Abstract:
OBJECTIVE:The objective is to determine if suspected concussions in elite football are medically assessed according to the International Conferences on Concussion in Sport consensus statement recommendations. SETTING:Men's Union of European Football Association (UEFA) Football Championship. PARTICIPANTS:All professional football players in the UEFA 2016 Championship Tournament. DESIGN:Observational study. OUTCOME MEASURES:Potential concussive events (PCEs) were defined as direct head collision incidents resulting in the athlete being unable to immediately resume play following impact. PCEs identified and description of PCE assessment and outcome were accomplished through direct standardised observation of video footage by trained observers in 51 games played in the Men's UEFA European Championship (10 June-10 July 2016). RESULTS:Sixty-nine total PCEs (1.35 per match) were identified in 51 games played during the 2016 Men's UEFA European Championship. Forty-eight PCEs (69.6%) resulted in two observable signs of concussion, 13 (18.8%) resulted in three signs and 1 (1.4%) resulted in four signs in the injured athletes. Nineteen (27.5%) PCEs were medically assessed by sideline healthcare personnel while 50 (72.5%) were not. Of the 50 PCEs that were not medically assessed, 44 (88%) PCEs resulted in two or more signs of concussion among injured athletes. Of the 19 medically assessed PCEs, 8 resulted in 3 signs of concussion, and 1 resulted in 4 signs; all assessments concluded in the same-game return for the injured athletes. CONCLUSIONS:PCEs were frequent events in the 2016 UEFA Euro championship, but were rarely assessed concordant with the International Conferences on Concussion in Sport consensus statement recommendations. There is an imperative need to improve the assessment and management of players suspected of concussion in elite football.
journal_name
BMJ Openjournal_title
BMJ openauthors
Abraham KJ,Casey J,Subotic A,Tarzi C,Zhu A,Cusimano MDdoi
10.1136/bmjopen-2018-024607subject
Has Abstractpub_date
2019-05-30 00:00:00pages
e024607issue
5issn
2044-6055pii
bmjopen-2018-024607journal_volume
9pub_type
杂志文章相关文献
BMJ Open文献大全abstract:INTRODUCTION:Type 2 diabetes mellitus is among the foremost health challenges facing policy makers in Thailand as its prevalence has more than tripled over the last two decades, accounting for considerable death, disability and healthcare expenditure. Diabetes self-management education (DSME) programmes show promise in...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-036963
更新日期:2020-10-05 00:00:00
abstract:INTRODUCTION:Eye diseases and visual impairment more commonly affect elderly adults, thus, the majority of ophthalmic cohort studies have focused on older adults. Cohort studies on the ocular health of younger adults, on the other hand, have been few. The Raine Study is a longitudinal study that has been following a co...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033440
更新日期:2020-03-25 00:00:00
abstract:INTRODUCTION:North America is amid an opioid use epidemic. Opioid agonist treatment (OAT) effectively reduces extramedical opioid use and related harms. As with all pharmacological treatments, there are risks associated with OAT, including fatal overdose. There is a need to better understand risk for adverse outcomes d...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025204
更新日期:2018-08-05 00:00:00
abstract:OBJECTIVES:To establish a database network for the study of alpha-1 antitrypsin deficiency (AATD) and compare the results to CT lung density as the most direct measure of emphysema. DESIGN:A central electronic database was established to permit the upload of anonymised patient data from remote sites. Prospectively col...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036045
更新日期:2020-06-30 00:00:00
abstract:OBJECTIVE:This study assessed the potential operational feasibility and acceptability of a heat-stable, inhaled oxytocin (IOT) product for community-based prevention of postpartum haemorrhage in Myanmar. METHODS:A qualitative inquiry was conducted between June 2015 and February 2016 through focus group discussions and...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-022140
更新日期:2018-10-24 00:00:00
abstract:OBJECTIVE:This study aims: (1) to describe the pattern and extent of multimorbidity and polypharmacy in UK Biobank participants with chronic obstructive pulmonary disease (COPD) and (2) to identify which comorbidities are associated with increased risk of adverse drug reactions (ADRs) resulting from polypharmacy. DESI...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-018404
更新日期:2018-01-14 00:00:00
abstract:INTRODUCTION:Ventilator-associated pneumonia (VAP) is a common and potentially lethal problem among mechanically ventilated neonates in neonatal intensive care units (NICUs). The main pathogenic bacteria of VAP in NICUs are Gram-negative pathogens, which show a general decline in sensitivities to commonly used antibiot...
