TY - JOUR PY - 2020// TI - Wrestling-related concussions and closed head injuries predominantly occur in high school age athletes JO - Journal of sports medicine and physical fitness A1 - Pirruccio, Kevin A1 - Parisien, Robert L. A1 - Olsen, Corey A1 - Kelly, John D. SP - ePub EP - ePub VL - ePub IS - ePub N2 - BACKGROUND: Sports-related concussions (SRC) and closed head injuries (CHI) have recently garnered national attention given mounting concern for long-term neurological sequelae resulting from repetitive head trauma. Despite historically dangerous techniques in wrestling that involve impacts to the head, there is a paucity of epidemiologic data in regards to wrestling-related concussions (WRCs) in the United States (US). METHODS: The National Electronic Injury Surveillance System (NEISS) database was queried (2000-2018) to report national estimates and demographic characteristics of patients 6-25 years of age presenting to US emergency departments (EDs) with WRCs and CHIs. RESULTS: The average annual number of patients presenting to US EDs with WRCs or CHIs was 3,465 (95% Confidence Interval [CI] 2,489-4,441). Over one-third of patients were between 15 (17.7%; CI 15.8%-19.7%) and 16 (17.0%; CI 14.9%-19.1%) years of age, which comprised the peak age groups during which such head injuries were sustained. The vast majority of patients were male (96.3%; CI 94.8%-97.7%). Lastly, 6.2% (CI 4.3%-8.2%) of patients did not present to the ED on the same day that the injury was sustained. CONCLUSIONS: Due to the unique nature and culture of the sport, wrestlers may be more likely to attribute SRC or CHI symptoms to normal training-related fatigue, which can lead to underreporting or delayed diagnosis. It is therefore imperative that appropriate safety initiatives and concussion awareness campaigns be implemented in youth wrestling to decrease the incidence of SRCs at local and national levels.
Language: en
LA - en SN - 0022-4707 UR - http://dx.doi.org/10.23736/S0022-4707.20.11194-0 ID - ref1 ER -