TY - JOUR PY - 2020// TI - Concussion: mechanisms of injury and trends from 1997 to 2019 JO - Rhode Island medical journal (2013) A1 - Reid, Daniel B. C. A1 - Shah, Kalpit N. A1 - Baum, Evan J. A1 - Daniels, Alan H. SP - 71 EP - 75 VL - 103 IS - 7 N2 - BACKGROUND: There is limited long-term epidemiological data focused on concussions in the United States. METHODS: The National Electronic Injury Surveillance System was queried from 1997 to 2019 for concussion diagnoses. National incidence rates, stratified by age and sex, were estimated. Injury mechanisms were ranked. RESULTS: From 1997 to 2019, there was a 3-fold increase in the diagnosis of concussion from 82,103 (95% CI 77,650-86,555) in 1997 to 261,722 (95% CI 212,156-311,288) in 2019 (p<0.001). Fall-related head-injury mechanisms were most common in very young (<5 year old) and older (>65 year old) patients. Sports-related injuries were most common in those age 5-24 years old. CONCLUSIONS: It remains unclear if the observed two-decade rise in reported concussions represents a true increase in incidence or is indicative of improvements in early detection, diagnosis, and treatment during this time period. Common injury mechanisms described highlight the need for improved age-specific safety recommendations.

Language: en

LA - en SN - 2327-2228 UR - http://dx.doi.org/ ID - ref1 ER -