Baugh, C M; Kroshus, E; Stamm, J M; Daneshvar, D H; Pepin, M J; Meehan, W P
Clinical practices in collegiate concussion management Journal Article
In: American Journal of Sports Medicine, vol. 44, no. 6, pp. 1391–1399, 2016.
Abstract | Links | BibTeX | Tags: best practices, clinical practice, college, Concussion, Health Policy
@article{Baugh2016,
title = {Clinical practices in collegiate concussion management},
author = {Baugh, C M and Kroshus, E and Stamm, J M and Daneshvar, D H and Pepin, M J and Meehan, W P},
doi = {10.1177/0363546516635639},
year = {2016},
date = {2016-01-01},
journal = {American Journal of Sports Medicine},
volume = {44},
number = {6},
pages = {1391--1399},
abstract = {Background: In recent years, sports leagues and sports medicine experts have developed guidelines for concussion management. The extent to which current clinical practice is consistent with guideline recommendations is unclear. At the collegiate level, there have been few examinations of concussion management practices and the extent to which meaningful differences across divisions of competition exist. Purpose: The purposes of this study were to (1) examine current practices in concussion diagnosis and management at National Collegiate Athletic Association (NCAA) member colleges, (2) explore the extent to which current practices reflect current recommendations for concussion diagnosis and management, and (3) determine whether there are differences in management patterns across divisions of competition. Design: Descriptive epidemiology study. Methods: An electronic questionnaire was sent to sports medicine clinicians at all NCAA member colleges during September and October 2013. Clinicians were asked about baseline assessments, diagnosis and management practices, return-to-play protocols, the perceived prevalence of underdiagnosis, and basic demographic information. Results: Approximately 30% (n = 866) of contacted clinicians, representing nearly 50% (n = 527) of NCAA member colleges, responded to the questionnaire. Preparticipation baseline examinations were administered at the majority of schools (95%), but most (87.5%) administered baseline assessments only to selected high-risk athletes. Computerized neurocognitive testing and balance assessments were most commonly used as preseason baseline and postinjury assessments. Multimodal examination in line with NCAA and other guidance was used only at a minority of institutions. Athletic trainers most commonly administered and interpreted the preseason baseline examination. Most clinicians reported that their institutions' practices were in line with NCAA guidelines during the first 24 hours of an athlete's concussion diagnosis, with exact percentages varying across measures. Differences across divisions of competition included shorter return-to-play time at Division I schools than Division III schools (9.13 vs 10.31 days, respectively) and more frequently referring concussed athletes to a physician within 24 hours of diagnosis at Division I schools. Conclusion: Concussion management at many colleges in the United States incorporates elements recommended by current guidelines; however, there is room to improve. Increasing the use of a multimodal baseline and postinjury examination will elevate the concussion care provided to college athletes and better align with best practice guidance. © American Orthopaedic Society for Sports Medicine.},
keywords = {best practices, clinical practice, college, Concussion, Health Policy},
pubstate = {published},
tppubtype = {article}
}
Corboy, J R
Cannabis to concussion Journal Article
In: Neurology: Clinical Practice, vol. 5, no. 4, pp. 273, 2015.
Abstract | Links | BibTeX | Tags: Acquired brain injury, act, athlete, brain disease, cerebrovascular accident, chronic disease, clinical practice, Concussion, football, human, medical cannabis, medically uninsured, migraine, neurologist, nurse practitioner, physician assistant, policy, priority journal, Review
@article{Corboy2015,
title = {Cannabis to concussion},
author = {Corboy, J R},
doi = {10.1212/CPJ.0000000000000167},
year = {2015},
date = {2015-01-01},
journal = {Neurology: Clinical Practice},
volume = {5},
number = {4},
pages = {273},
abstract = {This issue of Neurology® Clinical Practice features thought-provoking articles on disparate topics. Gardner et al. (p. 285) tackle chronic traumatic encephalopathy, describing clinical and pathologic features in 14 self-referred symptomatic former professional football players. Harold Adams (p. 296) details the controversy surrounding treatment of patients who awaken with stroke symptoms whose time of onset cannot be established. Borsook and Dodick (p. 317) make a passionate plea to recognize the disabling nature of migraine. While it is not clear whether challenges to the Affordable Care Act will result in large numbers of Americans returning to the rolls of the uninsured, Taylor et al. (p. 302) chronicle the creation of a free neurology clinic that might serve as a model for others. © 2015 American Academy of Neurology.},
keywords = {Acquired brain injury, act, athlete, brain disease, cerebrovascular accident, chronic disease, clinical practice, Concussion, football, human, medical cannabis, medically uninsured, migraine, neurologist, nurse practitioner, physician assistant, policy, priority journal, Review},
pubstate = {published},
tppubtype = {article}
}
Baugh, C M; Kroshus, E; Stamm, J M; Daneshvar, D H; Pepin, M J; Meehan, W P
Clinical practices in collegiate concussion management Journal Article
In: American Journal of Sports Medicine, vol. 44, no. 6, pp. 1391–1399, 2016.
