Last data update: May 06, 2024. (Total: 46732 publications since 2009)
Records 1-6 (of 6 Records) |
Query Trace: Lionbarger M[original query] |
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Prevalence of concussion-related policies and practices among public school districts in the United States, 2012 and 2016
Miller GF , DePadilla L , Everett Jones S , Lionbarger M , Thigpen S . J Public Health Manag Pract 2020 28 (1) E194-E197 BACKGROUND: Beginning in 2009, there was an increase in the number of states with laws addressing 3 different components of youth sports-related concussion prevention and management: concussion education, removal from play, and medical clearance requirements before allowing an athlete to return to play. Schools are an important setting to implement policies and practices related to concussions, as many youth participate in organized sports through school venues. OBJECTIVE: To examine whether the prevalence of concussion-related policies and practices adopted by school districts changed from 2012 to 2016. METHODS: This study used nationally representative data from the 2012 and 2016 School Health Policies and Practices Study to examine whether the prevalence of 4 concussion-related policies and practices changed during 2012 and 2016 and whether comprehensive policies changed during the same time frame. Comprehensive policies were defined as those that address removal from play after injury, medical clearance before returning to play, and concussion-related educational materials and sessions for parents and student athletes. RESULTS: Among school districts nationwide, the prevalence of each of the 4 concussion-related policies and practices significantly increased during 2012 and 2016. The prevalence of comprehensive policies significantly increased from 51.6% in 2012 to 66.7% in 2016. While these findings are promising, it is important to note that one-third of districts still lacked comprehensive policies in 2016 and only 71% of districts provided educational sessions in 2016. CONCLUSIONS: The findings in this study highlight improvements in school districts nationwide in adopting concussion-related policies and practices. Policies such as requiring educational sessions allow parents and student athletes to learn about concussions and understand the importance of reporting a concussion or concussion symptoms. |
Healthcare professional involvement and RTP compliance in high school athletes with concussion
Haarbauer-Krupa JK , Comstock RD , Lionbarger M , Hirsch S , Kavee A , Lowe B . Brain Inj 2018 32 (11) 1-8 OBJECTIVES: To describe concussion rates in high school athletes and involvement of healthcare professionals in concussion diagnosis, management and compliance with return to play (RTP) guidelines. METHODS: Data were analysed from injury reports in the National High School Sports-Related Injury Surveillance System between 2009/2010 and 2012/2013 to identify student athletes with concussion and determine compliance with RTP guidelines. Compliance with RTP guidelines was examined using logistic regression, adjusting for sport and injury-related variables. RESULTS: There were 5611 concussions recorded during 15 712 475 athlete exposures (AEs), a rate of 3.6 concussions per 10 000 AEs. Rates were higher during competition and among girls compared to boys in gender equitable sports. Healthcare professionals were less likely to be present at the time of concussion for girls' sports, lower competition levels and practices. Compliance with RTP guidelines was higher for athletes with recurrent concussions, those sustained in collision sports, for athletes reporting more symptoms and when a physician made the RTP decision. CONCLUSIONS: Presence of healthcare professionals and compliance with RTP guidelines varied by sport, gender, level of play and exposure type. High school athletes with concussion are best served by assessment teams with athletic trainers and physicians working together to manage concussions and contribute to RTP decisions. |
The clinical implications of youth sports concussion laws: A review
Bell JM , Master CL , Lionbarger MR . Am J Lifestyle Med 2017 20 (10) 172-181 The recent passage of state youth sports concussion laws across the country introduces clinical implications for health care professionals caring for student-athletes. Although the laws were established to provide protections for student-athletes and prevent adverse outcomes, efforts aimed at implementation have uncovered various challenges in concussion diagnosis and management. Some of the most salient issues include medical evaluation, return to play, and return to learn. For this reason, health care professionals play a pivotal role in determining the critical next steps after a student is removed from play with a suspected concussion. Also, state laws may influence an influx of concussion patients to health care facilities and, thereby, present various unforeseen challenges that can be mitigated with adequate clinical preparation. This is key to helping student-athletes recover and resume regular activities in sports, recreation, and education. This review describes the various components of state youth sports concussion laws relevant to clinical practice and nuances that health care professionals should appreciate in this context. Additionally, concussion tools and strategies that can be used in clinical practice are discussed. |
Trends in sports- and recreation-related traumatic brain injuries treated in US emergency departments: the National Electronic Injury Surveillance System-All Injury Program (NEISS-AIP) 2001-2012
