{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T08:57:11Z","timestamp":1774947431376,"version":"3.50.1"},"reference-count":27,"publisher":"SLACK, Inc.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:p>\n            High school athletes sustaining a concussion require careful attention when determining return-to-sport (RTS) readiness. The purpose of this study was to determine epidemiological and RTS data of a large cohort of high school athletes who sustained 1 or more concussions. Records of 357 consecutive youth patients who sustained concussions and presented to a single health care system between September 2013 and December 2016 were reviewed. Demographic data, RTS, and concussion-related variables were obtained via chart review. Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) scores at baseline and following concussions were performed by neuropsychologists. The average age at injury was 15.5 years (range, 14\u201318 years), 61.9% of patients were male, 6.7% reported a loss of consciousness, and 14.3% reported amnesia, requiring 30.4\u00b123.3 days of recovery prior to RTS. The most common sport of injury was football (27.7%). There was a high incidence of previous concussion (33.1%), and 32 athletes sustained a recurrent concussion. A multivariate model demonstrated that females, players with a history of concussion, and those diagnosed in-clinic rather than in-game required increased time to RTS. Memory ImPACT scores were found to increase as players had recurrent concussions. Visual motor speed and reaction time scores decreased with recurrent concussions. [\n            <jats:italic>Orthopedics<\/jats:italic>\n            . 2020;43(4):e306\u2013e310.]\n          <\/jats:p>","DOI":"10.3928\/01477447-20200521-03","type":"journal-article","created":{"date-parts":[[2020,6,5]],"date-time":"2020-06-05T13:43:45Z","timestamp":1591364625000},"source":"Crossref","is-referenced-by-count":8,"title":["Return to Sport Following Adolescent Concussion: Epidemiologic Findings From a High School Population"],"prefix":"10.3928","volume":"43","author":[{"given":"Toufic R.","family":"Jildeh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelechi R.","family":"Okoroha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Denha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Eyers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramsey","family":"Shehab","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasilios","family":"Moutzouros","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514530091"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.9087"},{"key":"e_1_3_1_4_2","unstructured":"Centers for Disease Control and Prevention. TBI data and statistics: emergency department visits hospitalizations and deaths 2001\u20132010. https:\/\/www.cdc.gov\/traumaticbraininjury\/data\/rates.html. Accessed December 26 2017."},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/0028-3932(79)90033-2"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.expneurol.2008.05.009"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1159\/000094166"},{"key":"e_1_3_1_8_2","volume-title":"ImPACT version 2.0 Clinical User's Manual","author":"Lovell M","year":"2004","unstructured":"Lovell M. ImPACT version 2.0 Clinical User's Manual. Pittsburgh, PA: ImPACT Applications, Inc; 2004."},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2011.07.015"},{"key":"e_1_3_1_10_2","unstructured":"ImPACT Applications Inc. 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