Kelleher Eileen, Taylor-Linzey Elizabeth, Ferrigno Lisa, Bryson Julia, Kaminski Stephen
Santa Barbara Cottage Hospital, Rehabilitation and Pediatric Trauma Services, Santa Barbara, CA, USA.
Santa Barbara Cottage Hospital, Rehabilitation and Pediatric Trauma Services, Santa Barbara, CA, USA.
J Pediatr Surg. 2014 Feb;49(2):341-4. doi: 10.1016/j.jpedsurg.2013.10.016. Epub 2013 Oct 23.
High school athletes who sustain a mild traumatic brain injury (mTBI) or concussion are required to be removed from play until clearance by a provider. A regional pediatric trauma center offered an mTBI clinic to evaluate students for return to play (RTP).
An mTBI clinic was developed in collaboration with a high school district containing three schools. This program evaluated students suffering from sports-related head trauma, specifically football injuries. Community mTBI education was performed, a standardized RTP algorithm was developed, and a postseason survey was administered to football players.
Twenty-eight students playing football were seen by the mTBI clinic. The average time until RTP for clinic patients was 16.9 days. Four hundred five players were surveyed. Of players responding to the survey, 40 (15%) reported sustaining an mTBI during the football season. Of those sustaining an mTBI, 9 (22.5%) did not report their symptoms.
Although the mTBI rate is similar to reported rates, the unreported mTBI episodes were lower (22.5%) than previously published self-reported mTBI rates. The RTP algorithm was successful in returning athletes in 16.9 days. The algorithm and data can be utilized by other organizations in establishment of an mTBI clinic and RTP program.
遭受轻度创伤性脑损伤（mTBI）或脑震荡的高中运动员在获得医疗人员许可之前必须停止比赛。一家地区儿科创伤中心开设了一个mTBI诊所，以评估学生是否可以恢复比赛（RTP）。
与一个包含三所学校的高中学区合作建立了一个mTBI诊所。该项目评估了遭受与运动相关头部创伤的学生，特别是足球损伤。开展了社区mTBI教育，制定了标准化的RTP算法，并对足球运动员进行了赛季后调查。
mTBI诊所诊治了28名踢足球的学生。诊所患者恢复比赛的平均时间为16.9天。对405名球员进行了调查。在回复调查的球员中，40人（15%）报告在足球赛季中遭受了mTBI。在那些遭受mTBI的人中，9人（22.5%）未报告他们的症状。
尽管mTBI发生率与报告的发生率相似，但未报告的mTBI事件发生率（22.5%）低于先前公布的自我报告的mTBI发生率。RTP算法成功地使运动员在16.9天内恢复比赛。其他组织在建立mTBI诊所和RTP项目时可以利用该算法和数据。
