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首页> 外文期刊>Clinical journal of sport medicine: official journal of the Canadian Academy of Sport Medicine >The prevalence of undiagnosed concussions in athletes
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The prevalence of undiagnosed concussions in athletes

机译：在运动员中未能脑脑脑脑脑震荡的普遍率

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OBJECTIVE:: Previous studies suggest athletes underreport concussions. We sought to determine whether athletes in our clinics have sustained previous concussions that went undiagnosed. DESIGN:: Multicentered cross sectional study. SETTING:: Two sport concussion clinics. PATIENTS:: Patients diagnosed with sport-related concussions or concussions with injury mechanisms and forces similar to those observed in sports were included. MAIN OUTCOME MEASURES:: The proportion of patients who answered yes to the following question were defined as having a previously undiagnosed concussion: Have you ever sustained a blow to the head which was NOT diagnosed as a concussion but was followed by one or more of the signs and symptoms listed in the Post Concussion Symptom Scale? RESULTS:: Of the 486 patients included in the final analysis, 148 (30.5%) patients reported a previously undiagnosed concussion. Athletes reporting previously undiagnosed concussions had a higher mean Post Concussion Symptom Scale (PCSS) score (33 vs 25; P < 0.004) and were more likely to have lost consciousness (31% vs 22%; P = 0.038) with their current injury than athletes without previously undiagnosed concussions. CONCLUSIONS:: Nearly one-third of athletes have sustained previously undiagnosed concussions, defined as a blow to the head followed by the signs and symptoms included in the PCSS. Furthermore, these previously undiagnosed concussions are associated with higher PCSS scores and higher loss of consciousness rates when future concussions occur. CLINICAL RELEVANCE:: Many athletes have sustained previous blows to the head that result in the signs and symptoms of concussion but have not been diagnosed with a concussion. These injuries are associated with increased rates of loss of consciousness and higher symptom scale scores with future concussions. 2013 by Lippincott Williams & Wilkins.
机译：目的：上一项研究表明运动员底上脑震荡。我们试图确定我们诊所的运动员是否持续过未确诊的脑脑。设计::多中心横断面研究。设置::两个运动震荡诊所。患者：包括患有与体育中观察到的伤害机制和力量的运动相关脑脑梗死或脑震荡。主要结果措施::对以下问题回答是的患者的比例被定义为有一个以前未确诊的脑震荡：您是否持续了对头部的打击并未被诊断为脑震荡但是之后是一个或多个震荡症状规模中列出的迹象和症状？结果:: 486名患者终于分析，148名（30.5％）患者报告了一个以前未确诊的脑震荡。报告以前未确诊的脑震荡的运动员具有更高的平均震荡症状尺度（PCS）得分（33 vs 25; P <0.004），并且更有可能失去意识（31％与22％; P = 0.038），其当前伤害没有先前未确诊的脑震荡的运动员。结论::近三分之一的运动员持续了以前未确诊的脑震荡，定义为对头部的打击，然后是PC中包含的迹象和症状。此外，这些先前未确诊的脑震荡与更高的PCS分数相关，当未来脑震荡发生时，较高的意识率损失。临床相关性::许多运动员持续以前吹到头部，导致脑震荡的迹象和症状，但尚未被脑震荡诊断出来。这些伤害与意识丧失的损失和未来脑震荡更高的症状比分有关。 2013由Lippincott Williams＆Wilkins。

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