比较运动员初次脑震荡和重复脑震荡的恢复时间。

IF 2.1 3区 医学 Q2 ORTHOPEDICS Clinical Journal of Sport Medicine Pub Date : 2024-12-31 DOI:10.1097/JSM.0000000000001325
Brandon S Wright, Sara Dykowski, Abigail C Bretzin, Mark T Roberts, Ingrid K Ichesco, Andrea A Almeida, Michael J Popovich, Matthew T Lorincz, James T Eckner
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引用次数: 0

摘要

目的:比较初次脑震荡与重复脑震荡的恢复时间。设计:对电子病历进行回顾性审查。环境:跨学科脑震荡诊所。患者:50例(14.4岁[±2.5];在2016年至2020年期间,24例[48%]女性)遭受bbb1级脑震荡,并在脑震荡后30天内进行评估。干预:损伤分为第一次、第二次和/或最后一次脑震荡。主要结局指标:主要结局指标是恢复时间,以恢复运动的清除率来定义。使用Cox回归对第一次与第二次脑震荡(主要分析)和第一次与最后一次脑震荡(次要分析)进行比较。多变量模型考虑了从脑震荡到初次就诊的时间和首次就诊时运动脑震荡评估工具症状严重程度评分。敏感性分析探讨了初次接触时间和两次脑震荡间隔的潜在影响。结果:在单因素或多变量模型中,初次脑震荡和重复脑震荡的恢复时间没有差异(HR = 1.02, 95% CI, 0.65 ~ 1.62, P = 0.92;HR = 1.01, 95% CI, 0.64-1.62, P = 0.91,多变量模型分别比较第一次(ref)与第二次(ref)和第一次(ref)与最后一次脑震荡。根据首次就诊时间(≤7天vs bb0 7天)或损伤间隔时间(≤1年vs bb1 1年)进行的敏感性分析也得到了类似的结果。结论:同一运动员的初次脑震荡和重复脑震荡在恢复时间上没有差异。复发性脑震荡后恢复时间较短的趋势不显著,出现在损伤后1周内和复发性脑震荡后1年内。
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Comparing Time to Recovery Between Initial and Repeat Concussion in Athletes.

Objective: Compare time to recovery between initial and repeat concussions.

Design: Retrospective review of electronic medical record.

Setting: An interdisciplinary concussion clinic.

Patients: Fifty patients (14.4 years old [±2.5]; 24 [48%] female) who sustained >1 concussion between 2016 and 2020 and were evaluated within 30 days of their concussion.

Intervention: Injuries were divided into first, second, and/or last concussions.

Main outcome measures: The primary outcome was time to recovery, as defined by clearance for return to sport. This was compared between first versus second concussion (primary analysis) and first versus last concussion (secondary analysis) using Cox regression. Multivariable models accounted for time from concussion to initial clinic visit and Sport Concussion Assessment Tool symptom severity score at initial encounter. Sensitivity analyses explored potential influences of initial encounter timing and interval between concussions.

Results: Time to recovery did not differ between initial and repeat concussion in univariate or multivariable models (HR = 1.02, 95% CI, 0.65-1.62, P = 0.92; HR = 1.01, 95% CI, 0.64-1.62, P = 0.91 for multivariable models comparing first (ref) versus second and first (ref) versus last concussion, respectively). Similar results were obtained in sensitivity analyses stratifying by time to initial visit (≤7 days vs >7 days) or time between injuries (≤1 year vs >1 year).

Conclusions: There were no differences in time to recovery between initial and repeat concussions sustained by the same athlete. A nonsignificant trend of shorter recovery after repeat concussions was observed for patients presenting within 1 week of injury and when repeat injuries occurred within 1 year.

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来源期刊
CiteScore
4.70
自引率
7.40%
发文量
185
审稿时长
6-12 weeks
期刊介绍: ​Clinical Journal of Sport Medicine is an international refereed journal published for clinicians with a primary interest in sports medicine practice. The journal publishes original research and reviews covering diagnostics, therapeutics, and rehabilitation in healthy and physically challenged individuals of all ages and levels of sport and exercise participation.
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