Characterizing Symptoms Before and Following Concussion in Professional Hockey.
Journal
Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine
ISSN: 1536-3724
Titre abrégé: Clin J Sport Med
Pays: United States
ID NLM: 9103300
Informations de publication
Date de publication:
01 11 2022
01 11 2022
Historique:
received:
18
01
2022
accepted:
25
07
2022
entrez:
31
10
2022
pubmed:
1
11
2022
medline:
3
11
2022
Statut:
ppublish
Résumé
Examine SCAT5 baseline and acute symptom subscales in professional hockey players. Longitudinal case-control. Preseason medical evaluations and suspected concussion evaluations. NHL/AHL players were given the NHL-modified SCAT5 before the 2018-2019 season (n = 1924). During the season, English-speaking players evaluated within 1 day of injury and diagnosed with concussion (n = 140) were compared with players evaluated for possible concussion, but not given a concussion diagnosis (n = 174). Concussion diagnosis and demographic characteristics. Postconcussion Symptoms Scale (PCSS) items were subdivided into affective/emotional, cognitive, somatic/physical, sleep, and headache subscales. Cognitive (13%), somatic/physical (10%), sleep (26%), affective (18%), and headache (6%) symptoms were reported by players at baseline. Concussed players reported more acute symptoms than active controls on each of the subscales (all P's < 0.001). Players who underwent a suspected concussion evaluation were more likely to be diagnosed with concussion if they reported affective/emotional symptoms at baseline (P < 0.001). Postinjury cognitive (P < 0.001), somatic/physical (P < 0.001), and headache (P < 0.001) symptoms best differentiated concussed players and active controls. Player reports of increased cognitive difficulties, somatic/physical difficulties, and headache were most associated with concussion diagnosis at the acute evaluation. An abbreviated "acute" PCSS that includes only headache, cognitive, and/or physical symptoms may be useful for diagnostic purposes when evaluation time is limited. Approximately 2% of players reported significantly elevated affective/emotional symptoms at baseline and report of affective/emotional symptoms at baseline was associated with an increased likelihood of concussion diagnosis among players referred for a suspected concussion evaluation.
Identifiants
pubmed: 36315825
doi: 10.1097/JSM.0000000000001065
pii: 00042752-202211000-00020
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e580-e586Informations de copyright
Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
R. J. Echemendia is a paid consultant for the NHL and co-chair of the NHL/NHLPA Concussion Subcommittee. He is also a paid consultant for Major League Soccer and Princeton University Athletic Medicine. He is currently a co-PI for a grant funded by the NFL (NFL-Long) through Boston Children's Hospital and occasionally provides expert testimony in matters related to MTBI and sports concussion. W. Meeuwisse is the Chief Medical Officer for the NHL and an employee of the NHL. M. G. Hutchison is a member of the NHL/NHLPA Concussion Subcommittee and a consultant to the NHLPA, for which he receives remuneration. P. Comper is a member of the NHL/NHLPA Concussion Subcommittee and a paid consultant to the NHLPA. J. M. Bruce is a part-time employee of the NHL. J. M. Bruce also receives grant funding from Genzyme, and is a paid consultant for Med-IQ and Sporting KC. He has served as a consultant to EyeGuide. The remaining authors report no conflicts of interest.
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