The impact of tackle football injuries on the American healthcare system with a neurological focus
Recent interest in the study of concussion and other neurological injuries has heightened awareness of the medical implications of American tackle football injuries amongst the public. Using the National Emergency Department Sample (NEDS) and the National Inpatient Sample (NIS), the largest publicly...
Saved in:
| Published in: | PloS one Vol. 13; no. 5; p. e0195827 |
|---|---|
| Main Authors: | , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
United States
Public Library of Science
07-05-2018
Public Library of Science (PLoS) |
| Subjects: | |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Abstract | Recent interest in the study of concussion and other neurological injuries has heightened awareness of the medical implications of American tackle football injuries amongst the public.
Using the National Emergency Department Sample (NEDS) and the National Inpatient Sample (NIS), the largest publicly available all-payer emergency department and inpatient healthcare databases in the United States, we sought to describe the impact of tackle football injuries on the American healthcare system by delineating injuries, specifically neurological in nature, suffered as a consequence of tackle football between 2010 and 2013.
The NEDS and NIS databases were queried to collect data on all patients presented to the emergency department (ED) and/or were admitted to hospitals with an ICD code for injuries related to American tackle football between the years 2010 and 2013. Subsequently those with football-related neurological injuries were abstracted using ICD codes for concussion, skull/face injury, intracranial injury, spine injury, and spinal cord injury (SCI). Patient demographics, length of hospital stay (LOS), cost and charge data, neurosurgical interventions, hospital type, and disposition were collected and analyzed.
A total of 819,000 patients presented to EDs for evaluation of injuries secondary to American tackle football between 2010 and 2013, with 1.13% having injuries requiring inpatient admission (average length of stay 2.4 days). 80.4% of the ED visits were from the pediatric population. Of note, a statistically significant increase in the number of pediatric concussions over time was demonstrated (OR = 1.1, 95% CI 1.1 to 1.2). Patients were more likely to be admitted to trauma centers, teaching hospitals, the south or west regions, or with private insurance. There were 471 spinal cord injuries and 1,908 total spine injuries. Ten patients died during the study time period. The combined ED and inpatient charges were $1.35 billion.
Injuries related to tackle football are a frequent cause of emergency room visits, specifically in the pediatric population, but severe acute trauma requiring inpatient admission or operative interventions are rare. Continued investigation in the long-term health impact of football related concussion and other repetitive lower impact trauma is warranted. |
|---|---|
| AbstractList | Recent interest in the study of concussion and other neurological injuries has heightened awareness of the medical implications of American tackle football injuries amongst the public.Using the National Emergency Department Sample (NEDS) and the National Inpatient Sample (NIS), the largest publicly available all-payer emergency department and inpatient healthcare databases in the United States, we sought to describe the impact of tackle football injuries on the American healthcare system by delineating injuries, specifically neurological in nature, suffered as a consequence of tackle football between 2010 and 2013.The NEDS and NIS databases were queried to collect data on all patients presented to the emergency department (ED) and/or were admitted to hospitals with an ICD code for injuries related to American tackle football between the years 2010 and 2013. Subsequently those with football-related neurological injuries were abstracted using ICD codes for concussion, skull/face injury, intracranial injury, spine injury, and spinal cord injury (SCI). Patient demographics, length of hospital stay (LOS), cost and charge data, neurosurgical interventions, hospital type, and disposition were collected and analyzed.A total of 819,000 patients presented to EDs for evaluation of injuries secondary to American tackle football between 2010 and 2013, with 1.13% having injuries requiring inpatient admission (average length of stay 2.4 days). 