@article{Baugh2016,
title = {Clinical practices in collegiate concussion management},
author = {Baugh, C M and Kroshus, E and Stamm, J M and Daneshvar, D H and Pepin, M J and Meehan, W P},
doi = {10.1177/0363546516635639},
year = {2016},
date = {2016-01-01},
journal = {American Journal of Sports Medicine},
volume = {44},
number = {6},
pages = {1391--1399},
abstract = {Background: In recent years, sports leagues and sports medicine experts have developed guidelines for concussion management. The extent to which current clinical practice is consistent with guideline recommendations is unclear. At the collegiate level, there have been few examinations of concussion management practices and the extent to which meaningful differences across divisions of competition exist. Purpose: The purposes of this study were to (1) examine current practices in concussion diagnosis and management at National Collegiate Athletic Association (NCAA) member colleges, (2) explore the extent to which current practices reflect current recommendations for concussion diagnosis and management, and (3) determine whether there are differences in management patterns across divisions of competition. Design: Descriptive epidemiology study. Methods: An electronic questionnaire was sent to sports medicine clinicians at all NCAA member colleges during September and October 2013. Clinicians were asked about baseline assessments, diagnosis and management practices, return-to-play protocols, the perceived prevalence of underdiagnosis, and basic demographic information. Results: Approximately 30% (n = 866) of contacted clinicians, representing nearly 50% (n = 527) of NCAA member colleges, responded to the questionnaire. Preparticipation baseline examinations were administered at the majority of schools (95%), but most (87.5%) administered baseline assessments only to selected high-risk athletes. Computerized neurocognitive testing and balance assessments were most commonly used as preseason baseline and postinjury assessments. Multimodal examination in line with NCAA and other guidance was used only at a minority of institutions. Athletic trainers most commonly administered and interpreted the preseason baseline examination. Most clinicians reported that their institutions' practices were in line with NCAA guidelines during the first 24 hours of an athlete's concussion diagnosis, with exact percentages varying across measures. Differences across divisions of competition included shorter return-to-play time at Division I schools than Division III schools (9.13 vs 10.31 days, respectively) and more frequently referring concussed athletes to a physician within 24 hours of diagnosis at Division I schools. Conclusion: Concussion management at many colleges in the United States incorporates elements recommended by current guidelines; however, there is room to improve. Increasing the use of a multimodal baseline and postinjury examination will elevate the concussion care provided to college athletes and better align with best practice guidance. © American Orthopaedic Society for Sports Medicine.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Corboy, J R
Cannabis to concussion Journal Article
In: Neurology: Clinical Practice, vol. 5, no. 4, pp. 273, 2015.
@article{Corboy2015,
title = {Cannabis to concussion},
author = {Corboy, J R},
doi = {10.1212/CPJ.0000000000000167},
year = {2015},
date = {2015-01-01},
journal = {Neurology: Clinical Practice},
volume = {5},
number = {4},
pages = {273},
abstract = {This issue of Neurology® Clinical Practice features thought-provoking articles on disparate topics. Gardner et al. (p. 285) tackle chronic traumatic encephalopathy, describing clinical and pathologic features in 14 self-referred symptomatic former professional football players. Harold Adams (p. 296) details the controversy surrounding treatment of patients who awaken with stroke symptoms whose time of onset cannot be established. Borsook and Dodick (p. 317) make a passionate plea to recognize the disabling nature of migraine. While it is not clear whether challenges to the Affordable Care Act will result in large numbers of Americans returning to the rolls of the uninsured, Taylor et al. (p. 302) chronicle the creation of a free neurology clinic that might serve as a model for others. © 2015 American Academy of Neurology.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Baugh, C M; Kroshus, E; Stamm, J M; Daneshvar, D H; Pepin, M J; Meehan, W P
Clinical practices in collegiate concussion management Journal Article
In: American Journal of Sports Medicine, vol. 44, no. 6, pp. 1391–1399, 2016.
