Risk factors for sports concussion : an evidence-based systematic review

dc.contributor.authorAbrahams, Shameemah
dc.contributor.authorMcFie, Sarah
dc.contributor.authorPatricios, Jonathan Speridon
dc.contributor.authorPosthumus, Michael
dc.contributor.authorSeptember, Alison V.
dc.date.accessioned2014-02-21T10:10:19Z
dc.date.issued2014-01
dc.description.abstractConcussion is a common sports injury with approximately 1.6–3.8 million sport-related concussions reported in the USA annually. Identifying risk factors may help in preventing these injuries. This systematic review aims to identify such risk factors. Three electronic databases; ScienceDirect, PubMed and SpringerLink, were searched using the keywords ‘RISK FACTORS’ or ‘PREDISPOSITION’ in conjunction with ‘SPORT’ and ‘CONCUSSION’. Based on the inclusion and exclusion criteria, 13 628 identified titles were independently analysed by two of the authors to a final list of 86 articles. Only articles with a level of evidence of I, II and III were included according to robust study design and data analysis. The level of certainty for each risk factor was determined. A high level of certainty for increased risk of a subsequent concussion in athletes sustaining more than one previous concussion was reported in 10 of 13 studies. Further, a high level of certainty was assigned to match play with all 29 studies reporting an increased concussion risk during matches. All other risk factors were evaluated as having a low level of certainty. Although several risk factors were identified from the appraised studies, prospective cohort studies, larger sample sizes, consistent and robust measures of risk should be employed in future research.en_US
dc.description.librarianhb2014en_US
dc.description.librarianay2014
dc.description.sponsorshipThis work was supported, in part, with funds from the University of Cape Town and the South African Medical Research Council. SM was funded by the South African National Research Foundation (NRF). SA was funded jointly by the Deutscher Akademischer Austausch Dienst (DAAD) and NRF. MP was funded by the Thembakazi Trust.en_US
dc.description.urihttp://bjsm.bmj.com/en_US
dc.identifier.citationAbrahams, S, McFie, S, Patricios, J, Posthumus, M & September, AV 2014, 'Risk factors for sports concussion: an evidence-based systematic review', British Journal of Sports Medicine, vol. 48, no. 2, pp. 91.en_US
dc.identifier.issn0306-3674 (print)
dc.identifier.issn1473-0480 (online)
dc.identifier.other10.1136/bjsports-2013-092734
dc.identifier.urihttp://hdl.handle.net/2263/36665
dc.language.isoenen_US
dc.publisherBMJ Publishing Groupen_US
dc.rights© 2014 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicineen_US
dc.subjectSports concussionen_US
dc.subjectRisk factoren_US
dc.subjectLevel of evidenceen_US
dc.subjectLevel of certaintyen_US
dc.subject.lcshBrain -- Concussion -- Researchen
dc.titleRisk factors for sports concussion : an evidence-based systematic reviewen_US
dc.typePostprint Articleen_US

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