{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:57:42Z","timestamp":1785373062088,"version":"3.55.0"},"reference-count":34,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2020,1,2]],"date-time":"2020-01-02T00:00:00Z","timestamp":1577923200000},"content-version":"unspecified","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010487","name":"Texas Institute for Brain Injury and Repair, University of Texas Southwestern Medical Center","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010487","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2019,12,10]]},"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The North Texas Concussion Registry (ConTex) was established in 2015 as a multi-institutional collaboration intended to study risk factors, recovery patterns and clinical outcomes associated with concussion across the lifespan, with a particular emphasis on sport-related concussion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Prospective enrolment of individuals who sustained a concussion within the past 6\u2009months who were seen at one of four North Texas ConTex concussion clinics which employ common diagnostic criteria and assessment metrics to evaluate effects of a concussion as well as longitudinal tracking of recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings to date<\/jats:title>\n                    <jats:p>The ConTex database and multidisciplinary oversight team has been established, and over 1700 participants aged 5\u201388 years have been enrolled. A majority of concussions were sport-related (60%), with a mean age of 17.5 years and similar numbers of males and females. Three-month follow-up compliance has been excellent (86%), with a majority of subjects reporting good recovery by that time. ConTex has provided a rich data source for multiple research projects focused on concussion characteristics, risk factors and outcomes, and led to the development of a statewide youth concussion registry.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Future plans<\/jats:title>\n                    <jats:p>ConTex data are being analysed to add to the body of knowledge regarding concussion mechanisms, factors related to recovery and improving outcomes for concussion patients. ConTex will serve as a platform for future treatment studies and may serve as a model for other concussion surveillance programmes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2019-032345","type":"journal-article","created":{"date-parts":[[2020,1,7]],"date-time":"2020-01-07T18:28:02Z","timestamp":1578421682000},"page":"e032345","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":23,"title":["The North Texas Concussion Registry (ConTex)"],"prefix":"10.1136","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9706-5465","authenticated-orcid":false,"given":"C. Munro","family":"Cullum","sequence":"first","affiliation":[{"name":"Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas, USA"},{"name":"Department of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, Texas, USA"},{"name":"Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3631-4648","authenticated-orcid":false,"given":"Stephen","family":"Bunt","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cason","family":"Hicks","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6121-5759","authenticated-orcid":false,"given":"Nyaz","family":"Didehbani","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5002-5095","authenticated-orcid":false,"given":"Shane","family":"Miller","sequence":"additional","affiliation":[{"name":"Departments of Orthopedics and Sports Medicine, Texas Scottish Rite Hospital, Dallas, Texas, USA"},{"name":"Departments of Orthopaedic Surgery and Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bert","family":"Vargas","sequence":"additional","affiliation":[{"name":"Department of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tonia","family":"Sabo","sequence":"additional","affiliation":[{"name":"Department of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Bell","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H Hunt","family":"Batjer","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,1,2]]},"reference":[{"key":"2025120521163118000_10.1.e032345.1","doi-asserted-by":"crossref","first-page":"682","DOI":"10.15585\/mmwr.mm6724a3","article-title":"Self-reported concussions from playing a sport or being physically active among high school students \u2014 United States, 2017","volume":"67","author":"DePadilla","year":"2018","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2025120521163118000_10.1.e032345.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2010.08.006"},{"key":"2025120521163118000_10.1.e032345.3","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2015-094978"},{"key":"2025120521163118000_10.1.e032345.4","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510392326"},{"key":"2025120521163118000_10.1.e032345.5","doi-asserted-by":"crossref","first-page":"288","DOI":"10.4085\/1062-6050-52.1.12","article-title":"Predicting recovery patterns after sport-related concussion","volume":"52","author":"Teel","year":"2017","journal-title":"J Athl Train"},{"key":"2025120521163118000_10.1.e032345.6","first-page":"495","article-title":"Concussions among United States high school and collegiate athletes","volume":"42","author":"Gessel","year":"2007","journal-title":"J Ath Train"},{"key":"2025120521163118000_10.1.e032345.7","doi-asserted-by":"crossref","unstructured":"Marshall SW , Guskiewicz KM , Shankar V , et al . Epidemiology of sports-related concussion in seven US high school and collegiate sports. Inj Epidemiol 2015;2.doi:10.1186\/s40621-015-0045-4","DOI":"10.1186\/s40621-015-0045-4"},{"key":"2025120521163118000_10.1.e032345.8","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1080\/00913847.2017.1327304","article-title":"Trends in sports-related concussion diagnoses in the USA: a population-based analysis using a private-payor database","volume":"45","author":"Amoo-Achampong","year":"2017","journal-title":"Phys Sportsmed"},{"key":"2025120521163118000_10.1.e032345.9","doi-asserted-by":"crossref","first-page":"682","DOI":"10.4085\/1062-6050-52.3.06","article-title":"Sex differences in high school athletes' knowledge