Citation

Yengo-Kahn AM, Kelly PD, Liles DC, McKeithan LJ, Grisham CJ, Khan MS, Lee T, Kuhn AW, Bonfield CM, Zuckerman SL. Concussion 2020; 5(4): CNC81.

Copyright

(Copyright © 2020, The Drake Foundation, Publisher Future Medicine)

DOI

10.2217/cnc-2020-0012

PMID

33204493 PMCID

Abstract

AIM: The potential financial burden of American football-related concussions (FRC) is unknown. Our objective was to describe the healthcare costs associated with an FRC and determine factors associated with increased costs.

Methodology/results: A retrospective cohort study of concussed high school football players presenting between November 2017 and March 2020 was undertaken; 144 male high school football players were included. Total costs were about $115,000, for an average direct healthcare cost of $800.10/concussion. Visiting the emergency department (β = 502.29, 95% CI: 105.79-898.61; p = 0.01), the initial post-concussion symptom scale score (β = 0.39, 95% CI: 0.11-0.66; p = 0.01) and a post-concussion syndrome diagnosis (β = 670.37, 95% CI: 98.96-1241.79; p = 0.02) were each independently associated with total costs.

Conclusion: A granular understanding of cost-driving factors associated with FRC is the first step in understanding the cost-effectiveness of prevention and treatment methods.

Language: en

Keywords

post-concussion syndrome; American football; healthcare costs; post-concussion symptom scale; sport-related concussion