Revisiting the modifiers: how should the evaluation and management of acute concussions differ in specific groups?

摘要: Background One of the key difficulties while managing concussion in sport is that there are few prognostic factors to reliably predict clinical outcome. The aims current paper review evidence for modifiers and consider how evaluation management may differ specific groups. Methods A qualitative literature on was conducted with a focus groups including children, female athletes elite versus non-elite players. PubMed, MEDLINE SportsDiscus databases were reviewed. Results demonstrates number severity symptoms previous concussions associated prolonged recovery and/or increased risk complications. Brief loss consciousness (LOC) impact seizures do not outcomes following concussion, although cautious approach should be adopted an athlete LOC or (ie, >1 min). Children generally take longer recover from assessment batteries have yet validated younger age group. Currently, insufficient data influence genetics gender concussion. Conclusions Several complications important implications management. managed conservatively, emphasis return learn as well sport. In cases limited resources (eg, players), conservative also taken. There education all sports at levels, particularly junior community-based competitions.