of sport-related concussion symptoms and reporting behaviors","volume":"52","author":"Wallace","year":"2017","journal-title":"J Athl Train"},{"key":"2025120521163118000_10.1.e032345.10","doi-asserted-by":"crossref","first-page":"1437","DOI":"10.1007\/s40279-017-0707-1","article-title":"A national study on the effects of concussion in collegiate athletes and US military service Academy members: the NCAA\u2013DoD concussion assessment, research and education (care) Consortium structure and methods","volume":"47","author":"Broglio","year":"2017","journal-title":"Sports Med"},{"key":"2025120521163118000_10.1.e032345.11","doi-asserted-by":"crossref","first-page":"729","DOI":"10.4085\/1062-6050-143-17","article-title":"The first decade of web-based sports injury surveillance (2004\u20132005 through 2013\u20132014): methods of the National collegiate athletic association injury surveillance program and high school reporting information online","volume":"53","author":"Kerr","year":"2018","journal-title":"J Athl Train"},{"key":"2025120521163118000_10.1.e032345.12","doi-asserted-by":"crossref","first-page":"838","DOI":"10.1136\/bjsports-2017-097699","article-title":"Consensus statement on concussion in sport \u2013 the 5th international conference on concussion in sport held in Berlin, October 2016","volume":"26","author":"McCrory","year":"2017","journal-title":"Br J Sports Med"},{"key":"2025120521163118000_10.1.e032345.13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"2025120521163118000_10.1.e032345.14","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-097506SCAT5"},{"key":"2025120521163118000_10.1.e032345.15","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"2025120521163118000_10.1.e032345.16","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e318160d093"},{"key":"2025120521163118000_10.1.e032345.17","doi-asserted-by":"publisher","DOI":"10.3928\/0048-5713-20020901-06"},{"key":"2025120521163118000_10.1.e032345.18","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(89)90047-4"},{"key":"2025120521163118000_10.1.e032345.19","doi-asserted-by":"crossref","first-page":"1280","DOI":"10.1177\/0009922816681603","article-title":"Sleep disturbance following concussion is a risk factor for a prolonged recovery","volume":"56","author":"Bramley","year":"2017","journal-title":"Clin Pediatr"},{"key":"2025120521163118000_10.1.e032345.20","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e31828d57dd"},{"key":"2025120521163118000_10.1.e032345.21","doi-asserted-by":"publisher","DOI":"10.3109\/02699052.2013.772237"},{"key":"2025120521163118000_10.1.e032345.22","first-page":"135","article-title":"Validations of measures from the smartphone sway balance application: a pilot study","volume":"9","author":"Patterson","year":"2014","journal-title":"Int J of Sports Phys Ther"},{"key":"2025120521163118000_10.1.e032345.23","doi-asserted-by":"crossref","first-page":"89","DOI":"10.3928\/19425864-20150422-04","article-title":"Comparison of the sway balance mobile application to the abbreviated balance error scoring system","volume":"7","author":"Amick","year":"2015","journal-title":"Athl Train Sports Health Care"},{"key":"2025120521163118000_10.1.e032345.24","unstructured":"Lovell MR , Collin MW , Podell K , et al . ImPACT: immediate post-concussion assessment cognitive testing. Pittsburgh, PA: Neurohealth Systems, LLC, 2000."},{"key":"2025120521163118000_10.1.e032345.25","doi-asserted-by":"crossref","unstructured":"Heitger MH , Jones RD , Anderson TJ . A new approach to predicting postconcussion syndrome after mild traumatic brain injury based upon eye movement function. Paper presented at the 30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. Vancouver, BC, 2008. https:\/\/ieeexplore.ieee.org\/abstract\/document\/4649977","DOI":"10.1109\/IEMBS.2008.4649977"},{"key":"2025120521163118000_10.1.e032345.26","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2011.07.039"},{"key":"2025120521163118000_10.1.e032345.27","doi-asserted-by":"publisher","DOI":"10.1080\/10705500802222972"},{"key":"2025120521163118000_10.1.e032345.28","doi-asserted-by":"crossref","DOI":"10.1186\/1477-7525-9-8","article-title":"A methodological review of resilience measurement scales","volume":"9","author":"Windle","year":"2011","journal-title":"Health Qual Life Outcomes"},{"key":"2025120521163118000_10.1.e032345.29","doi-asserted-by":"publisher","DOI":"10.1097\/01.HTR.0000327255.38881.ca"},{"key":"2025120521163118000_10.1.e032345.30","unstructured":"Iverson GL , Zasler ND , Lange RT . Post-concussive disorder. In: Zasler ND , Katz DI , Zafont RD , eds. Brain injury medicine: principles and practice. New York, NY: Demos Medical Publishing, 2007: 373\u2013406."},{"key":"2025120521163118000_10.1.e032345.31","doi-asserted-by":"crossref","unstructured":"Bunt S , Didehbani N , Tarkenton T , et al . Sex differences and reporting of SCAT-5 concussion symptoms in adolescent athletes. Clin J Sport Med 2019.","DOI":"10.1097\/JSM.0000000000000788"},{"key":"2025120521163118000_10.1.e032345.32","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1177\/0883073819849741","article-title":"Association between sleep quality and recovery following sport-related concussion in pediatrics","volume":"34","author":"Chung","year":"2019","journal-title":"J Child Neurol"},{"key":"2025120521163118000_10.1.e032345.33","unstructured":"Demographics.texas.gov. . Population Projections for Texas - Report, 2019. Available: https:\/\/demographics.texas.gov\/Data\/TPEPP\/Projections\/Report.aspx?id=41799b21f88b449e9c16d62b56560547 [Accessed 6 Sep 2019]."},{"key":"2025120521163118000_10.1.e032345.34","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0000000000001041"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2019-032345","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T05:16:40Z","timestamp":1764998200000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2019-032345"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":34,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,1,2]]},"published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1136\/bmjopen-2019-032345"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2019-032345","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}