A five-year clinical audit of concussive injuries in South African collegiate male rugby players—a South African experience

Background Sports-related concussion (SRC) is a common injury mostly in contact sports. Specifically, it is a public health concern for collegiate rugby athletes because at least one concussion is reported in every two games and concussion has been reported to increase the risk of developing neuro-degenerative disorders later in life. Aim To clinically audit concussions to examine commonly reported signs/symptoms in the Sports Concussion Assessment Tool (SCAT). Materials and methods Retrospective audit of a South African University health services medical electronic records database for all concussion International Classification of Diseases 10 (ICD10) diagnoses codes: S06.0, S06.00 and S06.01 in 367 rugby players (age 24.6 ± 4.3, height 1.8 ± 0.1 and weight; 90.7 ± 14.4) for the period 2013–2018. Results SCAT data was obtained for 70% of the 434 concussions. Headache (57%), “pressure in head” (56%), feeling slowed down (55%) and fatigue/low energy (54%) were the most frequently reported concussion symptoms on the SCAT. A significant reduction in the serial SCAT symptom ( p