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2016 ; 138
(3
): ä Nephropedia Template TP
gab.com Text
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English Wikipedia
Removal From Play After Concussion and Recovery Time
#MMPMID27573089
Elbin RJ
; Sufrinko A
; Schatz P
; French J
; Henry L
; Burkhart S
; Collins MW
; Kontos AP
Pediatrics
2016[Sep]; 138
(3
): ä PMID27573089
show ga
OBJECTIVE: Despite increases in education and awareness, many athletes continue
to play with signs and symptoms of a sport-related concussion (SRC). The impact
that continuing to play has on recovery is unknown. This study compared recovery
time and related outcomes between athletes who were immediately removed from play
and athletes who continued to play with an SRC. METHODS: A prospective, repeated
measures design was used to compare neurocognitive performance, symptoms, and
recovery time between 35 athletes (mean ± SD age, 15.61 ± 1.65 years) immediately
removed after an SRC (REMOVED group) compared with 34 athletes (mean ± SD age,
15.35 ± 1.73 years) who continued to play (PLAYED group) with SRC. Neurocognitive
and symptom data were obtained at baseline and at 1 to 7 days and 8 to 30 days
after an SRC. RESULTS: The PLAYED group took longer to recover than the REMOVED
group (44.4 ± 36.0 vs 22.0 ± 18.7 days; P = .003) and were 8.80 times more likely
to demonstrate protracted recovery (?21 days) (P < .001). Removal from play
status was associated with the greatest risk of protracted recovery (adjusted
odds ratio, 14.27; P = .001) compared with other predictors (eg, sex). The PLAYED
group exhibited significantly worse neurocognitive and greater symptoms than the
REMOVED group. CONCLUSIONS: SRC recovery time may be reduced if athletes are
removed from participation. Immediate removal from play is the first step in
mitigating prolonged SRC recovery, and these data support current consensus
statements and management guidelines.