On-field management and return-to-play in sports-related concussion in children: Are children managed appropriately?

Journal of Science and Medicine in Sport
Harini P HaranFranz E Babl

Abstract

On-field management and return-to-play guidelines aim to ensure the identification and appropriate management of the concussed athlete. Compliance with current guidelines in many settings is unknown. We assessed whether key components of current concussion guidelines are being followed in child athletes. Prospective observational study. Data were collected from children (5-18 years) presenting to a paediatric emergency department with sport-related concussion via researcher-administered surveys in the emergency department and during a follow up phone call. On hospital discharge all patients received a return to sports fact sheet based on the International Concussion in Sports Group. Ninety-three had sustained a concussion (mean age 12.7 (±0.27) years, 83% male). Sports played included Australian Football (47%), soccer (12%), rugby (9%) basketball (8%), other (25%). 82% participated in organised sports. Concussive signs or symptoms included loss of consciousness (41%), disorientation (36%), vomiting (23%), amnesia (30%), headache (60%). For concussive injury in organised sports (n=76), overall 42% were not managed according to recommended guidelines: 19% were not immediately removed from play, 29% were allowed to return to play ...Continue Reading

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Citations

Apr 8, 2017·Journal of Athletic Training·Tamara C Valovich McLeodCailee E Welch Bacon
Jan 18, 2018·Italian Journal of Pediatrics·Liviana Da DaltUNKNOWN Italian Society of Pediatrics (SIP)
Mar 10, 2018·Emergency Nurse : the Journal of the RCN Accident and Emergency Nursing Association·Cormac Norton
Aug 1, 2015·Journal of Paediatrics and Child Health·Gavin A DavisFranz E Babl
Aug 16, 2017·Global Pediatric Health·Joshua N SpeirsBert E Johansson
Aug 11, 2018·American Journal of Physical Medicine & Rehabilitation·Nathan M MurataWilliam T Tsushima
Feb 3, 2021·Critical Care Nursing Clinics of North America·Vicki Evans
Nov 27, 2018·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Emily KroshusUNKNOWN National Delphi Panel on Sports Concussion Knowledge
Aug 12, 2021·Journal of the International Neuropsychological Society : JINS·Danielle C HergertAndrew R Mayer

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