80.4% of the ED visits were from the pediatric population. Of note, a statistically significant increase in the number of pediatric concussions over time was demonstrated (OR = 1.1, 95% CI 1.1 to 1.2). Patients were more likely to be admitted to trauma centers, teaching hospitals, the south or west regions, or with private insurance. There were 471 spinal cord injuries and 1,908 total spine injuries. Ten patients died during the study time period. The combined ED and inpatient charges were $1.35 billion.Injuries related to tackle football are a frequent cause of emergency room visits, specifically in the pediatric population, but severe acute trauma requiring inpatient admission or operative interventions are rare. Continued investigation in the long-term health impact of football related concussion and other repetitive lower impact trauma is warranted. Background Recent interest in the study of concussion and other neurological injuries has heightened awareness of the medical implications of American tackle football injuries amongst the public. Objective Using the National Emergency Department Sample (NEDS) and the National Inpatient Sample (NIS), the largest publicly available all-payer emergency department and inpatient healthcare databases in the United States, we sought to describe the impact of tackle football injuries on the American healthcare system by delineating injuries, specifically neurological in nature, suffered as a consequence of tackle football between 2010 and 2013. Methods The NEDS and NIS databases were queried to collect data on all patients presented to the emergency department (ED) and/or were admitted to hospitals with an ICD code for injuries related to American tackle football between the years 2010 and 2013. Subsequently those with football-related neurological injuries were abstracted using ICD codes for concussion, skull/face injury, intracranial injury, spine injury, and spinal cord injury (SCI). Patient demographics, length of hospital stay (LOS), cost and charge data, neurosurgical interventions, hospital type, and disposition were collected and analyzed. Results A total of 819,000 patients presented to EDs for evaluation of injuries secondary to American tackle football between 2010 and 2013, with 1.13% having injuries requiring inpatient admission (average length of stay 2.4 days). 80.4% of the ED visits were from the pediatric population. Of note, a statistically significant increase in the number of pediatric concussions over time was demonstrated (OR = 1.1, 95% CI 1.1 to 1.2). Patients were more likely to be admitted to trauma centers, teaching hospitals, the south or west regions, or with private insurance. There were 471 spinal cord injuries and 1,908 total spine injuries. Ten patients died during the study time period. The combined ED and inpatient charges were $1.35 billion. Conclusion Injuries related to tackle football are a frequent cause of emergency room visits, specifically in the pediatric population, but severe acute trauma requiring inpatient admission or operative interventions are rare. Continued investigation in the long-term health impact of football related concussion and other repetitive lower impact trauma is warranted. BACKGROUNDRecent interest in the study of concussion and other neurological injuries has heightened awareness of the medical implications of American tackle football injuries amongst the public.OBJECTIVEUsing the National Emergency Department Sample (NEDS) and the National Inpatient Sample (NIS), the largest publicly available all-payer emergency department and inpatient healthcare databases in the United States, we sought to describe the impact of tackle football injuries on the American healthcare system by delineating injuries, specifically neurological in nature, suffered as a consequence of tackle football between 2010 and 2013.METHODSThe NEDS and NIS databases were queried to collect data on all patients presented to the emergency department (ED) and/or were admitted to hospitals with an ICD code for injuries related to American tackle football between the years 2010 and 2013. Subsequently those with football-related neurological injuries were abstracted using ICD codes for concussion, skull/face injury, intracranial injury, spine injury, and spinal cord injury (SCI). Patient demographics, length of hospital stay (LOS), cost and charge data, neurosurgical interventions, hospital type, and disposition were collected and analyzed.RESULTSA total of 819,000 patients presented to EDs for evaluation of injuries secondary to American tackle football between 2010 and 2013, with 1.13% having injuries requiring inpatient admission (average length of stay 2.4 days). 80.4% of the ED visits were from the pediatric population. Of note, a statistically significant increase in the number of pediatric concussions over time was demonstrated (OR = 1.1, 95% CI 1.1 to 1.2). Patients were more likely to be admitted to trauma centers, teaching hospitals, the south or west regions, or with private insurance. There were 471 spinal cord injuries and 1,908 total spine injuries. Ten patients died during the study time period. The combined ED and inpatient charges were $1.35 billion.CONCLUSIONInjuries related to tackle football are a frequent cause of emergency room visits, specifically in the pediatric population, but severe acute trauma requiring inpatient admission or operative interventions are rare. Continued investigation in the long-term health impact of football related concussion and other repetitive lower impact trauma is warranted. Background Recent interest in the study of concussion and other neurological injuries has heightened awareness of the medical implications of American tackle football injuries amongst the public. Objective Using the National Emergency Department Sample (NEDS) and the National Inpatient Sample (NIS), the largest publicly available all-payer emergency department and inpatient healthcare databases in the United States, we sought to describe the impact of tackle football injuries on