Tafadzwa Mindu, Innocent Tinashe Mutero, Winnie Baphumelele Ngcobo, Rosemary Musesengwa, Moses John Chimbari
Digital Mental Health Interventions for Young People in Rural South Africa: Prospects and Challenges for Implementation
International journal of environmental research and public health
aim describe demographic postinjury factors influence time return learn rtl among studentathletes enrolled concussion assessment research education care consortium total 47860 studentathletes enrolled national collegiate athletic associationdepartment defense ncaadod care consortium study 2014 2020 1485 sportrelated concussions srcs analyzed present dataset demographic postinjury characteristics calculated using descriptive statistics followed kaplanmeier estimates examine median time return normal academic performance ie rtl sex male female baseline psychiatric conditions depression anxiety andor learning disorder ncaa division ii iii src history 0 1 2 3 ncaa sport category contact limited contact noncontact sport median difference baselinepostinjury symptom severity scores 21 21 multivariable zeroinflated negative binomial zinb regression model used examine association rtl overall time rtl mean 496 824 days median 30 interquartile range 00 60 days found influenced several factors resulting earlier trajectories notably nearly 25 sample demonstrated immediate rtl ie 0 days among studentathletes immediately rtl males demonstrated decreased rate rtl rate 079 95 ci 066096 compared females studentathletes 21 change symptom severity score postinjury baseline demonstrated higher rate rtl rate 147 95 ci 121179 compared studentathletes symptom severity change score 21 lastly male studentathletes demonstrated two times higher odds odds ratio 195 95 ci 102373 immediate rtl compared female studentathletes covariates associated time rtl collectively present findings suggest rapid return classroom following concussion specifically males demonstrated higher odds time rtl whereas greater differences symptom severity resulted higher rate time rtl among immediately rtl ultimately findings support prior work emphasizing individualized approach src management