Traumatic brain injury history and baseline symptoms outweigh sex differences for risk of concussion in a sample of collegiate athletes

• DOI: 10.1080/02699052.2023.2203521
• Publication Date: 2023-04-19T14:26:11Z
• Authors: Meaghan K Race; Amanda E Hahn-Ketter; Lisa A. Spielman; Enna Selmanovic; Karla L. Therese Sy; Robin Wellington; Kristen Dams-O’Co...
• Keywords: Male; Sex Characteristics; Athletes; Athletic Injuries; Humans; Female; Longitudinal Studies; Neuropsychological Tests; 10. No inequality; Brain Concussion

ABSTRACTABSTRACTObjective To test the hypothesis that a history of traumatic brain injury (TBI) prior to collegiate pre-season is associated with risk for re-injury. We also investigate sex differences, cognitive functioning, and self-reported concussion symptoms their associations risk.Methods A longitudinal cohort study consisting athletes (n = 212) who completed consecutive preseason evaluations (P1 P2) between 2012 2015, averaging 12.9 (SD 4.2) months apart.Results There were 40 new concussions recorded P1 P2, 21 (53%) which among reported lifetime mild TBI/concussion at P1. New P1-P2 occurred in 24% female 23) 15% male 17). History TBI significant predictors P2; however, adjusted models, inclusion Impulse Control PCSS Total symptom scores attenuated effect on injury.Conclusion Collegiate had significantly higher sustaining subsequent concussion. Pre-season emotional somatic symptomology may contribute incident risk. The findings highlight importance considering head exposure baseline symptomatology when interpreting differences evaluating risk.KEYWORDS: Head injuryconcussionfemale athletestraumatic injurysport Disclosure statementNo potential conflict interest was by author(s).Additional informationFundingCenters Disease Prevention [Grant #1R49CE001171]