Evidence map›Paper›PMID 38335556›Full record

ArticleAnnals of medicine2024

Catastrophic injuries and exertional medical events in lacrosse among youth, high school and collegiate athletes: longitudinal surveillance over four decades (1982-2020).

Garrett A Moseley, Andrew E Lincoln, Jonathan A Drezner, Randi DeLong, Erin Shore, Nina Walker, Johna K Register-Mihalik, Robert C Cantu, Kristen L Kucera

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Article in Annals of medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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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

4 citing papers in PubMed.

  1. Article
  2. A Parent Survey: Characteristics of Sudden Cardiac Arrest in Youth.Journal of pediatrics. Clinical practice · 2026
    Article
  3. Article
  4. 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

9 authors.

Garrett A MoseleyDepartment of Exercise and Sport Science, National Center for Catastrophic Sports Injury Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID 0000-0002-6576-3469
Andrew E LincolnSpecial Olympics International, Washington, DC, USA.ORCID 0000-0003-2345-3320
Jonathan A DreznerDepartment of Family Medicine, Center for Sports Cardiology, University of Washington, Seattle, WA, USA.ORCID 0000-0003-3519-9120
Randi DeLongDepartment of Exercise and Sport Science, National Center for Catastrophic Sports Injury Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID 0000-0002-1376-7839
Erin ShoreDepartment of Exercise and Sport Science, National Center for Catastrophic Sports Injury Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID 0000-0001-5754-8323
Nina WalkerDepartment of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Johna K Register-MihalikDepartment of Exercise and Sport Science, National Center for Catastrophic Sports Injury Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID 0000-0002-4229-4743
Robert C CantuCantu Concussion Center, Emerson Hospital, Concord, MA, USA.ORCID 0009-0002-4300-4063
Kristen L KuceraDepartment of Exercise and Sport Science, National Center for Catastrophic Sports Injury Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID 0000-0002-7616-7064

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the incidence rates (IRs) of catastrophic injuries and exertional medical events in lacrosse athletes.

methodsCatastrophic injuries and exertional medical events in lacrosse in the US among youth or amateur, high school and college athletes were analysed from the National Center for Catastrophic Sport Injury Research (NCCSIR) database from 1982/83 to 2019/20. Frequencies, IRs per 100,000 athlete-seasons (AS) with 95% confidence intervals (CIs), and incidence rate ratios (IRRs) with 95% CIs were calculated. Participation data were gathered from the National Federation of State High School Associations (NFHS), National Collegiate Athletic Association (NCAA) and USA Lacrosse.

resultsSixty-nine catastrophic events (16 youth or amateur, 36 high school and 17 college; 84% male) occurred in US lacrosse from 7/1/1982 to 6/30/2020. Thirty-six percent of all incidents were fatal. The overall IR was 0.5 per 100,000 AS (95% CI: 0.4-0.7). There were 15 cases of non-traumatic sudden cardiac arrests (SCAs) and 15 incidents of commotio cordis. Fatality rates from SCA and commotio cordis decreased 95% (IRR = 0.05; 95% CI: 0, 0.2) from 1982/83-2006/07 to 2007/08-2019/20. Incidence rates were higher for collegiate versus high school 1982/83-2019/20 (IRR = 3.2; 95% CI: 1.8, 5.7) and collegiate versus youth 2005/06-2019/20 (IRR = 8.0; 95% CI: 3.0, 21.4) level. Contact with a stick or ball (41%) and contact with another player (20%) were the primary mechanisms of injury.

conclusionsThe incidence of catastrophic events during lacrosse was higher among collegiate than high school or youth athletes. SCA from an underlying cardiac condition or from commotio cordis was the most common catastrophic event. Fatality rates from catastrophic injuries have declined significantly over the study period, perhaps driven by protective measures adopted by lacrosse governing bodies.

Indexed as

Athletic InjuriesCommotio CordisRacquet SportsAdolescentAthletesFemaleHumansIncidenceMaleSchoolsUnited Statesathletic trainingcommotio cordisdeathEpidemiologyinjuryspine injurysportssudden cardiac arrest

Identifiers

PMID38335556
PMCPMC10860437

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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.