the American healthcare system by delineating injuries, specifically neurological in nature, suffered as a consequence of tackle football between 2010 and 2013. Methods The NEDS and NIS databases were queried to collect data on all patients presented to the emergency department (ED) and/or were admitted to hospitals with an ICD code for injuries related to American tackle football between the years 2010 and 2013. Subsequently those with football-related neurological injuries were abstracted using ICD codes for concussion, skull/face injury, intracranial injury, spine injury, and spinal cord injury (SCI). Patient demographics, length of hospital stay (LOS), cost and charge data, neurosurgical interventions, hospital type, and disposition were collected and analyzed. Results A total of 819,000 patients presented to EDs for evaluation of injuries secondary to American tackle football between 2010 and 2013, with 1.13% having injuries requiring inpatient admission (average length of stay 2.4 days). 80.4% of the ED visits were from the pediatric population. Of note, a statistically significant increase in the number of pediatric concussions over time was demonstrated (OR = 1.1, 95% CI 1.1 to 1.2). Patients were more likely to be admitted to trauma centers, teaching hospitals, the south or west regions, or with private insurance. There were 471 spinal cord injuries and 1,908 total spine injuries. Ten patients died during the study time period. The combined ED and inpatient charges were $1.35 billion. Conclusion Injuries related to tackle football are a frequent cause of emergency room visits, specifically in the pediatric population, but severe acute trauma requiring inpatient admission or operative interventions are rare. Continued investigation in the long-term health impact of football related concussion and other repetitive lower impact trauma is warranted. Recent interest in the study of concussion and other neurological injuries has heightened awareness of the medical implications of American tackle football injuries amongst the public. Using the National Emergency Department Sample (NEDS) and the National Inpatient Sample (NIS), the largest publicly available all-payer emergency department and inpatient healthcare databases in the United States, we sought to describe the impact of tackle football injuries on the American healthcare system by delineating injuries, specifically neurological in nature, suffered as a consequence of tackle football between 2010 and 2013. The NEDS and NIS databases were queried to collect data on all patients presented to the emergency department (ED) and/or were admitted to hospitals with an ICD code for injuries related to American tackle football between the years 2010 and 2013. Subsequently those with football-related neurological injuries were abstracted using ICD codes for concussion, skull/face injury, intracranial injury, spine injury, and spinal cord injury (SCI). Patient demographics, length of hospital stay (LOS), cost and charge data, neurosurgical interventions, hospital type, and disposition were collected and analyzed. A total of 819,000 patients presented to EDs for evaluation of injuries secondary to American tackle football between 2010 and 2013, with 1.13% having injuries requiring inpatient admission (average length of stay 2.4 days). 80.4% of the ED visits were from the pediatric population. Of note, a statistically significant increase in the number of pediatric concussions over time was demonstrated (OR = 1.1, 95% CI 1.1 to 1.2). Patients were more likely to be admitted to trauma centers, teaching hospitals, the south or west regions, or with private insurance. There were 471 spinal cord injuries and 1,908 total spine injuries. Ten patients died during the study time period. The combined ED and inpatient charges were $1.35 billion. Injuries related to tackle football are a frequent cause of emergency room visits, specifically in the pediatric population, but severe acute trauma requiring inpatient admission or operative interventions are rare. Continued investigation in the long-term health impact of football related concussion and other repetitive lower impact trauma is warranted. |
| Audience | Academic |
| Author | McGinity, Michael J Trevino, Aron M Grandhi, Ramesh Michalek, Joel E Rodriguez, Jesse S Seifi, Ali McGinity, Ashley C |
| AuthorAffiliation | Martin Luther University, GERMANY 3 Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States of America 2 Department of Epidemiology and Biostatistics, University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States of America 1 Department of Neurosurgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States of America |
| AuthorAffiliation_xml | – name: Martin Luther University, GERMANY – name: 3 Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States of America – name: 1 Department of Neurosurgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States of America – name: 2 Department of Epidemiology and Biostatistics, University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States of America |
