Chandran Avinash, Boltz Adrian J, Baker Jillian, Anderson Megan, Rao Neel, Collins Christy L
Datalys Center for Sports Injury Research and Prevention, Indianapolis, IN, USA.
Michigan Concussion Center, University of Michigan Ann Arbor, Ann Arbor, MI, USA.
Pediatr Res. 2025 Jan 20. doi: 10.1038/s41390-025-03863-y.
We aimed to examine the epidemiology of concussions within high school (HS) boys' and girls' sports, and to assess the incidence of concussion within HS sports during the timespan inclusive of the COVID-19 pandemic.
We analyzed data captured within High School Reporting Information Online (HS RIO) during 2018/19-2022/23. Injury counts, rates (enumerated per 10,000 athlete-exposures (AEs)), and proportions were used to describe injury characteristics by sport, event type, injury mechanism, and injury history. Injury rate ratios (IRR) and accompanying 95% Confidence Intervals (CIs) were used to evaluate differential injury incidence across event types and sports.
A total of 4663 concussions were reported during the study period (Rate = 3.50 per 10,000 AEs). Overall rates were highest in boys' football (8.22 per 10,000 AEs) and girls' soccer (6.11 per 10,000 AEs). Among sex-comparable sports, overall concussion rates were higher in girls' sports as compared with boys' sports (IRR = 2.15; 95%CI = [1.94, 2.37]). Concussion rates fluctuated across the study period and were lower during the COVID-19-impacted seasons, as compared with neighboring years.
Our findings underscore the necessity for continuous surveillance of concussions in HS sports and suggest that concussion incidence in girls' sports warrants targeted attention.
Sport-related concussions are a significant concern, particularly in youth athletics, with changes to concussion management and the impact of the COVID-19 pandemic necessitating a re-evaluation of concussion incidence and management in high school sports. In this surveillance study (2018/19-2022/23), boys' football and girls' soccer had the highest concussion rates, with a decrease in incidence observed during the COVID-19 pandemic as compared with surrounding years. The incidence of concussions in girls' sports requires increased scrutiny, especially due to an overall increase in incidence density observed after an initial decrease during the COVID-19 pandemic.
我们旨在研究高中（HS）男生和女生体育运动中脑震荡的流行病学情况，并评估在包括新冠疫情期间的时间段内，高中体育运动中脑震荡的发生率。
我们分析了2018/19 - 2022/23期间在高中在线报告信息（HS RIO）中记录的数据。损伤计数、发生率（每10000运动员暴露次数（AE）计算）和比例用于按运动项目、赛事类型、损伤机制和损伤史描述损伤特征。损伤率比（IRR）及相应的95%置信区间（CI）用于评估不同赛事类型和运动项目之间损伤发生率的差异。
研究期间共报告了4663例脑震荡（发生率 = 每10000 AE为3.50例）。总体发生率在男子橄榄球（每10000 AE为8.22例）和女子足球（每10000 AE为6.11例）中最高。在性别可比的运动项目中，女子运动的总体脑震荡发生率高于男子运动（IRR = 2.15；95%CI = [1.94, 2.37]）。脑震荡发生率在研究期间有所波动，与相邻年份相比，在受新冠疫情影响的赛季中较低。
我们的研究结果强调了持续监测高中体育运动中脑震荡情况的必要性，并表明女子运动中的脑震荡发生率值得特别关注。
与运动相关的脑震荡是一个重大问题，尤其是在青少年体育运动中，随着脑震荡管理的变化以及新冠疫情的影响，有必要重新评估高中体育运动中脑震荡的发生率和管理情况。在这项监测研究（2018/19 - 2022/23）中，男子橄榄球和女子足球的脑震荡发生率最高，与周边年份相比，在新冠疫情期间发生率有所下降。女子运动中脑震荡的发生率需要更多审查，特别是由于在新冠疫情期间最初下降后观察到发生率密度总体上升。
