Evidence map›Paper›PMID 39480804›Full record

ArticleJournal of athletic training2025

Attention-Deficit/Hyperactivity Disorder as a Predictor of Prolonged Functional Recovery From Sports-Related Concussion in High School Athletes.

Kyoko Shirahata, Shinobu Nishimura, Jong-Soo Lee, Rachel A Coel, Jennifer King, Troy Furutani, Nathan Murata, Kaori Tamura

Abstract read
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Article in Journal of athletic training, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

1 citing paper in PubMed.

  1. Review
4 · The record

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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.

Kyoko ShirahataDepartment of Kinesiology and Rehabilitation Science, College of Education, University of Hawaii at Mānoa.
Shinobu NishimuraDepartment of Marketing, College of Business Administration, Toyo University, Bunkyō, Japan.
Jong-Soo LeeDepartment of Mathematics & Statistics, Kennedy College of Sciences, University of Massachusetts Lowell.
Rachel A CoelKapiolani Medical Center for Women and Children, Hawaii Pacific Health Medical Group, Honolulu.
Jennifer KingKapiolani Medical Center for Women and Children, Hawaii Pacific Health Medical Group, Honolulu.
Troy FurutaniDepartment of Kinesiology and Rehabilitation Science, College of Education, University of Hawaii at Mānoa.
Nathan MurataDepartment of Kinesiology and Rehabilitation Science, College of Education, University of Hawaii at Mānoa.
Kaori TamuraDepartment of Kinesiology and Rehabilitation Science, College of Education, University of Hawaii at Mānoa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextAttention-deficit/hyperactivity disorder (ADHD) has been speculated to prolong concussion recovery; however, the evidence regarding concussion recovery for individuals with ADHD is limited.

objectiveTo examine the concussion recovery time based on ADHD status, sex, and age.

designCross-sectional study.

settingHigh school. PATIENTS OR OTHER

participantsNine hundred and thirty-five (female: n = 382, 40.1%) concussions, including 78 (female: n = 13, 20.0%) self-identified ADHD data, were analyzed. MAIN OUTCOME MEASURE(S): A Poisson regression was used to estimate the return-to-learn and return-to-sport recovery outcomes with 3 predicting variables: ADHD status, sex, and age.

resultsThe mean return-to-learn days of the ADHD and non-ADHD groups were 12.86 ± 10.89 (median = 11.0; interquartile range [IQR] = 8.0; 7.0-15.25) and 1.43 ± 8.39 (median = 9.0; IQR = 9.0; 6.0-14.0), respectively. The mean return-to-sport days of the ADHD and non-ADHD groups were 20.82 ± 15.25 days (median = 17.0; IQR = 9.0; 12.0-21.0) and 18.03 ± 11.42 days (median = 15.0; IQR = 10.0; 11.0-21.0), respectively. For return-to-learn, ADHD status (risk ratio [RR] = 1.16; 95% confidence interval [95% CI]: 1.08, 1.24; P < .001) and female sex (RR = 1.13; 95% CI: 1.08, 1.17; P < .001) were significant variables for longer recovery, whereas age was not (RR = 0.995; 95% CI: 0.98, 1.01; P = .056). For return to sport, ADHD status (RR = 1.17; 95% CI: 1.12, 1.23; P < .001), female sex (RR = 1.07; 95% CI: 1.04, 1.11; P < .001), and younger age (RR = 0.98; 95% CI: 0.96, 0.99; P < .001) were all significant variables for longer recovery.

conclusionsHealth care providers must be aware of the elevated risk of prolonged concussion recovery among high school athletes with ADHD.

Indexed as

Athletic InjuriesAttention Deficit Disorder with HyperactivityBrain ConcussionRecovery of FunctionReturn to SportAdolescentAge FactorsAthletesCross-Sectional StudiesFemaleHumansMaleSex FactorsTime Factorsanticipatory guidancefunctional concussion recoveryreturn-to-learnreturn-to-sports

Identifiers

PMID39480804
PMCPMC11935301

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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.