Campbell Richard A, Gorman Stephanie A, Thoma Robert J, Annett Robert D, McGrew Christopher A, Yeo Ronald A, Mayer Andrew R, King John H, Rowland Andrew S
Richard A. Campbell, Stephanie Gorman, Robert J. Thoma, and John H. King are with the Department of Psychiatry and Behavioral Sciences, University of New Mexico Health Sciences Center, Albuquerque. Robert D. Annett is with the Department of Pediatrics, University of Mississippi Medical Center, Jackson. Christopher A. McGrew is with the Departments of Family and Community Medicine and Orthopedics and Rehabilitation, University of New Mexico Health Sciences Center, Albuquerque. Ronald A. Yeo is with the Department of Psychology, University of New Mexico, Albuquerque. Andrew R. Mayer is with The Mind Research Network, Albuquerque, NM. Andrew S. Rowland is with College of Population Health, University of New Mexico Health Sciences Center, Albuquerque.
Am J Public Health. 2018 Jan;108(1):93-95. doi: 10.2105/AJPH.2017.304107. Epub 2017 Nov 21.
To measure the risk of concussion among New Mexico middle and high school students during both sports and physical education.
Athletic directors or athletic trainers in 147 schools were asked to report the number of concussions occurring during sports and physical education in the 2013 to 2014 school year. We calculated 1-year cumulative incidence rates.
Of the 147 schools, 99 responded (67%). During the school year, 598 students were removed from athletics because of a concussion, a 1-year cumulative incidence of 3.5 per 100. The concussion rate during sports was 3.0: 3.5 for boys and 2.4 for girls (relative risk [RR] = 1.5; 95% confidence interval [CI] = 1.2, 1.7). An additional 335 students experienced concussions during physical education. Concussion rates during physical education were 60% higher than during sports (RR = 1.6; 95% CI = 1.4, 1.8).
In our data, the risk of concussion was higher in physical education than in sports. This suggests that concussions should be tracked for a wide range of youth athletic activities, not just for sports. Monitoring cumulative incidence, in addition to other measures, may allow comparisons across schools and regions. More prevention efforts are needed.
测量新墨西哥州初中和高中学生在体育活动和体育课期间发生脑震荡的风险。
向147所学校的体育主管或体育教练询问2013至2014学年体育活动和体育课期间发生的脑震荡数量。我们计算了1年累积发病率。
147所学校中，99所做出了回应（67%）。在本学年，598名学生因脑震荡而退出体育活动，1年累积发病率为每100人中有3.5人。体育活动期间的脑震荡发生率为3.0：男生为3.5，女生为2.4（相对风险[RR]=1.5；95%置信区间[CI]=1.2，1.7）。另外335名学生在体育课期间发生了脑震荡。体育课期间的脑震荡发生率比体育活动期间高60%（RR=1.6；95%CI=1.4，1.8）。
在我们的数据中，体育课期间脑震荡的风险高于体育活动期间。这表明，不仅应对体育活动，还应对广泛的青少年体育活动追踪脑震荡情况。除其他措施外，监测累积发病率可能有助于学校和地区之间进行比较。还需要更多的预防措施。