Abstract | Links | BibTeX | Tags: best practices, clinical practice, college, Concussion, Health Policy
@article{Baugh2016,
title = {Clinical practices in collegiate concussion management},
author = {Baugh, C M and Kroshus, E and Stamm, J M and Daneshvar, D H and Pepin, M J and Meehan, W P},
doi = {10.1177/0363546516635639},
year = {2016},
date = {2016-01-01},
journal = {American Journal of Sports Medicine},
volume = {44},
number = {6},
pages = {1391--1399},
abstract = {Background: In recent years, sports leagues and sports medicine experts have developed guidelines for concussion management. The extent to which current clinical practice is consistent with guideline recommendations is unclear. At the collegiate level, there have been few examinations of concussion management practices and the extent to which meaningful differences across divisions of competition exist. Purpose: The purposes of this study were to (1) examine current practices in concussion diagnosis and management at National Collegiate Athletic Association (NCAA) member colleges, (2) explore the extent to which current practices reflect current recommendations for concussion diagnosis and management, and (3) determine whether there are differences in management patterns across divisions of competition. Design: Descriptive epidemiology study. Methods: An electronic questionnaire was sent to sports medicine clinicians at all NCAA member colleges during September and October 2013. Clinicians were asked about baseline assessments, diagnosis and management practices, return-to-play protocols, the perceived prevalence of underdiagnosis, and basic demographic information. Results: Approximately 30% (n = 866) of contacted clinicians, representing nearly 50% (n = 527) of NCAA member colleges, responded to the questionnaire. Preparticipation baseline examinations were administered at the majority of schools (95%), but most (87.5%) administered baseline assessments only to selected high-risk athletes. Computerized neurocognitive testing and balance assessments were most commonly used as preseason baseline and postinjury assessments. Multimodal examination in line with NCAA and other guidance was used only at a minority of institutions. Athletic trainers most commonly administered and interpreted the preseason baseline examination. Most clinicians reported that their institutions' practices were in line with NCAA guidelines during the first 24 hours of an athlete's concussion diagnosis, with exact percentages varying across measures. Differences across divisions of competition included shorter return-to-play time at Division I schools than Division III schools (9.13 vs 10.31 days, respectively) and more frequently referring concussed athletes to a physician within 24 hours of diagnosis at Division I schools. Conclusion: Concussion management at many colleges in the United States incorporates elements recommended by current guidelines; however, there is room to improve. Increasing the use of a multimodal baseline and postinjury examination will elevate the concussion care provided to college athletes and better align with best practice guidance. © American Orthopaedic Society for Sports Medicine.},
keywords = {best practices, clinical practice, college, Concussion, Health Policy},
pubstate = {published},
tppubtype = {article}
}
Corboy, J R
Cannabis to concussion Journal Article
In: Neurology: Clinical Practice, vol. 5, no. 4, pp. 273, 2015.
Abstract | Links | BibTeX | Tags: Acquired brain injury, act, athlete, brain disease, cerebrovascular accident, chronic disease, clinical practice, Concussion, football, human, medical cannabis, medically uninsured, migraine, neurologist, nurse practitioner, physician assistant, policy, priority journal, Review
@article{Corboy2015,
title = {Cannabis to concussion},
author = {Corboy, J R},
doi = {10.1212/CPJ.0000000000000167},
year = {2015},
date = {2015-01-01},
journal = {Neurology: Clinical Practice},
volume = {5},
number = {4},
pages = {273},
abstract = {This issue of Neurology® Clinical Practice features thought-provoking articles on disparate topics. Gardner et al. (p. 285) tackle chronic traumatic encephalopathy, describing clinical and pathologic features in 14 self-referred symptomatic former professional football players. Harold Adams (p. 296) details the controversy surrounding treatment of patients who awaken with stroke symptoms whose time of onset cannot be established. Borsook and Dodick (p. 317) make a passionate plea to recognize the disabling nature of migraine. While it is not clear whether challenges to the Affordable Care Act will result in large numbers of Americans returning to the rolls of the uninsured, Taylor et al. (p. 302) chronicle the creation of a free neurology clinic that might serve as a model for others. © 2015 American Academy of Neurology.},
keywords = {Acquired brain injury, act, athlete, brain disease, cerebrovascular accident, chronic disease, clinical practice, Concussion, football, human, medical cannabis, medically uninsured, migraine, neurologist, nurse practitioner, physician assistant, policy, priority journal, Review},
pubstate = {published},
tppubtype = {article}
}