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Link to original content: http://pubmed.ncbi.nlm.nih.gov/33204493/
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. 2020 Oct 28;5(4):CNC81.
doi: 10.2217/cnc-2020-0012.

The cost of a single concussion in American high school football: a retrospective cohort study

Aaron M Yengo-Kahn  1   2 , Patrick D Kelly  1 , David C Liles  1 , Lydia J McKeithan  2   3 , Candace J Grisham  2   3 , Muhammad Saad Khan  4 , Timothy Lee  2 , Andrew W Kuhn  2   5 , Christopher M Bonfield  1   2 , Scott L Zuckerman  1   2
Affiliations

The cost of a single concussion in American high school football: a retrospective cohort study

Aaron M Yengo-Kahn et al. Concussion. .

Abstract

Aim: The potential financial burden of American football-related concussions (FRC) is unknown. Our objective was to describe the healthcare costs associated with an FRC and determine factors associated with increased costs.

Methodology/results: A retrospective cohort study of concussed high school football players presenting between November 2017 and March 2020 was undertaken; 144 male high school football players were included. Total costs were about $115,000, for an average direct healthcare cost of $800.10/concussion. Visiting the emergency department (β = 502.29, 95% CI: 105.79-898.61; p = 0.01), the initial post-concussion symptom scale score (β = 0.39, 95% CI: 0.11-0.66; p = 0.01) and a post-concussion syndrome diagnosis (β = 670.37, 95% CI: 98.96-1241.79; p = 0.02) were each independently associated with total costs.

Conclusion: A granular understanding of cost-driving factors associated with FRC is the first step in understanding the cost-effectiveness of prevention and treatment methods.

Keywords: American football; healthcare costs; post-concussion symptom scale; post-concussion syndrome; sport-related concussion.

PubMed Disclaimer

Conflict of interest statement

Financial & competing interests disclosure The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties. No writing assistance was utilized in the production of this manuscript.

Figures

Figure 1.
Figure 1.. Patient flow diagram.
VSCC: Vanderbilt Sports Concussion Center (TN, USA).
Figure 2.
Figure 2.. Scatterplot demonstrating the relationship between initial symptom burden and total cost of the concussion episode.
The trend line demonstrates the marginal effect of the linear and quadratic post-concussion symptom scale (PCSS) terms on the total cost of concussion care. Individuals who went on to develop post-concussion syndrome (PCS) are designated with diamond markers and tend to cluster toward high initial symptom burden (PCSS) and higher costs.
See this image and copyright information in PMC

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