Evidence map›Paper›PMID 37743459›Full record

ArticleAnnals of biomedical engineering2024

Initial Mild Traumatic Brain Injury Characteristics and Recovery Patterns Among Females Across the United States Military Service Academies: A Report from the NCAA-DoD CARE Consortium.

Landon B Lempke, Elsa Ermer, Adrian J Boltz, Jaclyn Caccese, Thomas A Buckley, Kenneth L Cameron, Sara P D Chrisman, Christopher D'Lauro, James T Eckner, Carrie Esopenko and 12 more

Abstract read
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In one paragraph

Article in Annals of biomedical engineering, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Article
  2. 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

22 authors.

Landon B LempkeMichigan Concussion Center, University of Michigan, Ann Arbor, MI, USA. llempke@umich.edu.ORCID http://orcid.org/0000-0003-0007-1362
Elsa ErmerHenry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, USA.
Adrian J BoltzMichigan Concussion Center, University of Michigan, Ann Arbor, MI, USA.
Jaclyn CacceseSchool of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH, USA.
Thomas A BuckleyDepartment of Kinesiology and Applied Physiology, University of Delaware, Newark, DE, USA.
Kenneth L CameronKeller Army Hospital and United States Military Academy, West Point, NY, USA.
Sara P D ChrismanDivision of Adolescent Medicine, University of Washington, Seattle, WA, USA.
Christopher D'LauroDepartment of Behavioral Science and Leadership, United States Air Force Academy, USAF Academy, El Paso County, CO, USA.
James T EcknerDepartment of Physical Medicine & Rehabilitation, University of Michigan, Ann Arbor, MI, USA.
Carrie EsopenkoDepartment of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Tamerah N HuntDepartment of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA, USA.
Divya JainDepartment of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Louise A KellyDepartment of Exercise Science, California Lutheran University, Thousand Oaks, CA, USA.
Allyssa K MemminiDepartment of Health, Exercise & Sports Sciences, University of New Mexico, Albuquerque, NM, USA.
Anne E MozelCenter for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Margot PutukianMajor League Soccer, Princeton, NJ, USA.
Adam SusmarskiDepartment of Orthopedics and Sports Medicine, United States Naval Academy, Annapolis, MD, USA.
Paul F PasquinaUniformed Services University of the Health Sciences, Bethesda, MD, USA.
Michael A McCreaCenter for Neurotrauma Research, Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, USA.
Thomas W McAllisterDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USA.
Steven P BroglioMichigan Concussion Center, University of Michigan, Ann Arbor, MI, USA.
Christina L MasterCenter for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Funding

Office of the Secretary of Defense W81XWH-14-2-0151
6 · The paper itself

Abstract

Mild traumatic brain injury (mTBI) has been described in the United States (US) military service academy cadet population, but female-specific characteristics and recovery outcomes are poorly characterized despite sex being a confounder. Our objective was to describe female cadets' initial characteristics, assessment performance, and return-to-activity outcomes post-mTBI. Female cadets (n = 472) from the four US military service academies who experienced a mTBI completed standardized mTBI assessments from pre-injury to acute initial injury and unrestricted return-to-duty (uRTD). Initial injury presentation characteristics (e.g., delayed symptoms, retrograde amnesia) and return-to-activity outcomes [i.e., return-to-learn, initiate return-to-duty protocol (iRTD), uRTD] were documented. Descriptive statistics summarized female cadets' injury characteristics, return-to-activity outcomes, and post-mTBI assessment performance change categorization (worsened, unchanged, improved) relative to pre-injury baseline using established change score confidence rank criteria for each assessment score. The median (interquartile range) days to return-to-learn (n = 157) was 7.0 (3.0-14.0), to iRTD (n = 412) was 14.7 (8.6-25.8), and to uRTD (n = 431) was 26.0 (17.7-41.8). The majority experienced worse SCAT total symptom severity (77.8%) and ImPACT reaction time (97.0%) acutely < 24-h versus baseline, but unchanged BESS total errors (75.2%), SAC total score (72%), BSI-18 total score (69.6%), and ImPACT verbal memory (62.3%), visual memory (58.4%), and visual motor speed (52.5%). We observed similar return-to-activity times in the present female cadet cohort relative to the existing female-specific literature. Confidence ranks categorizing post-mTBI performance were heterogenous and indicate multimodal assessments are necessary. Our findings provide clinically relevant insights to female cadets experiencing mTBI across the US service academies for stakeholders providing healthcare.

Indexed as

Brain ConcussionMilitary PersonnelAdolescentAdultFemaleHumansRecovery of FunctionReturn to WorkUnited StatesYoung AdultActive dutyConcussionPsychologicalRecoveryVeteran

Identifiers

PMID37743459

What OpenQuestion holds

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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.