Tag Archives: children
New research from The Children’s Hospital of Philadelphia (CHOP) and the Centers for Disease Control and Prevention (CDC) highlights a substantial gap in how the United States currently estimates the nation’s burden of pediatric concussions. Among 0- to 17-year-olds who have a CHOP primary care physician and were diagnosed with a concussion within CHOP’s regional pediatric network, 82 percent had their first concussion visit at a primary care site, 12 percent at the emergency department, 5 percent within specialty care (sports medicine, neurology, trauma), and 1 percent were directly admitted to the hospital. Many current counts of concussion injury among children are based solely on emergency department (E.D.) visits or on organized high school and college athletics data. Thus, the authors say, we may be vastly underestimating child and youth concussions in the US.
“We learned two really important things about pediatric concussion healthcare practices,” says Kristy Arbogast, PhD, lead author and Co-Scientific Director of CHOP’s Center for Injury Research and Prevention. “First, four in five of this diverse group of children were diagnosed at a primary care practice—not the emergency department. Second, one-third were under age 12, and therefore represent an important part of the concussion population that is missed by existing surveillance systems that focus on high school athletes.”
Concussions and repetitive head injuries are not just experienced by pro players. In fact, more than three-quarters of the football players in the United States are under the age of 14 and they are just as – and perhaps more – susceptible to head injuries because their brains are still developing.
Should these three million youngsters be playing the sport?
“Most pro football players probably began playing the game as children, so it is imperative that we conduct more scientific research to fully understand the effects of repeated hits to the brains of children and teens,” said Joel Stitzel, Ph.D., chairman of the Wake Forest School of Biomedical Engineering and Science.
“But completely banning children from playing football is not the best option. Team sports, including football, have many positive benefits for kids, so finding ways to make these sports safer should be our objective. Pop Warner football already has made important changes to its regulations, and more needs to be done to improve equipment, practice guidelines and regulations based on the most current research findings.”
Stitzel and his team at Wake Forest Baptist Medical Center are collaborating with researchers at Virginia Tech and two other universities on the largest and most comprehensive biomedical study of youth football players to date. The five-year project is being funded by a $3.3 million grant from the National Institute of Neurological Disorders and Stroke, part of the National Institutes of Health. The potential impact of this study is significant because there are more than 3 million youth football players across the country.
Determining susceptibility for concussions has arrived, according to a story making the rounds last week.
Specifically, doctors at the Rochester (NY) Holistic Center noted that the SportSafe genetic swab test can help determine what variation of the APO E gene a child or adult carries.
Those who carry the E4 variation of the gene may have a harder time recovering from concussions, and are more likely to suffer serious consequences from them.