| Author_xml | – sequence: 1 givenname: Michael J surname: McGinity fullname: McGinity, Michael J organization: Department of Neurosurgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States of America – sequence: 2 givenname: Ramesh surname: Grandhi fullname: Grandhi, Ramesh organization: Department of Neurosurgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States of America – sequence: 3 givenname: Joel E surname: Michalek fullname: Michalek, Joel E organization: Department of Epidemiology and Biostatistics, University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States of America – sequence: 4 givenname: Jesse S surname: Rodriguez fullname: Rodriguez, Jesse S organization: Department of Neurosurgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States of America – sequence: 5 givenname: Aron M surname: Trevino fullname: Trevino, Aron M organization: Department of Epidemiology and Biostatistics, University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States of America – sequence: 6 givenname: Ashley C surname: McGinity fullname: McGinity, Ashley C organization: Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States of America – sequence: 7 givenname: Ali orcidid: 0000-0002-5010-5041 surname: Seifi fullname: Seifi, Ali organization: Department of Neurosurgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States of America |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29734348$$D View this record in MEDLINE/PubMed |
| BookMark | eNqNk99rFDEQxxep2Pb0PxANCKIPd25-bJJ9EY7ij4NCQYuvIZvN3uXMJtckq_a_N9fbllvpg-QhYfKZ72QmM-fFifNOF8VLWC4gZvDD1g_BSbvYZfOihHXFEXtSnMEaozlFJT45Op8W5zFuy7LCnNJnxSmqGSaY8LOiud5oYPqdVAn4DiSpfloNOu9TI60Fxm2HYHQE3oGUyWWvg1HSgY2WNm2UDBrE25h0D36btAESOD0Eb_06UzbrqCE-L5520kb9YtxnxfXnT9cXX-eXV19WF8vLuaI1SnPasYbVUJUc4kZTWnFe8aZhOF-3hLdUNrWmbUeV6nipIGpJyxvEGdGcEIlnxeuD7M76KMbqRJGzryjnBLFMrA5E6-VW7ILpZbgVXhpxZ_BhLWRIRlktGORckxoyJjEhCDWwwZqhsoSNQqwiWevjGG1oet0q7VKQdiI6vXFmI9b-l6hqzBinWeDdKBD8zaBjEr2JSlsrnfbD3bv3P1eWPKNv_kEfz26k1jInYFznc1y1FxXLCjNKOcz0rFg8QuXV6t6o3EqdyfaJw_uJQ2aS_pPWcohRrL5_-3_26seUfXvEHtopejsk412cguQAquBjDLp7KDIsxX4S7qsh9pMgxknIbq-OP-jB6b718V_YnwR1 |
| CitedBy_id | crossref_primary_10_1371_journal_pone_0201273 crossref_primary_10_2217_cnc_2020_0012 crossref_primary_10_3389_fnins_2023_1219941 crossref_primary_10_1080_00913847_2020_1838874 crossref_primary_10_1589_jpts_31_884 crossref_primary_10_1177_00034894211026478 |
| Cites_doi | 10.1177/0363546509333015 10.3171/2012.9.FOCUS12288 10.2165/00007256-199112020-00005 10.1177/0363546513478572 10.1177/0363546510392326 10.1177/0363546508316021 10.2165/11315190-000000000-00000 10.1001/jama.282.10.958 10.1089/neu.2011.1825 10.1177/2325967115583653 10.1097/NEN.0b013e3181a9d503 10.1111/j.1746-1561.2011.00684.x 10.1123/jpah.2014-0356 10.1089/neu.2011.1905 10.1177/0363546516629626 10.1016/j.pmrj.2011.08.008 10.1503/cmaj.150790 10.1001/jama.2017.8334 10.1227/01.NEU.0000097267.54786.54 |
| ContentType | Journal Article |
| Copyright | COPYRIGHT 2018 Public Library of Science 2018 McGinity et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2018 McGinity et al 2018 McGinity et al |
| Copyright_xml | – notice: COPYRIGHT 2018 Public Library of Science – notice: 2018 McGinity et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. – notice: 2018 McGinity et al 2018 McGinity et al |
| DBID | NPM AAYXX CITATION IOV ISR 3V. 7QG 7QL 7QO 7RV 7SN 7SS 7T5 7TG 7TM 7U9 7X2 7X7 7XB 88E 8AO 8C1 8FD 8FE 8FG 8FH 8FI 8FJ 8FK ABJCF ABUWG AFKRA ARAPS ATCPS AZQEC BBNVY BENPR BGLVJ BHPHI C1K CCPQU D1I DWQXO FR3 FYUFA GHDGH GNUQQ H94 HCIFZ K9. KB. KB0 KL. L6V LK8 M0K M0S M1P M7N M7P M7S NAPCQ P5Z P62 P64 PATMY PDBOC PIMPY PQEST PQQKQ PQUKI PTHSS PYCSY RC3 7X8 5PM DOA |
| DOI | 10.1371/journal.pone.0195827 |
| DatabaseName | PubMed CrossRef Opposing Viewpoints Resource Center Gale in Context: Science ProQuest Central (Corporate) Animal Behavior Abstracts Bacteriology Abstracts (Microbiology B) Biotechnology Research Abstracts ProQuest Nursing & Allied Health Database Ecology Abstracts Entomology Abstracts (Full archive) Immunology Abstracts Meteorological & Geoastrophysical Abstracts Nucleic Acids Abstracts Virology and AIDS Abstracts Agricultural Science Collection ProQuest_Health & Medical Collection ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) ProQuest Pharma Collection ProQuest Public Health Database Technology Research Database ProQuest SciTech Collection ProQuest Technology Collection ProQuest Natural Science Collection Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) Materials Science & Engineering Database (Proquest) ProQuest Central (Alumni) ProQuest Central UK/Ireland Advanced Technologies & Aerospace Database (1962 - current) ProQuest Agriculture & Environmental Science Database ProQuest Central Essentials Biological Science Collection AUTh Library subscriptions: ProQuest Central Technology Collection ProQuest Natural Science Collection Environmental Sciences and Pollution Management ProQuest One Community College ProQuest Materials Science Collection ProQuest Central Engineering Research Database Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student AIDS and Cancer Research Abstracts SciTech Premium Collection (Proquest) (PQ_SDU_P3) ProQuest Health & Medical Complete (Alumni) Materials Science Database Nursing & Allied Health Database (Alumni Edition) Meteorological & Geoastrophysical Abstracts - Academic ProQuest Engineering Collection Biological Sciences Agriculture Science Database Health & Medical Collection (Alumni Edition) PML(ProQuest Medical Library) Algology Mycology and Protozoology Abstracts (Microbiology C) Biological Science Database ProQuest Engineering Database Nursing & Allied Health Premium Advanced Technologies & Aerospace Database ProQuest Advanced Technologies & Aerospace Collection Biotechnology and BioEngineering Abstracts Environmental Science Database Materials Science Collection Publicly Available Content Database (Proquest) (PQ_SDU_P3) ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition Engineering Collection Environmental Science Collection Genetics Abstracts MEDLINE - Academic PubMed Central (Full Participant titles) Directory of Open Access Journals |
