Concussion
Authors: Christina L. Master, Laura Balcer, Michael Collins
Journal: Annals of Internal Medicine (2014)

In the Clinic4 February 2014ConcussionChristina L. Master, MD, Laura Balcer, MD, Michael Collins, PhD, Deborah Cotton, MD, MPH, Darren Taichman, MD, PhD, and Sankey Williams, MDChristina L. Master, MD, Laura Balcer, MD, Michael Collins, PhD, Deborah Cotton, MD, MPH, Darren Taichman, MD, PhD, and Sankey Williams, MDAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-160-3-201402040-01002 SectionsSupplemental MaterialAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail As many as 3.8 million mild traumatic brain injuries occur annually in the United States. Many of them are sports- and recreation-related, and more than 800 000 Americans seek outpatient care for this injury each year (1). With more than 40 million children participating in organized sports annually (2), children and adolescents represent a large proportion of injured persons.PreventionWho is at risk for concussion?Reports indicate that youths aged 10–19 years are at the highest risk among the general population (3). In addition to sports, concussions commonly occur with such events as falls and motor vehicle accidents (1). In ...References1. Langlois JA, Rutland-Brown W, Wald MM. The epidemiology and impact of traumatic brain injury: a brief overview. J Head Trauma Rehabil. 2006;21:375-8. [PMID: 16983222] Google Scholar2. Moreno MA. Advice for patients. Children and organized sports. Arch Pediatr Adolesc Med. 2011;165:376. [PMID: 21464388] Google Scholar3. Centers for Disease Control and Prevention. Nonfatal traumatic brain injuries related to sports and recreation activities among persons aged =19 years—United States, 2001-2009. MMWR Morb Mortal Wkly Rep. 2011;60:1337-42. 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Dr. Balcer, ACP Contributing Author, has disclosed the following conflicts of interest: Consulting fee or honoraria: Biogen-Idec, Vaccinex, Questcor, and Acorda. Dr. Collins, ACP Contributing Author, has disclosed the following conflicts of interest: Board membership: ImPACT Applications; Consultancy: ImPACT Applications; Stock/stock options: ImPACT Applications. Disclosures can also be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M14-0497.Editors' Disclosures: Christine Laine, MD, MPH, Editor in Chief, reports that she has no financial relationships or interests to disclose. Darren B. Taichman, MD, PhD, Executive Deputy Editor, reports that he has no financial relationships or interests to disclose. Cynthia D. Mulrow, MD, MSc, Senior Deputy Editor, reports that she has no relationships or interests to disclose. Deborah Cotton, MD, MPH, Deputy Editor, reports that she has no financial relationships or interest to disclose. Jaya K. Rao, MD, MHS, Deputy Editor, reports that she has stock holdings/options in Eli Lilly and Pfizer. Sankey V. Williams, MD, Deputy Editor, reports that he has no financial relationships or interests to disclose. Catharine B. Stack, PhD, MS, Deputy Editor for Statistics, reports that she has stock holdings in Pfizer.With the assistance of additional physician writers, Annals of Internal Medicine editors develop In the Clinic using resources of the American College of Physicians, including ACP Smart Medicine and MKSAP (Medical Knowledge and Self-Assessment Program). 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