journal_title:BMJ open
pub_type: 杂志文章,meta分析
doi:10.1136/bmjopen-2016-012298
更新日期:2016-10-11 00:00:00
abstract:OBJECTIVE:Community engagement practices in Indigenous health research are promoted as a means of decolonising research, but there is no comprehensive synthesis of approaches in the literature. Our aim was to assemble and qualitatively synthesise a comprehensive list of actionable recommendations to enhance community e...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039736
更新日期:2020-11-27 00:00:00
abstract:INTRODUCTION:Cardiovascular morbidity is a major burden in patients with rheumatoid arthritis (RA). In this study, we compare the effect of a targeted, intensified, multifactorial intervention with that of conventional treatment of modifiable risk factors for cardiovascular disease (CVD) in patients with early RA fulfi...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2015-009134
更新日期:2016-04-20 00:00:00
abstract:BACKGROUND:The unmet burden of surgical care is high in low-income and middle-income countries. The Lancet Commission on Global Surgery (LCoGS) proposed six indicators to guide the development of national plans for improving and monitoring access to essential surgical care. This study aimed to characterise the Somalila...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-042968
更新日期:2020-12-29 00:00:00
abstract:INTRODUCTION:There is an epidemic of opioid use related to adverse events and deaths in the USA. The rates of chronic pain, mental illness and substance use disorder are higher at the Veterans Health Administration (VHA) compared with the general US population. The 2016 Comprehensive Addiction and Recovery Act requires...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-020097
更新日期:2018-06-27 00:00:00
abstract:INTRODUCTION:Peripheral vascular disease (PVD) is a condition caused by arterial blockages causing inadequate blood flow, resulting in pain and gangrene of the legs. Endovascular therapy, such as angioplasty, can be used to treat PVD, however, the operator feedback during surgery is primarily anatomic based on the angi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030456
更新日期:2019-08-22 00:00:00
abstract:OBJECTIVE:Foot problems (FP) may be considered to be a prevalent conditions in people but there is limited evidence of their effect on the quality of life (QoL) related to foot health in men and women. The aim of this study was to assess the impact of FPs on both overall foot health and QoL, stratified by gender. DESI...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023980
更新日期:2018-10-18 00:00:00
abstract:INTRODUCTION:Surgery is one of the primary treatments for lung cancer. The postoperative symptom burden experienced by patients with lung cancer is substantial, seriously delaying their recovery from surgery and impairing their quality of life. Patient-reported outcome (PRO)-based symptom management is increasingly reg...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030041
更新日期:2019-08-26 00:00:00
abstract:OBJECTIVES:The presentation of decrease blood pressure with tachycardia is usually an indicator of significant blood loss. In this study, we used the reverse shock index (RSI), a ratio of systolic blood pressure (SBP) to heart rate (HR), to evaluate the haemodynamic status of trauma patients. As an SBP lower than the H...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011072
更新日期:2016-06-21 00:00:00
abstract:OBJECTIVES:The study aimed to understand through qualitative research what patients considered material in their decision to consent to an acute surgical intervention. PARTICIPANTS, SETTING AND INTERVENTION:The patients selected aged between 18 and 90, having been admitted to a major trauma centre to undergo an acute ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037657
更新日期:2020-10-08 00:00:00
abstract:OBJECTIVES:To explore: (A) the underlying motivators and barriers to smoking cessation among young Arabic speaking smokers and (B) to examine the suitability and preferences for tobacco cessation interventions (specifically text messages) and study the possibility of enrollment methods for a randomised controlled study...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029144
更新日期:2019-09-08 00:00:00
abstract:OBJECTIVE:To report outcomes of patients with localised prostate cancer (PCa) managed with active surveillance (AS) in a standard clinical setting. DESIGN:Single-centre, prospective, observational study. SETTING:Non-academic, average-size hospital in Switzerland. PARTICIPANTS:Prospective, observational study at a no...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-010191
更新日期:2016-02-17 00:00:00
abstract:INTRODUCTION:User engagement in mental health service design is heralded as integral to health systems quality and performance, but does engagement improve health outcomes? This article describes the CORE study protocol, a novel stepped wedge cluster randomised controlled trial (SWCRCT) to improve psychosocial recovery...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2014-006688
更新日期:2015-03-24 00:00:00
abstract:OBJECTIVES:Epidemiological studies evaluating the association between adiponectin levels and endometrial carcinoma risk have produced inconsistent results. Thus, a meta-analysis was conducted to assess the association between them. METHODS:Pertinent studies were identified by a search of PubMed and Web of Knowledge th...