| DatabaseTitle | PubMed CrossRef Agricultural Science Database Publicly Available Content Database ProQuest Central Student ProQuest Advanced Technologies & Aerospace Collection ProQuest Central Essentials Nucleic Acids Abstracts SciTech Premium Collection Environmental Sciences and Pollution Management Health Research Premium Collection Meteorological & Geoastrophysical Abstracts Natural Science Collection Biological Science Collection ProQuest Medical Library (Alumni) Engineering Collection Advanced Technologies & Aerospace Collection Engineering Database Virology and AIDS Abstracts ProQuest Biological Science Collection ProQuest One Academic Eastern Edition Agricultural Science Collection ProQuest Hospital Collection ProQuest Technology Collection Health Research Premium Collection (Alumni) Biological Science Database Ecology Abstracts ProQuest Hospital Collection (Alumni) Biotechnology and BioEngineering Abstracts Environmental Science Collection Entomology Abstracts Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest One Academic UKI Edition Environmental Science Database ProQuest Nursing & Allied Health Source (Alumni) Engineering Research Database ProQuest One Academic Meteorological & Geoastrophysical Abstracts - Academic Technology Collection Technology Research Database Materials Science Collection ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest Natural Science Collection ProQuest Pharma Collection ProQuest Central Genetics Abstracts ProQuest Engineering Collection Biotechnology Research Abstracts Health and Medicine Complete (Alumni Edition) ProQuest Central Korea Bacteriology Abstracts (Microbiology B) Algology Mycology and Protozoology Abstracts (Microbiology C) Agricultural & Environmental Science Collection AIDS and Cancer Research Abstracts Materials Science Database ProQuest Materials Science Collection ProQuest Public Health ProQuest Nursing & Allied Health Source ProQuest SciTech Collection Advanced Technologies & Aerospace Database ProQuest Medical Library Animal Behavior Abstracts Materials Science & Engineering Collection Immunology Abstracts ProQuest Central (Alumni) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic Agricultural Science Database PubMed |
| Database_xml | – sequence: 1 dbid: DOA name: Directory of Open Access Journals url: http://www.doaj.org/ sourceTypes: Open Website |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Sciences (General) Statistics |
| DocumentTitleAlternate | Football injuries in the USA |
| EISSN | 1932-6203 |
| Editor | Dehghani, Faramarz |
| Editor_xml | – sequence: 1 givenname: Faramarz surname: Dehghani fullname: Dehghani, Faramarz |
| EndPage | e0195827 |
| ExternalDocumentID | 2035688427 oai_doaj_org_article_7188e49177a34422b1b3e72001bc2754 A537668120 10_1371_journal_pone_0195827 29734348 |
| Genre | Journal Article |
| GeographicLocations | United States United States--US Texas |
| GeographicLocations_xml | – name: United States – name: Texas – name: United States--US |
| GroupedDBID | --- 123 29O 2WC 3V. 53G 5VS 7RV 7X2 7X7 7XC 88E 8AO 8C1 8CJ 8FE 8FG 8FH 8FI 8FJ A8Z AAFWJ ABDBF ABIVO ABJCF ABUWG ACGFO ACIHN ACIWK ACPRK ADBBV ADRAZ AEAQA AENEX AFKRA AFRAH AHMBA ALIPV ALMA_UNASSIGNED_HOLDINGS AOIJS APEBS ARAPS ATCPS BAWUL BBNVY BBORY BCNDV BENPR BGLVJ BHPHI BKEYQ BPHCQ BVXVI BWKFM CCPQU CS3 D1I D1J D1K DIK DU5 E3Z EAP EAS EBD EMOBN ESTFP ESX EX3 F5P FPL FYUFA GROUPED_DOAJ GX1 HCIFZ HH5 HMCUK HYE IAO IEA IHR IHW INH INR IOV IPNFZ IPY ISE ISR ITC K6- KB. KQ8 L6V LK5 LK8 M0K M1P M48 M7P M7R M7S M~E NAPCQ NPM O5R O5S OK1 P2P P62 PATMY PDBOC PIMPY PQQKQ PROAC PSQYO PTHSS PV9 PYCSY RIG RNS RPM RZL SV3 TR2 UKHRP WOQ WOW ~02 ~KM AAYXX CITATION AFPKN 7QG 7QL 7QO 7SN 7SS 7T5 7TG 7TM 7U9 7XB 8FD 8FK AZQEC C1K DWQXO FR3 GNUQQ H94 K9. KL. M7N P64 PQEST PQUKI RC3 7X8 5PM - 02 AAPBV ABPTK ADACO BBAFP KM |
| ID | FETCH-LOGICAL-c692t-6f7b791c0813be6658858bb73c69d48d6ab9e6df6ccf80c12d4d8b2874e844a3 |
| IEDL.DBID | RPM |
| ISSN | 1932-6203 |
| IngestDate | Fri Nov 26 17:12:25 EST 2021 Tue Oct 22 15:15:37 EDT 2024 Tue Sep 17 21:19:23 EDT 2024 Sat Oct 26 00:52:55 EDT 2024 Sat Nov 23 11:55:33 EST 2024 Tue Nov 19 21:05:04 EST 2024 Tue Nov 12 22:29:08 EST 2024 Thu Aug 01 19:24:02 EDT 2024 Thu Aug 01 20:25:19 EDT 2024 Tue Aug 20 22:12:33 EDT 2024 Thu Nov 21 23:48:38 EST 2024 Wed Oct 16 00:59:55 EDT 2024 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 5 |
| Language | English |
