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Incidence of Concussion in Youth Ice Hockey Players.
Pediatrics 2016; 137(2):e20151633Ped

Abstract

BACKGROUND

Ice hockey is a fast-paced collision sport that entails both intentional (ie, body checking) and incidental contact that may involve the head. The objective of this study was to determine the incidence of concussions in relation to games/practices and age among competition-level youth ice hockey players (ages 12-18 years).

METHODS

Participants included 397 youth ice hockey players from Western Pennsylvania; Boston, Massachusetts; and Birmingham, Alabama, during the 2012-2013 and 2013-2014 youth ice hockey seasons. Incidence rates (IRs) and incidence rate ratios (IRRs) of concussion were calculated for games/practices and age groups.

RESULTS

A total of 23 369 (12 784 practice/10 585 game) athletic exposures (AEs) involving 37 medically diagnosed concussions occurred. More than 40% of concussions involved illegal contact. The combined IR for games and practices was 1.58 concussions per 1000 AEs. The IRR was 2.86 times (95% confidence interval 0.68-4.42) higher during games (2.49 per 1000 AEs) than practices (1.04 per 1000 AEs).

CONCLUSIONS

The overall IR for concussion in youth ice hockey was comparable to those reported in other youth collision sports. The game-to-practice IRR was lower than previously reported in ice hockey and other youth sports, although more concussions per exposure occurred in games compared with practices. Younger players had a higher rate of concussions than older players.

Authors+Show Affiliations

Department of Orthopaedic Surgery/UPMC Sports Medicine Concussion Program- University of Pittsburgh, Pittsburgh, Pennsylvania; akontos@pitt.edu.Department of Health, Human Performance and Recreation/Office for Sport Concussion Research- University of Arkansas, Fayetteville, Arkansas;Department of Orthopaedic Surgery/UPMC Sports Medicine Concussion Program- University of Pittsburgh, Pittsburgh, Pennsylvania;Department of Orthopaedic Surgery/UPMC Sports Medicine Concussion Program- University of Pittsburgh, Pittsburgh, Pennsylvania; College of Medicine- Lake Erie College of Osteopathic Medicine, Erie, Pennsylvania; and.Department of Orthopaedic Surgery/UPMC Sports Medicine Concussion Program- University of Pittsburgh, Pittsburgh, Pennsylvania;Department of Orthopaedic Surgery/UPMC Sports Medicine Concussion Program- University of Pittsburgh, Pittsburgh, Pennsylvania;Boston Children's Hospital /Harvard Medical School, Boston, Massachusetts Micheli Center for Sports Injury Prevention, Waltham, Massachusetts.Department of Orthopaedic Surgery/UPMC Sports Medicine Concussion Program- University of Pittsburgh, Pittsburgh, Pennsylvania;

Pub Type(s)

Comparative Study
Journal Article
Multicenter Study
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

26746405

Citation

Kontos, Anthony P., et al. "Incidence of Concussion in Youth Ice Hockey Players." Pediatrics, vol. 137, no. 2, 2016, pp. e20151633.
Kontos AP, Elbin RJ, Sufrinko A, et al. Incidence of Concussion in Youth Ice Hockey Players. Pediatrics. 2016;137(2):e20151633.
Kontos, A. P., Elbin, R. J., Sufrinko, A., Dakan, S., Bookwalter, K., Price, A., ... Collins, M. W. (2016). Incidence of Concussion in Youth Ice Hockey Players. Pediatrics, 137(2), pp. e20151633. doi:10.1542/peds.2015-1633.
Kontos AP, et al. Incidence of Concussion in Youth Ice Hockey Players. Pediatrics. 2016;137(2):e20151633. PubMed PMID: 26746405.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Incidence of Concussion in Youth Ice Hockey Players. AU - Kontos,Anthony P, AU - Elbin,R J, AU - Sufrinko,Alicia, AU - Dakan,Scott, AU - Bookwalter,Kylie, AU - Price,Ali, AU - Meehan,William P,3rd AU - Collins,Michael W, Y1 - 2016/01/08/ PY - 2015/11/16/accepted PY - 2016/1/10/entrez PY - 2016/1/10/pubmed PY - 2016/7/7/medline SP - e20151633 EP - e20151633 JF - Pediatrics JO - Pediatrics VL - 137 IS - 2 N2 - BACKGROUND: Ice hockey is a fast-paced collision sport that entails both intentional (ie, body checking) and incidental contact that may involve the head. The objective of this study was to determine the incidence of concussions in relation to games/practices and age among competition-level youth ice hockey players (ages 12-18 years). METHODS: Participants included 397 youth ice hockey players from Western Pennsylvania; Boston, Massachusetts; and Birmingham, Alabama, during the 2012-2013 and 2013-2014 youth ice hockey seasons. Incidence rates (IRs) and incidence rate ratios (IRRs) of concussion were calculated for games/practices and age groups. RESULTS: A total of 23 369 (12 784 practice/10 585 game) athletic exposures (AEs) involving 37 medically diagnosed concussions occurred. More than 40% of concussions involved illegal contact. The combined IR for games and practices was 1.58 concussions per 1000 AEs. The IRR was 2.86 times (95% confidence interval 0.68-4.42) higher during games (2.49 per 1000 AEs) than practices (1.04 per 1000 AEs). CONCLUSIONS: The overall IR for concussion in youth ice hockey was comparable to those reported in other youth collision sports. The game-to-practice IRR was lower than previously reported in ice hockey and other youth sports, although more concussions per exposure occurred in games compared with practices. Younger players had a higher rate of concussions than older players. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/26746405/Incidence_of_Concussion_in_Youth_Ice_Hockey_Players_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=26746405 DB - PRIME DP - Unbound Medicine ER -