Optimizing Concussion Care Seeking: Using Machine Learning to Predict Delayed Concussion Reporting.

Journal: The American journal of sports medicine
PMID:

Abstract

BACKGROUND: Early medical attention after concussion may minimize symptom duration and burden; however, many concussions are undiagnosed or have a delay in diagnosis after injury. Many concussion symptoms (eg, headache, dizziness) are not visible, meaning that early identification is often contingent on individuals reporting their injury to medical staff. A fundamental understanding of the types and levels of factors that explain when concussions are reported can help identify promising directions for intervention.

Authors

  • Emily Kroshus-Havril
    Center for Child Health, Behavior, and Development, Seattle Children's Research Institute & Department of Pediatrics, University of Washington, Seattle, Washington, USA.
  • Daniel D Leeds
    Department of Computer and Information Sciences, Fordham University, Bronx, NY, USA.
  • Thomas W McAllister
    Department of Psychiatry, Indiana University School of Medicine, Indianapolis, Indiana, USA.
  • Zachary Yukio Kerr
    Matthew Gfeller Center & Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
  • Kristen Knight
    Department of Radiology and Biomedical Imaging, University of California, San Francisco, California, USA.
  • Johna K Register-Mihalik
    Matthew Gfeller Center & Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
  • Robert C Lynall
    UGA Concussion Research Laboratory, University of Georgia, Athens, Georgia, USA.
  • Christopher D'Lauro
    Department of Behavioral Sciences and Leadership, US Air Force Academy, Colorado Springs, Colorado, USA.
  • Yuet Ho
    Computer and Information Sciences, Fordham University, New York, New York, USA.
  • MuhibUr Rahman
    Department of Electrical Engineering, Polytechnique Montreal, Montreal, QC H3T 1J4, Canada.
  • Steven P Broglio
    University of Michigan Concussion Center, University of Michigan, Ann Arbor, Michigan, USA.
  • Michael A McCrea
    Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
  • Julianne D Schmidt
    UGA Concussion Research Laboratory, University of Georgia, Athens, Georgia, USA.
  • Nicholas Port
    School of Optometry, Indiana University, Bloomington, Indiana, USA.
  • Darren Campbell
    Intermountain Sports Medicine, Ogden, Utah, USA.
  • Margot Putukian
    Athletic Medicine, Princeton University, Princeton, New Jersey, USA.
  • Sara P D Chrisman
    Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington, USA.
  • Kenneth L Cameron
    Keller Army Hospital, US Military Academy, West Point, New York, USA; Annapolis, Maryland, USA.
  • Adam James Susmarski
    Department Head Brigade Orthopaedics and Sports Medicine, US Naval Academy.
  • Joshua T Goldman
    Departments of Family Medicine & Orthopaedic Surgery, University of California, Los Angeles, Los Angeles, California, USA.
  • Holly Benjamin
    Department of Rehabilitation Medicine and Pediatrics, University of Chicago, Chicago, Illinois, USA.
  • Thomas Buckley
    Department of Kinesiology & Applied Physiology, University of Delaware, Newark, Delaware, USA.
  • Thomas Kaminski
    Department of Kinesiology & Applied Physiology, University of Delaware, Newark, Delaware, USA.
  • James R Clugston
    Community Health and Family Medicine, University of Florida, Gainesville, Florida, USA.
  • Luis Feigenbaum
    Department of Physical Therapy, Miller School of Medicine, University of Miami, Coral Gables, Florida, USA.
  • James T Eckner
    Department of PM&R, University of Michigan, Ann Arbor, Michigan, USA.
  • Jason P Mihalik
    Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
  • Anthony Kontos
    Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
  • Jane McDevitt
    Department of Health and Rehabilitation Sciences, Temple University, Philadelphia, Pennsylvania, USA.
  • M Alison Brooks
    Department of Orthopedics, University of Wisconsin-Madison, Madison, Wisconsin, USA.
  • Steve Rowson
    Department of Biomedical Engineering and Mechanics, Virginia Tech, Blacksburg, Virginia, USA.
  • Christopher Miles
    Department of Family and Community Medicine, Wake Forest University, Winston-Salem, North Carolina, USA.
  • Laura Lintner
    Wake Forest School of Medicine Family Medicine, Winston Salem State University, Winston-Salem, North Carolina, USA.
  • Louise Kelly
    Department of Exercise Science, California Lutheran University, Thousand Oaks, California, USA.
  • Christina Master
    Division of Orthopedics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.