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Reporting of concussions and concussion-like symptoms in female high school athletes
Reporting of concussions and concussion-like symptoms in female high school athletes
Submitted on 26 Feb 2016

Mark Burghart, Tracy McDonald, Michael Moncure, Niamin Nazir, Jill Kouts, Jeff Radel
Center for Concussion Management, University of Kansas Hospital
This poster was presented at PINKconcussions International Summit on Female Concussion and TBI
Poster Views: 1,164
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Poster Abstract
Under-reporting of concussions and concussion-like symptoms in athletes continues to be a serious medical concern. Despite mounting worry, little evidence exists examining incidence of under-reporting and documenting characteristics of female athletes participating in high school sports.Survey data were collected for female high school athletes participating in a school-sanctioned sport during the 2011-2013 academic years, characterizing concussion incidence and reporting behaviors of athletes.A total of 77 athletes completed the survey, representing 14 female sports. Twenty-three athletes (29.9%) indicated a previously diagnosed concussion, with 14 other athletes (18.2%) reporting a potentially undiagnosed concussion. Ten athletes stated they experienced concussion symptoms and never reported them to coaches or training staffs. Only 66.2% of these athletes reported receiving concussion education at school. No statistical relationship was found between athletes with concussion education and those with diagnosed concussions (χ^2(1, N = 77) = 0.58, p = 0.45), removal from play after experiencing symptoms (χ^2(2, N = 77) = 0.68, p = 0.71), or follow-up medical care after a suspected concussion (χ^2(2, N = 77) = 0.62, p = 0.73). Female high school athletes under-report signs and symptoms of concussions, much like their male counterparts. School-sponsored concussion education should occur at higher rates among female athletes to influence reporting behaviors.

Dick RW. Is there a gender difference in concussion incidence and outcomes? Br J Sports Med. 2009

Marar M, McIlvain NM, Fields SK, Comstock RD. Epidemiology of concussions among United States high school athletes in 20 sports. Am J Sports Med. 2012

LaBotz M, Martin MR, Kimura IF, Hetzler RK, Nichols AW. A comparison of a preparticipation evaluation history form and a symptom-based concussion survey in the identification of previous head injury in collegiate athletes. Clin J Sport Med. 2005
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