Cook Nathan E, Gaudet Charles E, Kissinger-Knox Alicia, Liu Brian C, Hunter Amy A, Norman Marc A, Saadi Altaf, Iverson Grant L
Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, United States.
Sports Concussion Program, MassGeneral Hospital for Children, Boston, MA, United States.
Front Neurol. 2023 Jun 14;14:1110539. doi: 10.3389/fneur.2023.1110539. eCollection 2023.
This systematic review examined whether race or ethnicity are associated with clinical outcomes (e.g., time to return to school/sports, symptom duration, vestibular deficits, and neurocognitive functioning) following sport-related concussion among child, adolescent, or college-aged student athletes. Additionally, this review assessed whether the existing literature on this topic incorporated or included broader coverage of social determinants of health.
The online databases PubMed, MEDLINE, PsycINFO, CINAHL, Cochrane Library, EMBASE, SPORTDiscus, Scopus, and Web of Science were searched.
A total of 5,118 abstracts were screened and 12 studies met inclusion criteria, including 2,887 youth and young adults. Among the included articles, only 3 studies (25%) examined whether race and ethnicity were associated with outcomes following concussion as a primary objective. None of the studies assessed the association between social determinants of health and outcomes following concussion as a primary objective, although 5 studies (41.7%) addressed a social determinant of health or closely related topic as a secondary objective.
Overall, the literature to date is extremely limited and insufficient for drawing conclusions about whether race or ethnicity are categorically associated with outcomes from sport-related concussion, or more specifically, whether there are socioeconomic, structural, or cultural differences or disparities that might be associated with clinical outcome.
identifier: PROSPERO, CRD42016041479, CRD42019128300.
本系统评价探讨了儿童、青少年或大学生运动员在与运动相关的脑震荡后，种族或族裔是否与临床结局（如返校/恢复运动的时间、症状持续时间、前庭功能缺陷和神经认知功能）相关。此外，本评价还评估了关于该主题的现有文献是否纳入或涵盖了更广泛的健康社会决定因素。
检索了在线数据库PubMed、MEDLINE、PsycINFO、CINAHL、Cochrane图书馆、EMBASE、SPORTDiscus、Scopus和Web of Science。
共筛选了5118篇摘要，12项研究符合纳入标准，包括2887名青少年和青年。在所纳入的文章中，只有3项研究（25%）将种族和族裔是否与脑震荡后的结局相关作为主要目标进行研究。没有一项研究将健康社会决定因素与脑震荡后的结局之间的关联作为主要目标进行评估，尽管有5项研究（41.7%）将健康社会决定因素或密切相关主题作为次要目标进行探讨。
总体而言，迄今为止的文献极为有限，不足以就种族或族裔是否与运动相关脑震荡的结局存在绝对关联得出结论，或者更具体地说，是否存在可能与临床结局相关的社会经济、结构或文化差异或不平等。
标识符：PROSPERO，CRD42016041479，CRD42019128300。
