Estimating Concussion Incidence Using Sports Injury Surveillance Systems: Complexities and Potential Pitfalls

Neurol Clin. 2017 Aug;35(3):409-434. doi: 10.1016/j.ncl.2017.03.001.


Numerous sports injury surveillance systems exist with the capability of tracking concussion incidence data. It is important for the consumers of sport-related concussion data, be they researchers or the public, to have a comprehensive understanding of the strengths and limitations of sports injury surveillance systems. This article discusses issues of system design and analysis that affect the interpretation and understanding of sport-related concussion incidence data from sports injury surveillance systems. Such understanding will help inform the design of sports injury surveillance systems and research studies that aim to identify risk factors, develop prevention strategies, and evaluate prevention mechanisms.

Keywords: Concussion; High School Reporting Information Online; National Collegiate Athletic Association; Sports injury; Surveillance; Traumatic brain injury.

Publication types

  • Review

MeSH terms

  • Athletic Injuries / epidemiology*
  • Brain Concussion / epidemiology*
  • Humans
  • Incidence
  • Public Health Surveillance / methods*