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Updated: Feb 27, 2026

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Published on: April 27, 2021
Estimating Concussion Incidence Using Sports Injury Surveillance Systems: Complexities and Potential Pitfalls
Zachary Y Kerr1, Scott L Zuckerman2, Johna K Register-Mihalik3
1Department of Exercise and Sport Science, Injury Prevention Research Center, University of North Carolina, Woollen 313, CB#8700, Chapel Hill, NC 27599-8700, USA.
Abstract:
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.
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