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Concussion Among Children in the United States General Population: Incidence and Risk Factors

The objective of this study was to examine the incidence of concussion and risk factors for sustaining concussion among children from the United States general population. This prospective cohort study used data from the Adolescent Brain Cognitive Development (ABCD) Study(®). Children were recruited...

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Autores principales: Cook, Nathan E., Iverson, Grant L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8591091/
https://www.ncbi.nlm.nih.gov/pubmed/34790165
http://dx.doi.org/10.3389/fneur.2021.773927
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author Cook, Nathan E.
Iverson, Grant L.
author_facet Cook, Nathan E.
Iverson, Grant L.
author_sort Cook, Nathan E.
collection PubMed
description The objective of this study was to examine the incidence of concussion and risk factors for sustaining concussion among children from the United States general population. This prospective cohort study used data from the Adolescent Brain Cognitive Development (ABCD) Study(®). Children were recruited from schools across the US, sampled to reflect the sociodemographic variation of the US population. The current sample includes 11,013 children aged 9 to 10 years old (47.6% girls; 65.5% White) who were prospectively followed for an average of 1 year (mean = 367.9 days, SD = 40.8, range 249–601). The primary outcome was caregiver-reported concussion during a 1 year follow-up period. Logistic regression was used to determine which potential clinical, health history, and behavioral characteristics (assessed at baseline) were prospectively associated with concussion. In the 1 year follow-up period between ages 10 and 11, 1 in 100 children (n = 123, 1.1%) sustained a concussion. In univariate models, three baseline predictors (ADHD, prior concussion, and accident proneness) were significantly associated with sustaining a concussion. In a multivariate model, controlling for all other predictors, only prior concussion remained significantly associated with the occurrence of a concussion during the observation period (Odds Ratio = 5.49, 95% CI: 3.40–8.87). The most robust and only independent prospective predictor of sustaining a concussion was history of a prior concussion. History of concussion is associated with 5.5 times greater odds of sustaining concussion between ages 10 and 11 among children from the general US population.
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spelling pubmed-85910912021-11-16 Concussion Among Children in the United States General Population: Incidence and Risk Factors Cook, Nathan E. Iverson, Grant L. Front Neurol Neurology The objective of this study was to examine the incidence of concussion and risk factors for sustaining concussion among children from the United States general population. This prospective cohort study used data from the Adolescent Brain Cognitive Development (ABCD) Study(®). Children were recruited from schools across the US, sampled to reflect the sociodemographic variation of the US population. The current sample includes 11,013 children aged 9 to 10 years old (47.6% girls; 65.5% White) who were prospectively followed for an average of 1 year (mean = 367.9 days, SD = 40.8, range 249–601). The primary outcome was caregiver-reported concussion during a 1 year follow-up period. Logistic regression was used to determine which potential clinical, health history, and behavioral characteristics (assessed at baseline) were prospectively associated with concussion. In the 1 year follow-up period between ages 10 and 11, 1 in 100 children (n = 123, 1.1%) sustained a concussion. In univariate models, three baseline predictors (ADHD, prior concussion, and accident proneness) were significantly associated with sustaining a concussion. In a multivariate model, controlling for all other predictors, only prior concussion remained significantly associated with the occurrence of a concussion during the observation period (Odds Ratio = 5.49, 95% CI: 3.40–8.87). The most robust and only independent prospective predictor of sustaining a concussion was history of a prior concussion. History of concussion is associated with 5.5 times greater odds of sustaining concussion between ages 10 and 11 among children from the general US population. Frontiers Media S.A. 2021-11-01 /pmc/articles/PMC8591091/ /pubmed/34790165 http://dx.doi.org/10.3389/fneur.2021.773927 Text en Copyright © 2021 Cook and Iverson. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Cook, Nathan E.
Iverson, Grant L.
Concussion Among Children in the United States General Population: Incidence and Risk Factors
title Concussion Among Children in the United States General Population: Incidence and Risk Factors
title_full Concussion Among Children in the United States General Population: Incidence and Risk Factors
title_fullStr Concussion Among Children in the United States General Population: Incidence and Risk Factors
title_full_unstemmed Concussion Among Children in the United States General Population: Incidence and Risk Factors
title_short Concussion Among Children in the United States General Population: Incidence and Risk Factors
title_sort concussion among children in the united states general population: incidence and risk factors
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8591091/
https://www.ncbi.nlm.nih.gov/pubmed/34790165
http://dx.doi.org/10.3389/fneur.2021.773927
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