Yard Ellen E, Comstock R Dawn
Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio 43205, USA.
Brain Inj. 2009 Oct;23(11):888-98. doi: 10.1080/02699050903283171.
To determine whether US concussed high school athletes complied with recommended return-to-play guidelines during the 2005-2008 school years.
Prospective cohort study in 100 nationally-representative US high schools.
Certified athletic trainers submitted injury reports for concussed athletes in five boys' (football, soccer, basketball, wrestling, baseball) and four girls' (soccer, basketball, volleyball, softball) sports via High School RIO (Reporting Information Online). Concussions were retrospectively graded and it was determined whether athletes followed American Academy of Neurology (AAN) or Prague return-to-play guidelines.
There were 1308 concussions reported during 5 627 921 athlete-exposures (23.2 concussions per 100 000 athlete-exposures), reflecting an estimated 395 274 concussions sustained nationally. At least 40.5% and 15.0% of concussed athletes returned to play prematurely under AAN and Prague return-to-play guidelines, respectively. In football, 15.8% of athletes sustaining a concussion that resulted in loss-of-consciousness returned to play in <1 day. Males (12.6%) were more likely than females (5.9%) to return 1-2 days after sustaining an initial grade II concussion.
Too many adolescent athletes are failing to comply with recommended return-to-play guidelines. Sports medicine professionals, parents, coaches and sports administrators must work together to ensure athletes follow recommended guidelines.
确定在2005 - 2008学年期间，美国遭受脑震荡的高中运动员是否遵循了建议的重返赛场指南。
在100所具有全国代表性的美国高中进行前瞻性队列研究。
认证的运动训练师通过高中在线报告系统（High School RIO）提交了五个男子运动项目（橄榄球、足球、篮球、摔跤、棒球）和四个女子运动项目（足球、篮球、排球、垒球）中脑震荡运动员的损伤报告。对脑震荡进行回顾性分级，并确定运动员是否遵循美国神经病学学会（AAN）或布拉格重返赛场指南。
在5627921人次运动员暴露期间报告了1308例脑震荡（每100000人次运动员暴露中有23.2例脑震荡），这反映出全国范围内估计有395274例脑震荡。在AAN和布拉格重返赛场指南下，分别至少有40.5%和15.0%的脑震荡运动员过早重返赛场。在橄榄球运动中，15.8%遭受导致意识丧失的脑震荡的运动员在不到1天的时间内就重返赛场。男性（12.6%）在首次遭受二级脑震荡后1 - 2天重返赛场的可能性高于女性（5.9%）。
太多青少年运动员未遵循建议的重返赛场指南。运动医学专业人员、家长、教练和体育管理人员必须共同努力，确保运动员遵循建议的指南。
