Evaluation of World Rugby's concussion management process: results from Rugby World Cup 2015.
Br J Sports Med
; 51(1): 64-69, 2017 Jan.
Article
em En
| MEDLINE
| ID: mdl-27587799
ABSTRACT
OBJECTIVE:
To evaluate World Rugby's concussion management process during Rugby World Cup (RWC) 2015.DESIGN:
A prospective, whole population study. POPULATION 639 international rugby players representing 20 countries.METHOD:
The concussion management process consisted of 3 time-based, multifaceted stages an initial on-pitch and/or pitch-side assessment of the injury, a follow-up assessment within 3â hours and an assessment at 36-48â hours. The initial on-pitch assessment targeted obvious signs of concussion, which, if identified, lead to a 'permanent removal from play' decision and a diagnosis of concussion. If the on-pitch diagnosis was unclear, a 10-min off-pitch assessment was undertaken for signs and symptoms of concussion leading to a 'suspected concussion with permanent removal from play' or a 'no indication of concussion with return to play' decision. Evaluations at 3 and 36-48â hours postmatch lead to diagnoses of 'confirmed concussion' or 'no concussion'. Medical staff's decision-making was supported during each stage by real-time video review of events. Players diagnosed with confirmed concussion followed a 5-stage graduated-return-to-play protocol before being allowed to return to training and/or competition.RESULTS:
Players were evaluated for concussion on 49 occasions, of which 24 resulted in diagnoses of concussion. Fourteen players showing on-pitch signs of concussion were permanently removed from play 4 of the 5 players removed from play following off-pitch medical room evaluation were later diagnosed with a confirmed concussion. Five players not exhibiting in-match signs or symptoms of concussion were later diagnosed with concussion. The overall incidence of concussion during RWC 2015 was 12.5 concussions/1000 player-match-hours.CONCLUSIONS:
This study supports the implementation of a multimodal, multitime-based concussion evaluation process to ensure that immediate and late developing concussions are captured.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Traumatismos em Atletas
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Concussão Encefálica
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Futebol Americano
Tipo de estudo:
Guideline
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article