Article

Changing the culture of concussion: education meets legislation.

Executive Board, Brain Injury Association of Washington, Seattle, WA, USA.
PM&R (Impact Factor: 1.66). 10/2011; 3(10 Suppl 2):S468-70. DOI: 10.1016/j.pmrj.2011.08.006
Source: PubMed
1 Follower
 · 
109 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: Background The goal of this study was to use multiple state-based data sources (emergency department [ED] visits, hospital discharge [HD] data, and workers' compensation [WC] data) to estimate the 2011 work-related concussion injury rate in Kentucky. Methods Deterministic data linkages between the 2011 WC data and ED/HD data were performed. Annual crude rates of work-related concussions per 100,000 employed civilians age 16 years or older were reported. ResultsUsing the three data sources, the 2011 work-related concussion crude rate was 31.8/100,000, higher for men (38.8/100,000) than for women (24.1/100,000). The use of WC data alone resulted in an estimated rate of only 11.7/100,000. ED data utilization alone resulted in a rate of 21.7/100,000. Conclusion This study's primary recommendation is to use WC, ED, and HD data on a routine basis as part of multiple data source surveillance for work-related concussion injuries. Am. J. Ind. Med. 58:40-45, 2015. (c) 2014 Wiley Periodicals, Inc.
    American Journal of Industrial Medicine 01/2015; 58(1). DOI:10.1002/ajim.22396 · 1.59 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: This article discusses the definitions of prevention and presents a model that addresses multidimensional aspects of sports concussion prevention from the perspectives of epidemiology, education, environmental modification, enforcement, and evaluation. Epidemiology is helpful in identifying the incidence of concussion and the interventions most likely to reduce its occurrence. Education ensures that accurate information on concussion is communicated to stakeholders. Modifications in the physical and sociocultural environments may lessen the potential for injury and reduce the risk of concussion. Enforcement of legislation standards can be effective in concussion prevention, especially at the preinjury and injury phases. The evaluation dimension assesses the effectiveness of prevention programs and guides future program development. This five-E model explains concussion prevention as a recursive loop process. Each dimension is closely associated in the prevention of sports concussion.
    Seminars in Speech and Language 08/2014; 35(3):211-20. DOI:10.1055/s-0034-1384683
  • [Show abstract] [Hide abstract]
    ABSTRACT: Context : The Lystedt law requires high school athletes who have sustained a concussion to be removed from practice and play and not to be allowed to return until cleared by a medical professional. Objective : To determine the effect of the Lystedt law on injury and concussion documentation in the Seattle Public High Schools. Design : Cross-sectional study. Setting : Seattle public high schools. Patients or Other Participants : The numbers of students, aged 13 to 19 years in the 2008-2009, 2009-2010, and 2010-2011 school years, were 4348, 4925, and 4806, respectively. Main Outcome Measure(s) : All injuries documented in SportsWare by athletic trainers in Seattle public high schools. We evaluated all injuries, including concussions recorded during the 2008-2009 school year, before the Lystedt law, and during the 2 school years after the law took effect (2009-2010 and 2010-2011). Incidence rates before and after the law were estimated and compared. Results : The concussion rate was -1.09% for 2008-2009 and was 2.26% in 2009-2010 and 2.26% in 2010-2011. A comparison of relative risks showed that the incidence rates of concussions were different before and 1 year Lystedt law (relative risk = 2.10; 95% confidence interval [CI] = 1.50, 2.93) and 2 years after the law (relative risk = 2.10; 95% CI = 1.49, 2.93). Overall, the mean number of days out of play after 2008-2009 was almost 7 days greater after the law took effect (difference = 6.9 days; 95% CI = 0.70, 13.1). For females, the mean number of days out of play after 2008-2009 was more than 17 days in 2009-2010 (difference = 17.2 days; 95% CI = 4.81, 29.5) and was more than 6 days in 2010-2011 (difference = 6.3 days; 95% CI = 1.62, 11.0). Conclusions : The number of documented concussions more than doubled after the institution of the Lystedt law, which may be attributed to heightened awareness and closer monitoring.
    Journal of athletic training 05/2014; 49(4). DOI:10.4085/1062-6050-49.3.30 · 1.51 Impact Factor

Preview (4 Sources)

Download
1 Download
Available from