@article{ref1,
title="First-time sports-related concussion recovery: the role of sex, age, and sport",
journal="Journal of the American Osteopathic Association",
year="2017",
author="Neidecker, John M. and Gealt, David B. and Luksch, John R. and Weaver, Martin D.",
volume="117",
number="10",
pages="635-642",
abstract="BACKGROUND: Concussion is one of the most common injuries in athletes. Current concussion consensus statements propose that female sex may be a modifying factor in concussion management and recovery. <br><br>OBJECTIVE: To determine whether female athletes in middle school and high school with a first-time, sports-related concussion remained symptomatic longer than their male counterparts. <br><br>METHODS: A retrospective medical record analysis was performed among athletes who sustained a concussion between 2011 and 2013. Inclusion criteria consisted of age between 11 and 18 years and diagnosis of first-time concussion sustained while playing organized sports. Using the documented notes in the medical record, length of time that each athlete was symptomatic from his or her concussion was calculated. <br><br>RESULTS: A total of 110 male and 102 female athletes (N=212) met the eligibility criteria for the study. A significant difference was found in the median number of days female athletes remained symptomatic (28 days) when compared with male athletes (11 days) (P<.001). No statistically significant difference was found in symptom duration between age groups. When matched for sex, no statistically significant differences were found in symptom duration between the type of sports played. <br><br>CONCLUSION: Female athletes aged 11 to 18 years with first-time, sports-related concussions remained symptomatic for a longer period when compared with male athletes of similar age, regardless of sport played. The mechanism behind this difference needs to be further elucidated.  Keywords: American football; soccer; Ice Hockey <p /> <p>Language: en</p>",
language="en",
issn="0098-6151",
doi="10.7556/jaoa.2017.120",
url="http://dx.doi.org/10.7556/jaoa.2017.120"
}