Evidence map›Paper›PMID 37681681›Full record

ArticleJournal of athletic training2024

Postinjury Outcomes After Non-Sport-Related Concussion: A CARE Consortium Study.

Patricia R Roby, Anne E Mozel, Kristy B Arbogast, Thomas Buckley, Jaclyn B Caccese, Sara P D Chrisman, James R Clugston, James T Eckner, Carrie Esopenko, Tamerah Hunt and 11 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of athletic training, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. NSAID Use Is Not Associated With Persisting Symptoms in Adolescent Concussion.Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine · 2026
    Article
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  10. 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

21 authors at 19 institutions in 2 countries.

Patricia R RobyCenter for Injury Research and Prevention, University of Pennsylvania, Philadelphia.
Anne E MozelCenter for Injury Research and Prevention, University of Pennsylvania, Philadelphia.
Kristy B ArbogastCenter for Injury Research and Prevention, University of Pennsylvania, Philadelphia.
Thomas BuckleyDepartment of Kinesiology and Applied Physiology, University of Delaware, Newark.
Jaclyn B CacceseSchool of Health & Rehabilitation Sciences, Ohio State University College of Medicine, Columbus.
Sara P D ChrismanCenter for Child Health, Behavior and Development, Seattle Children's Research Institute, WA.
James R ClugstonDepartments of Community Health & Family Medicine and Neurology, University of Florida, Gainesville.
James T EcknerDepartment of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor.
Carrie EsopenkoDepartment of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York, NY.
Tamerah HuntDepartment of Health Sciences and Kinesiology, Georgia Southern University, Statesboro.
Louise A KellyDepartment of Exercise Science, California Lutheran University, Thousand Oaks.
Jane McDevittDepartment of Health and Rehabilitation Science, Temple University, Philadelphia, PA.
Susan M PerkinsDepartment of Biostatistics and Health Data Science, Indiana University, Bloomington.
Margot PutukianMajor League Soccer, Formerly Princeton University, University Health Service, Princeton, NJ.
Adam SusmarskiLoras College, Dubuque, IA.
Steven P BroglioConcussion Center, University of Michigan, Ann Arbor.
Paul F PasquinaPhysical Medicine & Rehabilitation, Uniformed Services University, Bethesda, MD.
Thomas W McAllisterDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis.
Michael McCreaDepartments of Neurosurgery, Medical College of Wisconsin, Milwaukee.
Christina L MasterCenter for Injury Research and Prevention, University of Pennsylvania, Philadelphia.
CARE Consortium Investigators
Children's Hospital of Philadelphia · USCalifornia Lutheran University · USConcordia University Ann Arbor · USGeorgia Southern University · USIcahn School of Medicine at Mount Sinai · USIndiana University Bloomington · USIndiana University – Purdue University Indianapolis · USInstitute of Child Health · INLoras College · USMedical College of Wisconsin · USNational Center for Injury Prevention and Control · USPrinceton University · USTemple University · USThe Ohio State University · USUniformed Services University of the Health Sciences · USUniversity of Delaware · USUniversity of Florida · USUniversity of Michigan–Ann Arbor · USUniversity of Pennsylvania · US

Funding

BRIAN INJURY TRAINING GRANTT32NS043126 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI Douglas Hamilton Smith · 2003 to 2026
$5.9M
Objective Translational Multi-domain Early Concussion AssessmentR01NS097549 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI ARBOGAST, KRISTY, MARGULIES, SUSAN SHEPS · 2017 to 2021
$4.5M
NINDS NIH HHS R01 NS097549NINDS NIH HHS T32 NS043126
6 · The paper itself

Abstract

contextConcussion research has primarily focused on sport-related mechanisms and excluded non-sport-related mechanisms. In adult populations, non-sport-related concussions (non-SRCs) demonstrated worse clinical outcomes compared with sport-related concussions (SRCs); however, investigations of non-SRCs in college-aged patients are limited.

objectivesTo examine clinical outcomes in collegiate athletes with non-SRCs compared with SRCs and explore sex differences in outcomes among collegiate athletes with non-SRCs.

designProspective cohort study.

settingClinical setting. PATIENTS OR OTHER

participantsA total of 3500 athletes were included (n = 555 with non-SRCs, 42.5% female) from colleges or universities and service academies participating in the National Collegiate Athletic Association Department of Defense Concussion Assessment, Research and Education (CARE) Consortium. MAIN OUTCOME MEASURE(S): Dichotomous outcomes (yes or no) consisted of immediate reporting, mental status alterations, loss of consciousness, posttraumatic amnesia, retrograde amnesia, motor impairments, delayed symptom presentation, and required hospital transport. Continuous outcomes were symptom severity, days with concussion symptoms, and days lost to injury. Data were collected within 24 to 48 hours of injury and at return to play. Adjusted relative risks (ARRs) compared the likelihood of dichotomous outcomes by mechanism and by sex within patients with non-SRCs. Multivariate negative binomial regressions were used to assess group differences in continuous variables.

resultsAthletes with non-SRCs were less likely to report immediately (ARR = 0.73, 95% CI = 0.65, 0.81) and more likely to report delayed symptom presentation (ARR = 1.17, 95% CI = 1.03, 1.32), loss of consciousness (ARR = 3.15, 95% CI = 2.32, 4.28), retrograde amnesia (ARR = 1.77, 95% CI = 1.22, 2.57), and motor impairment (ARR = 1.45, 95% CI = 1.14, 1.84). Athletes with non-SRCs described greater symptom severity, more symptomatic days, and more days lost to injury (P < .001) compared with those who had SRCs. Within the non-SRC group, female athletes indicated greater symptom severity, more symptomatic days, and more days lost to injury (P < .03) than male athletes.

conclusionsAthletes with non-SRCs had worse postinjury outcomes compared with those who had SRCs, and female athletes with non-SRCs had worse recovery metrics than male athletes. Our findings suggest that further investigation of individuals with non-SRCs is needed to improve concussion reporting and management.

Indexed as

Athletic InjuriesBrain ConcussionSportsAdultFemaleHumansMaleProspective StudiesUnconsciousnessYoung Adultinjury reportingmild traumatic brain injuriessymptoms

Identifiers

PMID37681681
PMCPMC10976341
OpenAlexW4386530564

What OpenQuestion holds

Textmetadata
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.