Coronado VG , Haileyesus T , Cheng TA , Bell JM , Haarbauer-Krupa J , Lionbarger MR , Flores-Herrera J , McGuire LC , Gilchrist J . J Head Trauma Rehabil 2015 30 (3) 185-97 IMPORTANCE: Sports- and recreation-related traumatic brain injuries (SRR-TBIs) are a growing public health problem affecting persons of all ages in the United States. OBJECTIVE: To describe the trends of SRR-TBIs treated in US emergency departments (EDs) from 2001 to 2012 and to identify which sports and recreational activities and demographic groups are at higher risk for these injuries. DESIGN: Data on initial ED visits for an SRR-TBI from the National Electronic Injury Surveillance System-All Injury Program (NEISS-AIP) for 2001-2012 were analyzed. SETTING: NEISS-AIP data are drawn from a nationally representative sample of hospital-based EDs. PARTICIPANTS: Cases of TBI were identified from approximately 500 000 annual initial visits for all causes and types of injuries treated in EDs captured by NEISS-AIP. MAIN OUTCOME MEASURE(S): Numbers and rates by age group, sex, and year were estimated. Aggregated numbers and percentages by discharge disposition were produced. RESULTS: Approximately 3.42 million ED visits for an SRR-TBI occurred during 2001-2012. During this period, the rates of SRR-TBIs treated in US EDs significantly increased in both males and females regardless of age (all Ps < .001). For males, significant increases ranged from a low of 45.8% (ages 5-9) to a high of 139.8 % (ages 10-14), and for females, from 25.1% (ages 0-4) to 211.5% (ages 15-19) (all Ps < .001). Every year males had about twice the rates of SRR-TBIs than females. Approximately 70% of all SRR-TBIs were reported among persons aged 0 to 19 years. The largest number of SRR-TBIs among males occurred during bicycling, football, and basketball. Among females, the largest number of SRR-TBIs occurred during bicycling, playground activities, and horseback riding. Approximately 89% of males and 91% of females with an SRR-TBI were treated and released from EDs. CONCLUSION AND RELEVANCE: The rates of ED-treated SRR-TBIs increased during 2001-2012, affecting mainly persons aged 0 to 19 years and males in all age groups. Increases began to appear in 2004 for females and 2006 for males. Activities associated with the largest number of TBIs varied by sex and age. Reasons for the reported increases in ED visits are unknown but may be associated with increased awareness of TBI through increased media exposure and from campaigns, such as the Centers for Disease Control and Prevention's Heads Up. Prevention efforts should be targeted by sports and recreational activity, age, and sex. |
Corrigendum to “Trends in Traumatic Brain Injury in the U.S. and the public health response: 1995–2009"
Greenspan A I , Coronado VG , McGuire LC , Sarmiento K , Bell J , Lionbarger MR , Jones CD , Geller AI , Khoury N , Xu L . J Safety Res 2014 48 117 In the article Trends in Traumatic Brain Injury in the U.S. and the public health response: 1995–2009, by Victor G. Coronado et al., (Journal of Safety Research, Vol 43/Issue 4, pp 299–307, September, 2012) an error was made in the calculation of total traumatic brain injury (TBI) burden. The authors incorrectly included the number of outpatient visits and office-based visits to an estimate of the total number of patients with a primary or secondary diagnosis of TBI in 2009. While an average of 1.2 million visits (annualized average between 2007 and 2009) are made each year to outpatient departments or to office-based physicians for treatment related to a TBI, either alone or in combination with other injuries, it is impossible to identify how many of these were incident visits versus repeat or follow-up visits. By including outpatient department and office-based visits we likely overestimated their contribution to the total TBI burden. While we recognize that excluding these visits from the overall estimate eliminates some incident cases and results in an underestimate of total TBI burden, the estimate of ED visits, hospitalizations, and deaths is more precise and should be presented separately from outpatient and office-based visits. Thus, the correct estimates should read: “In 2009, there were approximately 2.4 million hospital emergency department (ED) visits, hospitalizations, or deaths related to a TBI, either alone or in combination with other injuries. Further, between 2007 and 2009 there was an annualized average of 1.1 million office-based visits and 84,000 outpatient department visits with a TBI-related diagnosis either alone or in combination with other injuries.” Our incorrect calculation which combined outpatient and office-based visits with ED visits, hospitalizations, and deaths can be found in the first line of the Abstract, (page 299 of the printed version); in the second paragraph of section 5 (page 302); and in the third line of the Conclusions and recommendations section (page 305); these numbers (3.5 million, 3.6 million, and 3.6 million, respectively) were incorrect. The Centers for Disease Control and Prevention will be using the corrected estimate of 2.4 million to describe the national burden of TBI (ED visits, hospitalizations, and deaths) in future descriptions for 2009. We continue to pursue methods to identify incident cases of TBI that do not present to EDs to more comprehensively capture the full TBI burden. |
Trends in traumatic brain injury in the U.S. and the public health response: 1995–2009
Coronado VG , McGuire LC , Sarmiento K , Bell J , Lionbarger MR , Jones CD , Geller AI , Khoury N , Xu L . J Safety Res 2012 43 (4) 299-307 Problem Traumatic Brain Injury (TBI) is a public health problem in the United States. In 2009, approximately 3.5 million patients with a TBI listed as primary or secondary diagnosis were hospitalized and discharged alive (N = 300,667) or were treated and released from emergency departments (EDs; N = 2,077,350), outpatient departments (ODs; N = 83,857), and office-based physicians (OB-P; N = 1,079,338). In addition, 52,695 died with one or more TBI-related diagnoses. Methods Federal TBI-related laws that have guided CDC since 1996 were reviewed. Trends in TBI were obtained by analyzing data from nationally representative surveys conducted by the National Center for Health Statistics (NCHS). Findings CDC has developed and is implementing a strategy to reduce the burden of TBI in the United States. Currently, 20 states have TBI surveillance and prevention systems. From 1995–2009, the TBI rates per 100,000 population increased in EDs (434.1 vs. 686.0) and OB-Ps (234.6 vs. 352.3); and decreased in ODs (42.6 vs. 28.1) and in TBI-related deaths (19.9 vs. 16.6). TBI Hospitalizations decreased from 95.5 in 1995 to 77.9 in 2000 and increased to 95.7 in 2009. Conclusions The rates of TBI have increased since 1995 for ED and PO visits. To reduce of the burden and mitigate the impact of TBI in the United States, an improved state- and territory-specific TBI surveillance system that accurately measures burden and includes information on the acute and long-term outcomes of TBI is needed. |
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