journal_title:BMJ open
pub_type: 杂志文章,meta分析,评审
doi:10.1136/bmjopen-2015-008541
更新日期:2015-09-03 00:00:00
abstract:INTRODUCTION:Process evaluations are conducted alongside research projects to identify the context, impact and consequences of research, determine whether it was conducted per protocol and to understand how, why and for whom an intervention is effective. We present a process evaluation protocol for the Getting it Right...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-017612
更新日期:2017-11-03 00:00:00
abstract:OBJECTIVE:Recent data on sustained hypertension and obesity among school-going children and adolescents in India are limited. This study evaluates the prevalence of sustained hypertension and obesity and their risk factors among urban and rural adolescents in northern India. SETTING:A school-based, cross-sectional sur...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-027134
更新日期:2019-09-08 00:00:00
abstract:OBJECTIVES:Explore the function of three specific modes of talk (discourse types) in decision-making processes. DESIGN:Ten real-life admissions of patients with critical illness were audio/video recorded and transcribed. Activity-type analysis (a qualitative discourse analytical method) was applied. SETTING:Interdisc...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023749
更新日期:2018-11-03 00:00:00
abstract:INTRODUCTION:Falls are a concern for wheelchair users with spinal cord injury (SCI). Falls can negatively impact the physical and psychological well-being of fallers. To date, the perspectives of wheelchair users with lived experiences of SCI on the contributors to falls has been understudied. Information about factors...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034279
更新日期:2020-02-25 00:00:00
abstract:OBJECTIVES:Current clinical guidelines discourage long-term prescription of benzodiazepines and Z-drugs (BZD); however, the practice continues to exist. The aim of this study was to investigate the proportion of long-term BZD prescriptions and its risk factors. DESIGN:Retrospective cohort study using a health insuranc...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029641
更新日期:2019-07-26 00:00:00
abstract:INTRODUCTION:The mainstay treatment for reducing the symptoms of angina and long-term risk of heart attacks in patients with heart disease is stent implantation in the diseased coronary artery. While this procedure has revolutionised treatment, the incidence of secondary events remains a concern. These repeat events ar...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2016-012728
更新日期:2016-12-20 00:00:00
abstract:INTRODUCTION:Hearing loss is a common chronic problem which can be effectively managed with hearing devices. At present, only a limited number of people with hearing loss use hearing aids (HAs) and cochlear implants (CIs) to improve hearing and sound quality and enhance quality of life. Clinical equipoise, by which we ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030100
更新日期:2019-09-08 00:00:00
abstract:OBJECTIVES:To report the nationwide prevalence of facial palsy (FP) of grade III or worse in the House-Brackmann (H-B) grading system in South Korea and assess the associated factors. DESIGN:Cross-sectional analysis of a nationwide health survey. SETTINGS:South Korea. METHODS:We obtained data from the 2010 to 2012 K...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-012628
更新日期:2016-11-09 00:00:00
abstract:OBJECTIVE:We aimed to determine the key predictors of perinatal deaths using machine learning models compared with the logistic regression model. DESIGN:A secondary data analysis using the Kilimanjaro Christian Medical Centre (KCMC) Medical Birth Registry cohort from 2000 to 2015. We assessed the discriminative abilit...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040132
更新日期:2020-10-19 00:00:00
abstract:OBJECTIVES:To investigate the risk of emergency hospital admissions for violence (EHAV) associated with demographic and socioeconomic factors in Wales between 2007/2008 and 2013/2014, and to describe the site of injury causing admission. DESIGN:Database analysis of 7 years' hospital admissions using the Patient Episod...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011169
更新日期:2016-08-24 00:00:00