首页|High altitude modulates concussion incidence, severity, and recovery in young athletes
High altitude modulates concussion incidence, severity, and recovery in young athletes
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NSTL
Taylor & Francis
Background High altitude may affect concussion, but prior studies are limited 。 We tested whether high altitude affects sport-related concussion (SRC) incidence, severity, and recovery。 Methods Twenty-five thousand eight hundred fifteen baseline and post-injury Immediate Post-Concussion Assessment and Cognitive Testing results were compiled from Florida and Colorado, low (27 m or 62 m) and high (1,640 m or 1,991 m) altitude locations, respectively。 Incidence, severity, and recovery of injury were compared between altitudes。 Results High altitude was associated with increased suspected concussion incidence (adjusted OR, 2。04 [95% CI, 1。86 to 2。24];P < 。0001)。 However, high altitude was associated with lower concussion severity measured by Severity Index (SI) (adjusted OR, 0。42 [95% CI, 0。37 to 0。49];P < 。0001)。 High altitude was associated with decreased recovery from post-concussive symptoms in the migraine (beta, -2。72 [95% CI, -3。31 to -2。13]; P < 。0001), cognitive (beta, -1。88 [95% CI, -2。40 to -1。36]; P < 。0001), and sleep symptom clusters (beta, -0。30 [95% CI, -0。52 to -0。08]; P = 。007)。 Athletes with initial SI >= 8 showed prolonged neurocognitive dysfunction at high altitude (HR, 1。38 [95% CI, 1。06 to 1。81]; P = 。02)。 Conclusions High altitude was associated with increased suspected concussions and prolonged recovery but less severe initial injury。
Sports related concussionmild traumatic brain injuryhigh altitudeseverity indexSPORTS CONCUSSIONHIGH-SCHOOLRATESRISK
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