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August 2013; 3 (4) Clinical and Ethical Challenges

Sports-related concussion

Anonymous survey of a collegiate cohort

Daniel M. Torres, Kristin M. Galetta, H. Westley Phillips, E. Mark S. Dziemianowicz, James A. Wilson, Emily S. Dorman, Eric Laudano, Steven L. Galetta, Laura J. Balcer
First published July 19, 2013, DOI: https://doi.org/10.1212/CPJ.0b013e3182a1ba22
Daniel M. Torres
Department of Neurology (DMT, SLG, LJB), New York University School of Medicine, New York; and Departments of Neurology (KMG, HWP, EMSD, JAW, SLG, LJB), Recreation and Intercollegiate Athletics, Athletic Training (EM, EAD), Ophthalmology (SLG, LJB), and Epidemiology (LJB), University of Pennsylvania, Philadelphia.
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Kristin M. Galetta
Department of Neurology (DMT, SLG, LJB), New York University School of Medicine, New York; and Departments of Neurology (KMG, HWP, EMSD, JAW, SLG, LJB), Recreation and Intercollegiate Athletics, Athletic Training (EM, EAD), Ophthalmology (SLG, LJB), and Epidemiology (LJB), University of Pennsylvania, Philadelphia.
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H. Westley Phillips
Department of Neurology (DMT, SLG, LJB), New York University School of Medicine, New York; and Departments of Neurology (KMG, HWP, EMSD, JAW, SLG, LJB), Recreation and Intercollegiate Athletics, Athletic Training (EM, EAD), Ophthalmology (SLG, LJB), and Epidemiology (LJB), University of Pennsylvania, Philadelphia.
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E. Mark S. Dziemianowicz
Department of Neurology (DMT, SLG, LJB), New York University School of Medicine, New York; and Departments of Neurology (KMG, HWP, EMSD, JAW, SLG, LJB), Recreation and Intercollegiate Athletics, Athletic Training (EM, EAD), Ophthalmology (SLG, LJB), and Epidemiology (LJB), University of Pennsylvania, Philadelphia.
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James A. Wilson
Department of Neurology (DMT, SLG, LJB), New York University School of Medicine, New York; and Departments of Neurology (KMG, HWP, EMSD, JAW, SLG, LJB), Recreation and Intercollegiate Athletics, Athletic Training (EM, EAD), Ophthalmology (SLG, LJB), and Epidemiology (LJB), University of Pennsylvania, Philadelphia.
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Emily S. Dorman
Department of Neurology (DMT, SLG, LJB), New York University School of Medicine, New York; and Departments of Neurology (KMG, HWP, EMSD, JAW, SLG, LJB), Recreation and Intercollegiate Athletics, Athletic Training (EM, EAD), Ophthalmology (SLG, LJB), and Epidemiology (LJB), University of Pennsylvania, Philadelphia.
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Eric Laudano
Department of Neurology (DMT, SLG, LJB), New York University School of Medicine, New York; and Departments of Neurology (KMG, HWP, EMSD, JAW, SLG, LJB), Recreation and Intercollegiate Athletics, Athletic Training (EM, EAD), Ophthalmology (SLG, LJB), and Epidemiology (LJB), University of Pennsylvania, Philadelphia.
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Steven L. Galetta
Department of Neurology (DMT, SLG, LJB), New York University School of Medicine, New York; and Departments of Neurology (KMG, HWP, EMSD, JAW, SLG, LJB), Recreation and Intercollegiate Athletics, Athletic Training (EM, EAD), Ophthalmology (SLG, LJB), and Epidemiology (LJB), University of Pennsylvania, Philadelphia.
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Laura J. Balcer
Department of Neurology (DMT, SLG, LJB), New York University School of Medicine, New York; and Departments of Neurology (KMG, HWP, EMSD, JAW, SLG, LJB), Recreation and Intercollegiate Athletics, Athletic Training (EM, EAD), Ophthalmology (SLG, LJB), and Epidemiology (LJB), University of Pennsylvania, Philadelphia.
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Citation
Sports-related concussion
Anonymous survey of a collegiate cohort
Daniel M. Torres, Kristin M. Galetta, H. Westley Phillips, E. Mark S. Dziemianowicz, James A. Wilson, Emily S. Dorman, Eric Laudano, Steven L. Galetta, Laura J. Balcer
Neurol Clin Pract Aug 2013, 3 (4) 279-287; DOI: 10.1212/CPJ.0b013e3182a1ba22

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Summary

Studies suggest that a lack of standardized knowledge may lead to underreporting and undertreatment of sports-related concussion. However, there has been little work done to establish how this knowledge may affect athletes’ behaviors toward reporting their concussions and removing themselves from play. We conducted an anonymous online survey to assess athletes’ knowledge of signs and symptoms of concussion, and also sought to estimate the potential frequency of underreporting in a collegiate athlete cohort. Among 262 athletes who responded to the survey, 43% of those with a history of concussion reported that they had knowingly hidden symptoms of a concussion to stay in a game, and 22% of athletes overall indicated that they would be unlikely or very unlikely to report concussion symptoms to a coach or athletic trainer in the future. These data suggest that there may be a substantial degree of underreporting of concussion among collegiate athletes, despite most acknowledging that they have been formally educated about the risks of concussion.

Footnotes

  • Funding information and disclosures are provided at the end of the article. Full disclosure form information provided by the authors is available with the full text of this article at Neurology.org/cp.

  • Supplemental data: neurology.org/cp

  • Editorial, page 277

  • © 2013 American Academy of Neurology
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