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Research ArticleResearch

Patients presenting to an outpatient sport medicine clinic with concussion

Retrospective observational analysis

Jérôme Ouellet, Leslie Boisvert and Lisa Fischer
Canadian Family Physician June 2016; 62 (6) e340-e345;
Jérôme Ouellet
Pediatric sports medicine specialist at the Centre de Médecine Sportive de Laval in Quebec.
MD FRCPC DipSportMed
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  • For correspondence: jeromeouellet@hotmail.com
Leslie Boisvert
Project coordinator in the Department of Family Medicine at the Schulich School of Medicine and Dentistry at Western University in London, Ont.
MPA
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Lisa Fischer
Assistant Professor in the Department of Family Medicine at the Schulich School of Medicine and Dentistry and Director of Primary Care Sport Medicine at the Fowler Kennedy Sport Medicine Clinic.
MD PT CCFP DipSportMed
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    Figure 1.

    Sports associated with injury

    *Others includes baseball and non-sport-related concussions.

Tables

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    Table 1.

    Demographic characteristics of patients

    CHARACTERISTICVALUE
    Age
      • Mean, y17.6
      • < 18 y, %70.9
      • ≥ 18 y, %29.1
    Sex
      • Male, %58.8
      • Female, %41.2
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    Table 2.

    Return-to-play outcomes in relation to medical follow-up duration

    RTP OUTCOMESFOLLOW-UP DURATION
    < 4 WK4–8 WK8–12 WK> 12 WK
    Cleared for contact or collision, %56.862.366.762.5
    Not cleared for contact or collision, %23.720.833.317.5
    Lost to follow-up,* %19.517.00.020.0
    • RTP—return to play.

    • ↵* Patients who missed follow-up appointments after being assessed for a concussion.

    • View popup
    Table 3.

    Return-to-play differences between sexes: P = .07.

    RTP TIMINGMALE PATIENTS, %FEMALE PATIENTS, %
    < 2 wk48.834.2
    2–4 wk15.123.9
    4–8 wk16.921.4
    > 8 wk19.320.5
    • RTP—return to play.

    • View popup
    Table 4.

    Return-to-play outcomes, by sex: P = .62.

    RTP OUTCOMESMALE PATIENTS, %FEMALE PATIENTS, %
    Cleared for contact or collision61.356.1
    Not cleared for contact or collision22.722.8
    Lost to follow-up*16.021.1
    • RTP—return to play.

    • ↵* Patients who missed follow-up appointments after being assessed for a concussion.

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Canadian Family Physician: 62 (6)
Canadian Family Physician
Vol. 62, Issue 6
1 Jun 2016
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Patients presenting to an outpatient sport medicine clinic with concussion
Jérôme Ouellet, Leslie Boisvert, Lisa Fischer
Canadian Family Physician Jun 2016, 62 (6) e340-e345;

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Jérôme Ouellet, Leslie Boisvert, Lisa Fischer
Canadian Family Physician Jun 2016, 62 (6) e340-e345;
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