Objective: Action in a football game occurs quickly. Medical staff can miss a sport-related concussion (SRC) if they do not observe it directly. The objective of this study is to determine if SRCs occur more frequently than during gameplay. Game-specific concussion statistics can enhance medical provider care of athletes.

Methods: We used gameplay videos of an NCAA Division I football program to analyze SRCs and determine the primary tackler or ball handler during each concussion play. We compared the relative risk of SRCs for the primary ball handlers/tacklers to that of the other 10 players on the same team during that play.

Results: Over 10 seasons, 26 SRCs occurred for the primary ball handler/tackler position (0.22 SRCs/game) versus 16 (0.13 SRCs/game). The relative risk of an SRC according to exposure () vs. no exposure () was 16.2 (CI 8.7-30.2, < .05). Special teams had more SRCs than , but this was not significant (relative risk 3.32, CI 0.90-12.3, > .05).

Conclusions: The study provides medical staff guidance to more efficiently identify in-game SRCs and supports evidence for rules changes.

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http://dx.doi.org/10.1080/02699052.2021.1917658DOI Listing

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