| License | This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Creative Commons Attribution License |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c692t-6f7b791c0813be6658858bb73c69d48d6ab9e6df6ccf80c12d4d8b2874e844a3 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Competing Interests: The authors have declared that no competing interests exist. |
| ORCID | 0000-0002-5010-5041 |
| OpenAccessLink | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5937786/ |
| PMID | 29734348 |
| PQID | 2035688427 |
| PQPubID | 1436336 |
| PageCount | e0195827 |
| ParticipantIDs | plos_journals_2035688427 doaj_primary_oai_doaj_org_article_7188e49177a34422b1b3e72001bc2754 pubmedcentral_primary_oai_pubmedcentral_nih_gov_5937786 proquest_miscellaneous_2036203008 proquest_journals_2035688427 gale_infotracmisc_A537668120 gale_infotracacademiconefile_A537668120 gale_incontextgauss_ISR_A537668120 gale_incontextgauss_IOV_A537668120 gale_healthsolutions_A537668120 crossref_primary_10_1371_journal_pone_0195827 pubmed_primary_29734348 |
| PublicationCentury | 2000 |
| PublicationDate | 2018-05-07 |
| PublicationDateYYYYMMDD | 2018-05-07 |
| PublicationDate_xml | – month: 05 year: 2018 text: 2018-05-07 day: 07 |
| PublicationDecade | 2010 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States – name: San Francisco – name: San Francisco, CA USA |
| PublicationTitle | PloS one |
| PublicationTitleAlternate | PLoS One |
| PublicationYear | 2018 |
| Publisher | Public Library of Science Public Library of Science (PLoS) |
| Publisher_xml | – name: Public Library of Science – name: Public Library of Science (PLoS) |
| References | 27159307 - Am J Sports Med. 2016 Sep;44(9):2269-75 23199422 - Neurosurg Focus. 2012 Dec;33(6):E10: 1-6 14683544 - Neurosurgery. 2004 Jan;54(1):81-94; discussion 94-6 22385091 - J Sch Health. 2012 Apr;82(4):180-5 28742910 - JAMA. 2017 Jul 25;318(4):360-370 26905506 - Am J Sports Med. 2016 Jun;44(6):1382-90 26535333 - Orthop J Sports Med. 2014 May 19;2(5):2325967114534824 27159317 - Am J Sports Med. 2016 Oct;44(10 ):2486-2491 30024960 - PLoS One. 2018 Jul 19;13(7):e0201273 21644811 - J Neurotrauma. 2011 Oct;28(10):2061-8 22035690 - PM R. 2011 Oct;3(10 Suppl 2):S460-7 23477766 - Am J Sports Med. 2013 May;41(5):1108-16 19531659 - Am J Sports Med. 2009 Sep;37(9):1798-805 21787201 - J Neurotrauma. 2011 Oct;28(10):2069-78 19535999 - J Neuropathol Exp Neurol. 2009 Jul;68(7):709-35 19691361 - Sports Med. 2009;39(9):697-708 27135397 - JAMA Pediatr. 2016 Jul 1;170(7):647-53 17710170 - J Athl Train. 2007 Apr-Jun;42(2):221-33 25329725 - J Phys Act Health. 2015 Aug;12(8):1162-7 21278427 - Am J Sports Med. 2011 May;39(5):958-63 1947533 - Sports Med. 1991 Aug;12(2):132-47 18443276 - Am J Sports Med. 2008 Aug;36(8):1597-603 26858348 - CMAJ. 2016 Apr 19;188(7):497-504 10485681 - JAMA. 1999 Sep 8;282(10):958-63 ref13 EJ Pellman (ref21) 2004; 54 JA Rihn (ref29) 2009; 39 ref12 ref15 BT Feeley (ref7) 2008; 36 ref14 SP Broglio (ref26) 2011; 28 DW Lawrence (ref4) 2015; 3 JE Bentz (ref25) 2013; 8 ref1 AE Lincoln (ref8) 2011; 39 ref16 EJ Lehman (ref19) 2016 (ref2) 2017; 318 AC McKee (ref10) 2009; 68 CL Collins (ref23) 2016; 44 JA Saal (ref28) 1991; 12 M Fralick (ref20) 2016; 188 LSM Johnson (ref24) 2012; 82 BG Domb (ref31) 2014; 2 Z Houck (ref17) 2016 JW Powell (ref9) 1999; 282 CJ Darrow (ref3) 2009; 37 JA Forbes (ref22) 2012; 33 ZY Kerr (ref18) 2016 BP Boden (ref30) 2013; 41 SP Broglio (ref27) 2011; 28 RA Stern (ref11) 2011; 3 H King (ref5) 2015; 12 R Dick (ref6) 2007; 42 |
| References_xml | – ident: ref1 – volume: 37 start-page: 1798 issue: 9 year: 2009 ident: ref3 article-title: Epidemiology of severe injuries among United States high school athletes: 2005–2007 publication-title: Am J Sports Med doi: 10.1177/0363546509333015 contributor: fullname: CJ Darrow – year: 2016 ident: ref19 article-title: Suicide Mortality Among Retired National Football League Players Who Played 5 or More Seasons publication-title: Am J Sports Med contributor: fullname: EJ Lehman – volume: 33 start-page: E10 issue: 6 year: 2012 ident: ref22 article-title: Association between biomechanical parameters and concussion in helmeted collisions in American football: a review of the literature publication-title: Neurosurg Focus doi: 10.3171/2012.9.FOCUS12288 contributor: fullname: JA Forbes – volume: 12 start-page: 132 issue: 2 year: 1991 ident: ref28 article-title: Common American football injuries publication-title: Sports Med Auckl NZ doi: 10.2165/00007256-199112020-00005 contributor: fullname: JA Saal – volume: 41 start-page: 1108 issue: 5 year: 2013 ident: ref30 article-title: Fatalities in high school and college football players publication-title: Am J Sports Med doi: 10.1177/0363546513478572 contributor: fullname: BP Boden – volume: 39 start-page: 958 issue: 5 year: 2011 ident: ref8 article-title: Trends in concussion incidence in high school sports: a prospective 11-year study publication-title: Am J Sports Med doi: 10.1177/0363546510392326 contributor: fullname: AE Lincoln – volume: 8 issue: 3 year: 2013 ident: ref25 article-title: Concussion in American Football and Sports publication-title: J Lanc Gen Hosp contributor: fullname: JE Bentz – year: 2016 ident: ref17 article-title: Epidemiology of Sport-Related Concussion in an NCAA Division I Football Bowl Subdivision Sample publication-title: Am J Sports Med contributor: fullname: Z Houck – volume: 36 start-page: 1597 issue: 8 