Cargando…

Sports-Related Concussion Is a Personalized Issue—Evaluation of Medical Assessment and Subjective Feeling of the Athlete in a German Level 1 Trauma Center

Sports-related concussions (SRC) have developed into a highly discussed topic in sports medicine over the last few years and demonstrate a severe issue in the personalized treatment of patients. This retrospective cohort study investigated 86 patients with sports-related concussions in a level 1 tra...

Descripción completa

Detalles Bibliográficos
Autores principales: Weber, Johannes, Huber, Lorenz, Frankewycz, Borys, Krutsch, Werner, Alt, Volker, Szymski, Dominik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9605563/
https://www.ncbi.nlm.nih.gov/pubmed/36294735
http://dx.doi.org/10.3390/jpm12101596
_version_ 1784818098377850880
author Weber, Johannes
Huber, Lorenz
Frankewycz, Borys
Krutsch, Werner
Alt, Volker
Szymski, Dominik
author_facet Weber, Johannes
Huber, Lorenz
Frankewycz, Borys
Krutsch, Werner
Alt, Volker
Szymski, Dominik
author_sort Weber, Johannes
collection PubMed
description Sports-related concussions (SRC) have developed into a highly discussed topic in sports medicine over the last few years and demonstrate a severe issue in the personalized treatment of patients. This retrospective cohort study investigated 86 patients with sports-related concussions in a level 1 trauma center, relating to the mechanism, symptoms, medical history, acute therapy including first assessment and the return to sport. The research is based on medical records as well as questionnaires six months after hospitalization. Loss of consciousness for under 30 min (41.2%), headache (36.5%) and amnesia (29.4%) were the most frequent symptoms when presenting in the emergency room. During the hospitalization, mainly headache and vertigo were documented. Most concussions occurred after incidents in equitation and cycling sports; the most common mechanism was falling to the ground with a subsequent impact (59.3%). At the time of discharge from hospital, in 13.4% of all cases, concussion symptoms were still documented in medical records, in contrast to 39.5% of the concerned athletes who reported symptoms for longer than 24 h, and 41.0% who reported ongoing post-concussion symptoms after six months. Concussions are difficult-to-treat disorders with a challenging diagnostic process and many symptoms in various values and levels of persistence. Therefore, a patient-involving treatment with a complaint-dependent return to sport process should be applied to concerned athletes.
format Online
Article
Text
id pubmed-9605563
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-96055632022-10-27 Sports-Related Concussion Is a Personalized Issue—Evaluation of Medical Assessment and Subjective Feeling of the Athlete in a German Level 1 Trauma Center Weber, Johannes Huber, Lorenz Frankewycz, Borys Krutsch, Werner Alt, Volker Szymski, Dominik J Pers Med Article Sports-related concussions (SRC) have developed into a highly discussed topic in sports medicine over the last few years and demonstrate a severe issue in the personalized treatment of patients. This retrospective cohort study investigated 86 patients with sports-related concussions in a level 1 trauma center, relating to the mechanism, symptoms, medical history, acute therapy including first assessment and the return to sport. The research is based on medical records as well as questionnaires six months after hospitalization. Loss of consciousness for under 30 min (41.2%), headache (36.5%) and amnesia (29.4%) were the most frequent symptoms when presenting in the emergency room. During the hospitalization, mainly headache and vertigo were documented. Most concussions occurred after incidents in equitation and cycling sports; the most common mechanism was falling to the ground with a subsequent impact (59.3%). At the time of discharge from hospital, in 13.4% of all cases, concussion symptoms were still documented in medical records, in contrast to 39.5% of the concerned athletes who reported symptoms for longer than 24 h, and 41.0% who reported ongoing post-concussion symptoms after six months. Concussions are difficult-to-treat disorders with a challenging diagnostic process and many symptoms in various values and levels of persistence. Therefore, a patient-involving treatment with a complaint-dependent return to sport process should be applied to concerned athletes. MDPI 2022-09-28 /pmc/articles/PMC9605563/ /pubmed/36294735 http://dx.doi.org/10.3390/jpm12101596 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Weber, Johannes
Huber, Lorenz
Frankewycz, Borys
Krutsch, Werner
Alt, Volker
Szymski, Dominik
Sports-Related Concussion Is a Personalized Issue—Evaluation of Medical Assessment and Subjective Feeling of the Athlete in a German Level 1 Trauma Center
title Sports-Related Concussion Is a Personalized Issue—Evaluation of Medical Assessment and Subjective Feeling of the Athlete in a German Level 1 Trauma Center
title_full Sports-Related Concussion Is a Personalized Issue—Evaluation of Medical Assessment and Subjective Feeling of the Athlete in a German Level 1 Trauma Center
title_fullStr Sports-Related Concussion Is a Personalized Issue—Evaluation of Medical Assessment and Subjective Feeling of the Athlete in a German Level 1 Trauma Center
title_full_unstemmed Sports-Related Concussion Is a Personalized Issue—Evaluation of Medical Assessment and Subjective Feeling of the Athlete in a German Level 1 Trauma Center
title_short Sports-Related Concussion Is a Personalized Issue—Evaluation of Medical Assessment and Subjective Feeling of the Athlete in a German Level 1 Trauma Center
title_sort sports-related concussion is a personalized issue—evaluation of medical assessment and subjective feeling of the athlete in a german level 1 trauma center
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9605563/
https://www.ncbi.nlm.nih.gov/pubmed/36294735
http://dx.doi.org/10.3390/jpm12101596
work_keys_str_mv AT weberjohannes sportsrelatedconcussionisapersonalizedissueevaluationofmedicalassessmentandsubjectivefeelingoftheathleteinagermanlevel1traumacenter
AT huberlorenz sportsrelatedconcussionisapersonalizedissueevaluationofmedicalassessmentandsubjectivefeelingoftheathleteinagermanlevel1traumacenter
AT frankewyczborys sportsrelatedconcussionisapersonalizedissueevaluationofmedicalassessmentandsubjectivefeelingoftheathleteinagermanlevel1traumacenter
AT krutschwerner sportsrelatedconcussionisapersonalizedissueevaluationofmedicalassessmentandsubjectivefeelingoftheathleteinagermanlevel1traumacenter
AT altvolker sportsrelatedconcussionisapersonalizedissueevaluationofmedicalassessmentandsubjectivefeelingoftheathleteinagermanlevel1traumacenter
AT szymskidominik sportsrelatedconcussionisapersonalizedissueevaluationofmedicalassessmentandsubjectivefeelingoftheathleteinagermanlevel1traumacenter