2017年巴西锦标赛中足球运动员的脑震荡——协议与医疗实践之间的差距
Concussion among soccer players in the 2017 Brazilian championship - the gap between protocol and medical practice.
作者信息
Salvarani Cármine Porcelli, de Medeiros Lucas Ribeiro, Sapatero Fernando Henrique, de Castro Diego Ciotta, Tomazini Vinícius Simon, Micheletti Sotocorno Leonardo Henrique, Teixeira da Costa Paulo Sérgio, Pimenta Bruno Bueno, de Oliveira Diego Almeida, Dias Eduardo Almeida, Colman da Silva Eduardo Vinícius
机构信息
State University of Maringá, Medicine Department - Division of Neurosurgery, Avenida Mandacaru 1590, Bloco S 05, Sala 10, Hospital Universitário, Maringá, PARANÁ, CEP 87083-240, Brazil.
出版信息
Concussion. 2020 Oct 28;5(4):CNC83. doi: 10.2217/cnc-2020-0015.
BACKGROUND
The present study aims to report traumatic brain injury (TBI) among soccer players in the 2017 Brazilian Soccer Championship and discuss the protocols for concussion evaluation.
MATERIALS & METHODS: This is an observational study utilizing video analysis of 380 matches. TBI was considered as any event in which one or more soccer player(s) had a head trauma. For potential concussion diagnosis, we analyzed players with one of the following signs: slowness to get up, disorientation, motor incoordination, loss of consciousness, head clutching and impact seizure.
RESULTS
There were 374 TBIs in total. The average time for medical assessment was 1'35". 13 players had concussion with an average time of 3'19″ for medical evaluation. Four players were replaced after having a concussion.
CONCLUSION
There is a gap between concussion protocols and medical practices in Brazilian elite soccer. Further discussion about soccer replacement rules are imperative.
背景
本研究旨在报告2017年巴西足球锦标赛中足球运动员的创伤性脑损伤（TBI）情况，并讨论脑震荡评估方案。
材料与方法
这是一项利用380场比赛视频分析的观察性研究。TBI被定义为一名或多名足球运动员头部受到创伤的任何事件。对于潜在的脑震荡诊断，我们分析了出现以下症状之一的球员：起身缓慢、定向障碍、运动不协调、意识丧失、抱头和撞击性癫痫发作。
结果
总共发生了374起TBI。医疗评估的平均时间为1分35秒。13名球员发生脑震荡，医疗评估的平均时间为3分19秒。4名球员在脑震荡后被替换下场。
结论
巴西精英足球的脑震荡方案与医疗实践之间存在差距。关于足球换人规则的进一步讨论势在必行。
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