year: 2008 ident: ref7 article-title: Epidemiology of National Football League training camp injuries from 1998 to 2007 publication-title: Am J Sports Med doi: 10.1177/0363546508316021 contributor: fullname: BT Feeley – ident: ref15 – volume: 39 start-page: 697 issue: 9 year: 2009 ident: ref29 article-title: Cervical spine injuries in American football publication-title: Sports Med Auckl NZ doi: 10.2165/11315190-000000000-00000 contributor: fullname: JA Rihn – ident: ref13 – volume: 282 start-page: 958 issue: 10 year: 1999 ident: ref9 article-title: Traumatic brain injury in high school athletes publication-title: JAMA doi: 10.1001/jama.282.10.958 contributor: fullname: JW Powell – volume: 2 issue: 5 year: 2014 ident: ref31 article-title: Whole-Person Impairment in Younger Retired NFL Players: The Orthopaedic Toll of a Professional Football Career publication-title: Orthop J Sports Med contributor: fullname: BG Domb – volume: 28 start-page: 2069 issue: 10 year: 2011 ident: ref27 article-title: Cumulative head impact burden in high school football publication-title: J Neurotrauma doi: 10.1089/neu.2011.1825 contributor: fullname: SP Broglio – year: 2016 ident: ref18 article-title: Concussion Symptoms and Return to Play Time in Youth, High School, and College American Football Athletes publication-title: JAMA Pediatr contributor: fullname: ZY Kerr – volume: 3 issue: 5 year: 2015 ident: ref4 article-title: Descriptive Epidemiology of Musculoskeletal Injuries and Concussions in the National Football League, 2012–2014 publication-title: Orthop J Sports Med doi: 10.1177/2325967115583653 contributor: fullname: DW Lawrence – volume: 68 start-page: 709 issue: 7 year: 2009 ident: ref10 article-title: Chronic traumatic encephalopathy in athletes: progressive tauopathy after repetitive head injury publication-title: J Neuropathol Exp Neurol doi: 10.1097/NEN.0b013e3181a9d503 contributor: fullname: AC McKee – volume: 42 start-page: 221 issue: 2 year: 2007 ident: ref6 article-title: Descriptive epidemiology of collegiate men’s football injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 through 2003–2004 publication-title: J Athl Train contributor: fullname: R Dick – volume: 82 start-page: 180 issue: 4 year: 2012 ident: ref24 article-title: Return to play guidelines cannot solve the football-related concussion problem publication-title: J Sch Health doi: 10.1111/j.1746-1561.2011.00684.x contributor: fullname: LSM Johnson – volume: 12 start-page: 1162 issue: 8 year: 2015 ident: ref5 article-title: Epidemiology of Injuries in High School Football: Does School Size Matter? publication-title: J Phys Act Health doi: 10.1123/jpah.2014-0356 contributor: fullname: H King – volume: 28 start-page: 2061 issue: 10 year: 2011 ident: ref26 article-title: Post-concussion cognitive declines and symptomatology are not related to concussion biomechanics in high school football players publication-title: J Neurotrauma doi: 10.1089/neu.2011.1905 contributor: fullname: SP Broglio – volume: 44 start-page: 1382 issue: 6 year: 2016 ident: ref23 article-title: Concussion Characteristics in High School Football by Helmet Age/Recondition Status, Manufacturer, and Model: 2008–2009 Through 2012–2013 Academic Years in the United States publication-title: Am J Sports Med doi: 10.1177/0363546516629626 contributor: fullname: CL Collins – volume: 3 start-page: S460 issue: 10 Suppl 2 year: 2011 ident: ref11 article-title: Long-term consequences of repetitive brain trauma: chronic traumatic encephalopathy publication-title: PM R doi: 10.1016/j.pmrj.2011.08.008 contributor: fullname: RA Stern – volume: 188 start-page: 497 issue: 7 year: 2016 ident: ref20 article-title: Risk of suicide after a concussion publication-title: CMAJ Can Med Assoc J J Assoc Medicale Can doi: 10.1503/cmaj.150790 contributor: fullname: M Fralick – ident: ref16 – volume: 318 start-page: 360 issue: 4 year: 2017 ident: ref2 article-title: Clinicopathological Evaluation of Chronic Traumatic Encephalopathy in Players of American Football publication-title: JAMA doi: 10.1001/jama.2017.8334 – volume: 54 start-page: 81 issue: 1 year: 2004 ident: ref21 article-title: Concussion in professional football: epidemiological features of game injuries and review of the literature—part 3 publication-title: Neurosurgery doi: 10.1227/01.NEU.0000097267.54786.54 contributor: fullname: EJ Pellman – ident: ref12 – ident: ref14 |
| SSID | ssj0053866 |
| Score | 2.3364248 |
| Snippet | Recent interest in the study of concussion and other neurological injuries has heightened awareness of the medical implications of American tackle football... Background Recent interest in the study of concussion and other neurological injuries has heightened awareness of the medical implications of American tackle... BACKGROUNDRecent interest in the study of concussion and other neurological injuries has heightened awareness of the medical implications of American tackle... Background Recent interest in the study of concussion and other neurological injuries has heightened awareness of the medical implications of American tackle... |
| SourceID | plos doaj pubmedcentral proquest gale crossref pubmed |
| SourceType | Open Website Open Access Repository Aggregation Database Index Database |
| StartPage | e0195827 |
