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Does the Environment Influence the Frequency of Concussion Incidence in Professional Football?
Haider, Syed; Kaye-Kauderer, Halley P; Maniya, Akbar Y; Dai, Jennifer B; Li, Adam Y; Post, Alexander F; Sobotka, Stanislaw; Adams, Ryan; Gometz, Alex; Lovell, Mark R; Choudhri, Tanvir F.
Afiliación
  • Haider S; Neurosurgery, The Icahn School of Medicine at Mount Sinai, New York, USA.
  • Kaye-Kauderer HP; Neurosurgery, The Icahn School of Medicine at Mount Sinai, New York, USA.
  • Maniya AY; Surgery, Montefiore Medical Center, New York, USA.
  • Dai JB; Neurosurgery, The Icahn School of Medicine at Mount Sinai, New York, USA.
  • Li AY; Neurosurgery, The Icahn School of Medicine at Mount Sinai, New York, USA.
  • Post AF; Neurosurgery, The Icahn School of Medicine at Mount Sinai, New York, USA.
  • Sobotka S; Neurosurgery, The Icahn School of Medicine at Mount Sinai, New York, USA.
  • Adams R; Neurosurgery, The Icahn School of Medicine at Mount Sinai, New York, USA.
  • Gometz A; Sports Medicine, Concussion Management of New York, New York, USA.
  • Lovell MR; Neurology, University of Pittsburgh Medical Center, Pittsburgh , USA.
  • Choudhri TF; Neurosurgery, The Icahn School of Medicine at Mount Sinai, New York, USA.
Cureus ; 10(11): e3627, 2018 Nov 23.
Article en En | MEDLINE | ID: mdl-30697503
Background Sports-related concussion is a major cause of mild traumatic brain injury (mTBI). It is possible that environmental factors, such as temperature, humidity, and stadium's altitude, may influence the overall incidence of concussions during a game. Purpose To examine the impact of environmental factors, such as temperature, humidity, barometric pressure, and dew point, on concussion incidence. Methods Public Broadcasting Service (PBS) FRONTLINE Concussion Watch was used to collect injury data on 32 NFL teams during regular season games from 2012 to 2015. Weather data points were collected from Weather Underground. Concussion incidence per game, the probability of a concussion during a game, and a difference in mean game-day temperature, humidity, dew point, and barometric pressure between concussion and concussion-free games were calculated. Our analysis included t-tests, analysis of variance (ANOVA), multivariate correlation tests, and logistic and Poisson regression.  Results Overall, 564 concussions were reported. There were 411 games with concussions and 549 games without concussions. We observed a significant decrease in concussion incidence with increasing temperature, both when the temperature was divided into 20oF increments or into quartiles (p = 0.005 and p = 0.002, respectively). We identified a statistically significant lower mean-game day temperature in concussion games compared to concussion-free games (p < 0.0006). We also observed a significant decrease in the incidence of concussion per game with increasing dew point. There was no significant difference in concussion incidence in barometric pressure and humidity. The logistic regression model predicted a decrease in the probability of a concussion in games with higher temperatures and dew points. Conclusions National Football League (NFL) players experienced an increased risk of concussion during football games played in colder temperatures and at lower dew points. Further research on environmental effects on concussions may aid in improving player safety in football leagues.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Incidence_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Cureus Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Incidence_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Cureus Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos