TY - JOUR PY - 2023// TI - Race, ethnicity, and clinical outcome following sport-related concussion: a systematic review JO - Frontiers in neurology A1 - Cook, Nathan E. A1 - Gaudet, Charles E. A1 - Kissinger-Knox, Alicia A1 - Liu, Brian C. A1 - Hunter, Amy A. A1 - Norman, Marc A. A1 - Saadi, Altaf A1 - Iverson, Grant L. SP - e1110539 EP - e1110539 VL - 14 IS - N2 - INTRODUCTION: This systematic review examined whether race or ethnicity are associated with clinical outcomes (e.g., time to return to school/sports, symptom duration, vestibular deficits, and neurocognitive functioning) following sport-related concussion among child, adolescent, or college-aged student athletes. Additionally, this review assessed whether the existing literature on this topic incorporated or included broader coverage of social determinants of health.

METHODS: The online databases PubMed, MEDLINE(®), PsycINFO(®), CINAHL, Cochrane Library, EMBASE, SPORTDiscus, Scopus, and Web of Science were searched.

RESULTS: A total of 5,118 abstracts were screened and 12 studies met inclusion criteria, including 2,887 youth and young adults. Among the included articles, only 3 studies (25%) examined whether race and ethnicity were associated with outcomes following concussion as a primary objective. None of the studies assessed the association between social determinants of health and outcomes following concussion as a primary objective, although 5 studies (41.7%) addressed a social determinant of health or closely related topic as a secondary objective.

DISCUSSION: Overall, the literature to date is extremely limited and insufficient for drawing conclusions about whether race or ethnicity are categorically associated with outcomes from sport-related concussion, or more specifically, whether there are socioeconomic, structural, or cultural differences or disparities that might be associated with clinical outcome. SYSTEMATIC REVIEW REGISTRATION: identifier: PROSPERO, CRD42016041479, CRD42019128300.

Language: en

LA - en SN - 1664-2295 UR - http://dx.doi.org/10.3389/fneur.2023.1110539 ID - ref1 ER -