| SubjectTerms | Biology and Life Sciences Brain injuries College football Complications and side effects Concussion Data bases Demographics Demography Economic aspects Emergency medical care Emergency medical services Epidemiology Football Head injuries Health aspects Health care High school football Hospitals Injuries Medical diagnosis Medicine and Health Sciences Nervous system diseases Neurosurgery Patients Risk factors Spinal cord Spinal cord injuries Spinal cord injury Spine Sports injuries Statistical analysis Statistics Tackling (Football) Trauma |
| SummonAdditionalLinks | – databaseName: Directory of Open Access Journals dbid: DOA link: http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lb9QwELZgT1wQ5dVtFzAICTikTeLnHgu0KheQaIW4Wbbj0KJVsiKb_89M7EQNqgQHDnvJjJzNNzPOOB5_Q8jrAuY4IXmRlaULGceQss7mmZfaBlcXkNThd8jzC_X5u_54ijQ5U6svrAmL9MARuGOYO3XgsKhQlnEOIxaOBYWVQM6XSkQm0FyOi6k4B8MtpUwH5ZgqjpNdjrZtE47wiJzGLjI3XkQDX_80Ky-2m7a7LeX8s3Lyxqvo7AG5n3JIehL_-x65E5qHZC9FaUffJirpd4-IAy-g8SAkbWu6s7iRS-u23Tm72dDr5id2rOto21BIBOm4fUOvpqowGqmeKX6vpZYO9JdpuoRxfN89Jpdnp5cfzrPUVQHwX5e7TNbKqXXhIRdgLkjIQLTQzikG4orrSlq3DrKqpfe1zn1RVrzSDmnxg-bcsidk0QCM-4R6XfMgwlpLFbiwoMI8Fw7WUBXTToglyUaEzTZyZ5hhA03BmiNCZdAiJllkSd6jGSZdZL4eLoA_mOQP5m_-sCQv0IgmAjXFrzlB3hokW8uX5NWggewXDZbX_LB915lPX779g9LF15nSm6RUt-AO3qYjDfBMyKo101zNNCGG_Uy8jy43otKZMmdCas0RlNXohreLX05iHBRL5prQ9oOOhB_keEvyNHrthCw2LOOMg0TN_HkG_VzSXF8N5OMC8lml5cH_sNUhuQf5px7qR9WKLHa_-vCM3O2q_vkQzr8Btz1MCg priority: 102 providerName: Directory of Open Access Journals |
| Title | The impact of tackle football injuries on the American healthcare system with a neurological focus |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/29734348 https://www.proquest.com/docview/2035688427 https://search.proquest.com/docview/2036203008 https://pubmed.ncbi.nlm.nih.gov/PMC5937786 https://doaj.org/article/7188e49177a34422b1b3e72001bc2754 http://dx.doi.org/10.1371/journal.pone.0195827 |
| Volume | 13 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwELbYPXFBtDwa2BaDkIBDdjeJX3sspVU58BCtELfIdpx20TZZNZv_z4zjRA3qAXHIJTNJdudhj-2Zbwh5m8AYxwVL4jQ1LmboUtroZWyF0s6UCQR1uA95fiG__lKfThEmh_e1MD5p35r1vNrczKv1tc-t3N7YRZ8ntvj-5YTDnCqVWEzIBGLDfoneDb_wNSFCjVwmk0VQyXxbV26O1XEqxcZ72LKJZdj158505FH7h7F5ut3UzX2B59_5k3cmpLPH5FGIJOlx94v3yANX7ZO94KsNfR8ApT88IQZsgXblkLQu6U7jcS4t63pn9GZD19Vv7FvX0LqiEA7S_hCHXg-5YbQDfKa4a0s19SCYYdCE99i2eUouz04vT87j0FsBtLBKd7EopZGrxEJEkBknIA5RXBkjMyAXTBVCm5UTRSmsLdXSJmnBCmUQHN8pxnT2jEwrkOgBoVaVzHG3UkI6xjWwZJZxAyupIlOG84jEvYTzbYegkftjNAkrj05UOSonD8qJyEdUw8CL-Nf-Rn17lQcryGFGVY7BUlPqjDGws8RkTmJ-mLGp5Cwir1CJeSeowYvzY0SvQci1ZUTeeA7EwKgwyeZKt02Tf_728x-YLn6MmN4FprIGc7A6FDbAf0JsrRHnbMQJnmxH5AM0uV4qTZ4uMy6UYiiUWW-G95NfD2R8KSbOVa5uPY-ACyK9iDzvrHaQbO8DEZEjex6JfkwBj_QQ5MEDX_z3ky_JQwg9lU8dlTMy3d227pBMmqI98tsiR96p_wBr8k97 |
| link.rule.ids | 230,315,729,782,786,866,887,2106,27933,27934,53800,53802 |
| linkProvider | National Library of Medicine |
| linkToHtml | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9NAEF7RcIALUF41BLogJODgxI995VhKq1S0BdEKcbN21-s2KLWjOvn_zNhrq0Y9oB5y8UxW8rx21jvzDSEfYohxXLA4TBLjQoYupY2OQiuUdqaIIanD75DzM3n6W309QJgc3vXCNEX71iwm5fJqUi4um9rK1ZWddnVi0x8n-xz2VKnEdIvch8WjqDuktwEYHgnhu-RSGU-9UiarqnQT7I9TCY7ew6FNLMW5Pzc2pAa3v4_Oo9Wyqm9LPf-toLyxJR0-vuPLPCGPfA5K91ryNrnnyqdk23t5TT95KOrPz4gBK6JtIyWtCrrWeBFMi6paG71c0kX5Byfe1bQqKSSStLv-oZd9VRltoaIpfu-lmjbwmT7cwjp2Uz8n54cH5_vz0E9lAP3NknUoCmnkLLaQS6TGCchgFFfGyBTIOVO50GbmRF4IawsV2TjJWa4Mwuo7xZhOX5BRCZrYIdSqgjnuZkpIx7gGltQybuAMlqfKcB6QsNNMtmqxN7LmAk7CmaUVVYZKzbxSA_IF1dfzInJ286C6vsi8yDPYi5VjcEiVOmUMLDQ2qZNYWWZsIjkLyC4qP2sF1ft_toe4NwjWFgXkfcOB6Bklludc6E1dZ0fff_0H09nPAdNHz1RUYEZW-5YIeCdE5RpwjgecEAPsgLyDptpJpc6SKOVCKYZCGXfmezv5XU_GRbHkrnTVpuER8IMcMSAvW2vvJdv5TkDkwA8Goh9SwPwb8HJv7q_u_M9d8mB-fnKcHR-dfntNHkICq5oCVDkmo_X1xr0hW3W-eduEhL96lmQb |
| linkToPdf | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3Nb9MwFLdYkRAXYHwtUJhBSMAhTZM4tnsc26pNwJjYhLhZtuNsRV1SLe3_z3uJEy1oBwSHXuJfUuV9-Tl-_j1C3sUQ4zLO4jBJjAsZupQ2ehpaLrUzRQxJHX6HPDoTJz_lwSHS5PStvpqifWsWk3J5NSkXl01t5erKRl2dWHT6dT-DOVVIHq3yItoid-EPpkm3UG-DMFzi3J-US0UcecVMVlXpJnhGTibYfg8bN7EUe__cmJQa7v4-Qo9Wy6q-Lf38s4ryxrQ0f_gfL_SIPPC5KN1rIdvkjisfk23v7TX94CmpPz4hBqyJtgcqaVXQtcYNYVpU1dro5ZIuyl_Y-a6mVUkhoaTdNhC97KvLaEsZTfG7L9W0odH0YReeYzf1U3I-PzzfPwp9dwbQ4yxZh7wQRsxiCzlFahyHTEZm0hiRwnDOZM61mTmeF9zaQk5tnOQslwbp9Z1kTKfPyKgEbewQamXBXOZmkgvHMg2Q1LLMwFosT6XJsoCEnXbUquXgUM1GnIC1SysqhYpVXrEB-YQq7LHIoN1cqK4vlBe7gjlZOgaLVaFTxsBSY5M6gRVmxiYiYwHZRQNQraD6OKD2kP8GSdumAXnbIJBFo8QynQu9qWt1_O3HX4DOvg9A7z2oqMCUrPZHI-CdkJ1rgBwPkBAL7GB4B821k0qtkmmacSkZCmXcmfDtw2_6YXwolt6Vrto0GA4_yBUD8ry1-F6ynf8ERAx8YSD64Qi4QENi7k3-xT_fuUvunR7M1Zfjk88vyX3IY2VThyrGZLS-3rhXZKvON6-bqPAbkcpmmw |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=The+impact+of+tackle+football+injuries+on+the+American+healthcare+system+with+a+neurological+focus&rft.jtitle=PloS+one&rft.au=McGinity%2C+Michael+J&rft.au=Grandhi%2C+Ramesh&rft.au=Michalek%2C+Joel+E&rft.au=Rodriguez%2C+Jesse+S&rft.date=2018-05-07&rft.eissn=1932-6203&rft.volume=13&rft.issue=5&rft.spage=e0195827&rft.epage=e0195827&rft_id=info:doi/10.1371%2Fjournal.pone.0195827&rft.externalDBID=NO_FULL_TEXT |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1932-6203&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1932-6203&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1932-6203&client=summon |