{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T18:14:29Z","timestamp":1780769669021,"version":"3.54.1"},"reference-count":58,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>The aim of this study was to compare injury circumstances, characteristics, and clinical management of emergency department (ED) presentations for sports-related concussion (SRC) and non-SRC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>This multicenter prospective observational study identified patients 5\u201317 years old who presented to EDs within 24 hours of head injury, with one or more signs or symptoms of concussion. Participants had a Glasgow Coma Scale score of 13\u201315 and no abnormalities on CT (if performed). Data were stratified by age: young children (5\u20138 years), older children (9\u201312 years), and adolescents (13\u201317 years).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Of 4709 patients meeting the concussion criteria, non-SRC accounted for 56.3% of overall concussions, including 80.9% of younger child, 51.1% of older child, and 37.0% of adolescent concussions. The most common mechanism of non-SRC was falls for all ages. The most common activity accounting for SRC was bike riding for younger children, and rugby for older children and adolescents. Concussions occurring in sports areas, home, and educational settings accounted for 26.2%, 21.8%, and 19.0% of overall concussions. Concussions occurring in a sports area increased with age, while occurrences in home and educational settings decreased with age. The presence of amnesia significantly differed for SRC and non-SRC for all age groups, while vomiting and disorientation differed for older children and adolescents. Adolescents with non-SRC were admitted to a ward and underwent CT at higher proportions than those with SRC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Non-SRC more commonly presented to EDs overall, with SRC more common with increasing age. These data provide important information to inform public health policies, guidelines, and prevention efforts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2024.4.focus2493","type":"journal-article","created":{"date-parts":[[2024,7,3]],"date-time":"2024-07-03T14:51:53Z","timestamp":1720018313000},"page":"E4","source":"Crossref","is-referenced-by-count":7,"title":["Pediatric sport and nonsport concussions presenting to emergency departments: injury circumstances, characteristics, and clinical management"],"prefix":"10.3171","volume":"57","author":[{"given":"Vanessa C.","family":"Rausa","sequence":"first","affiliation":[{"name":"Clinical Sciences, Murdoch Children\u2019s Research Institute, Melbourne, Victoria, Australia;"},{"name":"Departments of Paediatrics and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meredith L.","family":"Borland","sequence":"additional","affiliation":[{"name":"Emergency Department, Perth Children\u2019s Hospital, Perth, Western Australia, Australia;"},{"name":"School of Medicine, Divisions of Emergency Medicine and Paediatrics, University of Western Australia, Perth, Western Australia, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Kochar","sequence":"additional","affiliation":[{"name":"Emergency Department, Women\u2019s & Children\u2019s Hospital, Adelaide, South Australia, Australia;"},{"name":"Department of Acute Care Medicine, University of Adelaide, South Australia, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Phillips","sequence":"additional","affiliation":[{"name":"Emergency Department, Queensland Children\u2019s Hospital, Brisbane, Queensland, Australia;"},{"name":"Child Health Research Centre, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuri","family":"Gilhotra","sequence":"additional","affiliation":[{"name":"Emergency Department, Queensland Children\u2019s Hospital, Brisbane, Queensland, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Dalton","sequence":"additional","affiliation":[{"name":"Emergency Department, The Children\u2019s Hospital at Westmead, Sydney, New South Wales, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John A.","family":"Cheek","sequence":"additional","affiliation":[{"name":"Clinical Sciences, Murdoch Children\u2019s Research Institute, Melbourne, Victoria, Australia;"},{"name":"Departments of Paediatrics and"},{"name":"Emergency Department, The Royal Children\u2019s Hospital, Melbourne, Victoria, Australia;"},{"name":"Emergency Department, Monash Medical Centre, Melbourne, Victoria, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy","family":"Furyk","sequence":"additional","affiliation":[{"name":"Emergency Department, The Townsville Hospital, Townsville, Queensland, Australia;"},{"name":"Emergency Department, University Hospital Geelong, Victoria, Australia;"},{"name":"School of Medicine, Faculty of Health, Deakin University, Geelong, Victoria, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jocelyn","family":"Neutze","sequence":"additional","affiliation":[{"name":"Emergency Department, Kidz First Middlemore Hospital, Auckland, New Zealand;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gavin A.","family":"Davis","sequence":"additional","affiliation":[{"name":"Clinical Sciences, Murdoch Children\u2019s Research Institute, Melbourne, Victoria, Australia;"},{"name":"Department of Neurosurgery, Austin and Cabrini Hospitals, Melbourne, Victoria, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicki","family":"Anderson","sequence":"additional","affiliation":[{"name":"Clinical Sciences, Murdoch Children\u2019s Research Institute, Melbourne, Victoria, Australia;"},{"name":"School of Psychological Sciences, University of Melbourne, Victoria, Australia;"},{"name":"Psychology Service, Royal Children\u2019s Hospital, Melbourne, Victoria, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Williams","sequence":"additional","affiliation":[{"name":"Clinical Sciences, Murdoch Children\u2019s Research Institute, Melbourne, Victoria, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuart R.","family":"Dalziel","sequence":"additional","affiliation":[{"name":"Emergency Department, Starship Children\u2019s Health, Auckland, New Zealand; and"},{"name":"Departments of Surgery and Paediatrics: Child and Youth Health, University of Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen J. C.","family":"Hearps","sequence":"additional","affiliation":[{"name":"Clinical Sciences, Murdoch Children\u2019s Research Institute, Melbourne, Victoria, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franz E.","family":"Babl","sequence":"additional","affiliation":[{"name":"Clinical Sciences, Murdoch Children\u2019s Research Institute, Melbourne, Victoria, Australia;"},{"name":"Departments of Paediatrics and"},{"name":"Emergency Department, The Royal Children\u2019s Hospital, Melbourne, Victoria, Australia;"},{"name":"Critical Care, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Victoria, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"12","key":"b1","series-title":"Br J Sports Med","first-page":"949","article-title":"What is the difference in concussion management in children as compared with adults? 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