TY - JOUR
T1 - Differences in sport-related concussion for female and male athletes in comparable collegiate sports
T2 - A study from the NCAA-DoD Concussion Assessment, Research and Education (CARE) Consortium
AU - CARE Consortium Investigators
AU - Master, Christina L.
AU - Katz, Barry P.
AU - Arbogast, Kristy B.
AU - McCrea, Michael A.
AU - McAllister, Thomas W.
AU - Pasquina, Paul F.
AU - Lapradd, Michelle
AU - Zhou, Wenxian
AU - Broglio, Steven P.
AU - Anderson, Scott
AU - Benjamin, Holly J.
AU - Brooks, Alison
AU - Buckley, Thomas
AU - Kaminski, Thomas
AU - Cameron, Kenneth
AU - Clugston, James R.
AU - Collins, Michael
AU - Kontos, Anthony P.
AU - Duma, Stefan
AU - Rowson, Steve
AU - Eckner, James T.
AU - Estevez, Carlos
AU - Gardner, Christopher
AU - Feigenbaum, Luis A.
AU - Goldman, Joshua T.
AU - Houston, Megan
AU - Svoboda, Steven
AU - Hoy, April
AU - Jackson, Jonathan
AU - McGinty, Gerald
AU - Kelly, Louise A.
AU - Lintner, Laura
AU - Mihalik, Jason P.
AU - Miles, Jessica
AU - Miles, Christopher M.
AU - Ortega, Justus D.
AU - Port, Nicholas
AU - Putukian, Margot
AU - Schmidt, Julianne D.
AU - Susmarski, Adam
N1 - Publisher Copyright:
©
PY - 2021/12/1
Y1 - 2021/12/1
N2 - Objectives To examine sex differences in sport-related concussion (SRC) across comparable sports. Methods Prospective cohort of collegiate athletes enrolled between 2014 and 2017 in the Concussion Assessment, Research and Education Consortium study. Results Among 1071 concussions (females=615; 57.4%), there was no difference in recovery (median days to full return to play) (females=13.5 (IQR 9.0, 23.1) vs males=11.8 (IQR 8.1, 19.0), p=0.96). In subgroup analyses, female recovery was longer in contact (females=12.7 days (IQR 8.8, 21.4) vs males=11.0 days (IQR 7.9, 16.2), p=0.0021), while male recovery was longer in limited contact sports (males=16.9 days (IQR 9.7, 101.7) vs females=13.8 days (IQR 9.1, 22.0), p<0.0001). There was no overall difference in recovery among Division I schools (females=13.7 (IQR 9.0, 23.1) vs males=12.2 (IQR 8.2 19.7), p=0.5), but females had longer recovery at the Division II/III levels (females=13.0 (IQR 9.2, 22.7) vs males=10.6 (IQR 8.1, 13.9), p=0.0048). Conclusion Overall, no difference in recovery between sexes across comparable women's and men's sports in this collegiate cohort was found. However, females in contact and males in limited contact sports experienced longer recovery times, while females had longer recovery times at the Division II/III level. These disparate outcomes indicate that, while intrinsic biological sex differences in concussion recovery may exist, important, modifiable extrinsic factors may play a role in concussion outcomes.
AB - Objectives To examine sex differences in sport-related concussion (SRC) across comparable sports. Methods Prospective cohort of collegiate athletes enrolled between 2014 and 2017 in the Concussion Assessment, Research and Education Consortium study. Results Among 1071 concussions (females=615; 57.4%), there was no difference in recovery (median days to full return to play) (females=13.5 (IQR 9.0, 23.1) vs males=11.8 (IQR 8.1, 19.0), p=0.96). In subgroup analyses, female recovery was longer in contact (females=12.7 days (IQR 8.8, 21.4) vs males=11.0 days (IQR 7.9, 16.2), p=0.0021), while male recovery was longer in limited contact sports (males=16.9 days (IQR 9.7, 101.7) vs females=13.8 days (IQR 9.1, 22.0), p<0.0001). There was no overall difference in recovery among Division I schools (females=13.7 (IQR 9.0, 23.1) vs males=12.2 (IQR 8.2 19.7), p=0.5), but females had longer recovery at the Division II/III levels (females=13.0 (IQR 9.2, 22.7) vs males=10.6 (IQR 8.1, 13.9), p=0.0048). Conclusion Overall, no difference in recovery between sexes across comparable women's and men's sports in this collegiate cohort was found. However, females in contact and males in limited contact sports experienced longer recovery times, while females had longer recovery times at the Division II/III level. These disparate outcomes indicate that, while intrinsic biological sex differences in concussion recovery may exist, important, modifiable extrinsic factors may play a role in concussion outcomes.
KW - concussion
KW - female
KW - gender
KW - male
KW - sports analysis in different types of sports
UR - http://www.scopus.com/inward/record.url?scp=85098483826&partnerID=8YFLogxK
U2 - 10.1136/bjsports-2020-103316
DO - 10.1136/bjsports-2020-103316
M3 - Article
C2 - 33355211
AN - SCOPUS:85098483826
SN - 0306-3674
VL - 55
SP - 1387
EP - 1394
JO - British Journal of Sports Medicine
JF - British Journal of Sports Medicine
IS - 24
ER -