Neurosurgery, University of Rochester School of Medicine and Dentistry, 14642, Rochester, NY, USA.
Nickolas DreherDepartment of Medicine, Columbia University Vagelos College of Physicians and Surgeons, 10032, NY, USA.
Muhammad Murtaza-AliDepartment of Anthropology, State University of New York at Binghamton, 13902, NY, USA.
Vikram VasanDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, 10021, NY, USA.
Zaid NakadarDepartment of Neurosurgery, State University of New York Downstate Health Sciences University, 11203, NY, USA.
Husni AlasadiDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, 10021, NY, USA.
Anthony LinDepartment of Pathology, Joan & Sanford I. Weill Medical College of Cornell University, 10021, NY, USA.
Eugene HrabarchukDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, 10021, NY, USA.
Addison QuinonesDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, 10021, NY, USA.
Lily McCarthyDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, 10021, NY, USA.
Zerubabbel AsfawDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, 10021, NY, USA.
Jonathan DulleaDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, 10021, NY, USA.
Alex GometzConcussion Management of New York, 10021, NY, USA.
Mark LovellDepartment of Neurology, The University of Pittsburgh Medical Center, 15260, Pittsburgh, PA, USA.
Tanvir ChoudhriDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, 10021, NY, USA.
Icahn School of Medicine at Mount Sinai · USBinghamton University · USColumbia University · USCornell University · USState University of New York · USTemple University · USUniversity of Pittsburgh Medical Center · USUniversity of Rochester · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

OBJECTIVE/

backgroundChronic headaches and sports-related concussions are among the most common neurological morbidities in adolescents and young adults. Given that the two can overlap in presentation, studying the effects of one on another has proven difficult. In this longitudinal study, we sought to assess the relationship between chronic headaches and concussions, analyzing the role of historic concussions on chronic headaches, as well as that of premorbid headaches on future concussion incidence, severity, and recovery.

methodsThis multi-center, longitudinal cohort study followed 7,453 youth athletes who were administered demographic and clinical surveys as well as a total of 25,815 Immediate Post-concussion Assessment and Cognitive Testing (ImPACT) assessments between 2009 and 2019. ImPACT was administered at baseline. Throughout the season concussions were examined by physicians and athletic trainers, followed by re-administration of ImPACT post-injury (PI), and at follow-up (FU), a median of 7 days post-concussion. Concussion incidence was calculated as the total number of concussions per patient years. Concussion severity and recovery were calculated as standardized deviations from baseline to PI and then FU in Symptom Score and the four neurocognitive composite ImPACT scores: Verbal Memory, Visual Memory, Processing Speed, and Reaction Time. Data were collected prospectively in a well-organized electronic format supervised by a national research-oriented organization with rigorous quality assurance. Analysis was preformed retrospectively.

resultsOf the eligible athletes, 1,147 reported chronic headaches (CH) at the start of the season and 6,306 reported no such history (NH). Median age of the cohort was 15.4 ± 1.6 years, and students were followed for an average of 1.3 ± 0.6 years. A history of concussions (OR 2.31, P < 0.0001) was associated with CH. Specifically, a greater number of past concussions (r

conclusionA history of concussions was a significant contributor to headache burden among American adolescents and young adults. However, those with chronic headaches were not more likely to be diagnosed with a concussion, despite presenting with more severe concussions that had protracted recovery. Our findings not only suggest the need for conservative management among youth athletes with chronic headaches, they also indicate a potential health care gap in this population, in that those with chronic headaches may be referred for concussion diagnosis and management at lower rates than those with no such comorbidity.

Indexed as

Athletic InjuriesBrain ConcussionHeadache DisordersAdolescentAthletesHeadacheHumansLongitudinal StudiesNeuropsychological TestsRetrospective StudiesUnited StatesYoung Adultchronic headacheconcussionyouth athletes

Identifiers

PMID36755244
PMCPMC9909942
OpenAlexW4319459111

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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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.