6.1 Factors associated with symptom reporting in U.S. service academy cadets without concussion

• Published in: British journal of sports medicine Vol. 58; no. Suppl 1; p. A29
• Main Authors: Caccese, Jaclyn B, Hunzinger, Katherine J, Iverson, Grant L, Asken, Breton M, Clugston, James R, Cameron, Kenneth L, Houston, Megan N, Svoboda, Steven J, Jackson, Jonathan C, McGinty, Gerald T, Estevez, Carlos A, Susmarski, Adam J, Bryk, Kelsey N, Broglio, Steven P, McAllister, Thomas W, McCrea, Michael, Pasquina, Paul F, Buckley, Thomas A
• Format: Journal Article
• Language: English
• Published: London BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine 31.01.2024; BMJ Publishing Group LTD
• Subjects: Concussion; First Round Abstract Submissions; United States > US
• ISSN: 0306-3674; 1473-0480
• DOI: 10.1136/bjsports-2023-concussion.77

ObjectiveTo determine base rates of postconcussional syndrome (PCS) diagnostic categorization in service academy cadets with no recent concussionDesignCross-sectional, observational studySettingParticipants were recruited from 3 U.S. service academies as part of the National Collegiate Athletic Association and U.S. Department of Defense Grand Alliance: Concussion Assessment, Research and Education (CARE) Consortium.Participants13,009 cadets completed baseline preseason testing between 2014 and 2017. After inclusion/exclusion criteria were applied, the final sample included 12,039 cadets, 9,123 men (75.8%) and 2,916 women (24.2%). Participants were 19.2±1.5 years old.Assessment of Risk FactorsNeurodevelopmental history, migraine history, psychiatric disorder, competition level (varsity or non-varsity), study site (U.S. Military Academy, U.S. Coast Guard Academy, U.S. Air Force Academy), academic year, self-reported hours of sleep the night before the baseline assessment (<5h, 5.5h-6.5h, 7h-8.5h, >9h), and concussion history (women, 0, 1, >2; men, 0, 1, 2, >3).Outcome MeasuresPCS diagnostic categorization was classified by the International Classification of Diseases, 10th Revision (ICD-10) symptom criteria for PCS.Main ResultsIn the absence of recent concussion, 17.8% of men and 27.6% of women reported a cluster of symptoms that would meet the ICD-10 symptom criteria for PCS. First year cadets, cadets that completed baseline testing during basic cadet training, and cadets with insufficient sleep were more likely to report a cluster of symptoms that would meet the ICD-10 symptom criteria for PCS.ConclusionsThese findings suggest that the ICD-10 symptom criteria for PCS are non-specific to persistent symptoms following concussion.This abstract has been published in full manuscript format and has the following citation: BMJ Citation https://link.springer.com/article/10.1007/s40279-020-01415-4