Cluster adjusted risk ratios and Cox proportional hazard ratios comparing the incidence of SRC between the HG and NoHG groups
n | SRC | % SRC | Multivariate risk ratio | Multivariate HR | |||
95% CI | P value | 95% CI | P value | ||||
Intent to treat | |||||||
Overall | 3050 | 130 | 4.3 | ||||
All no headgear | 1545 | 68 | 4.4 | Reference | – | Reference | – |
All headgear | 1505 | 62 | 4.1 | 0.98 (0.62 to 1.56) | 0.946 | 0.98 (0.64 to 1.51) | 0.935 |
Males—no headgear | 546 | 8 | 1.5 | Reference | – | Reference | – |
Males—headgear | 474 | 14 | 3.0 | 1.83 (0.60 to 5.53) | 0.286 | 2.00 (0.63 to 6.43) | 0.242 |
Females—no headgear | 999 | 60 | 6.0 | Reference | – | Reference | – |
Females—headgear | 1031 | 48 | 4.7 | 0.90 (0.55 to 1.48) | 0.683 | 0.86 (0.54 to 1.36) | 0.520 |
As treated | |||||||
All no headgear | 1546 | 75 | 4.9 | Reference | – | Reference | – |
All headgear | 1504 | 55 | 3.7 | 0.63 (0.37 to 1.08) | 0.091 | 0.78 (0.48 to 1.25) | 0.303 |
Males—no headgear | 548 | 10 | 1.8 | Reference | – | Reference | – |
Males—headgear | 472 | 12 | 2.5 | 0.93 (0.27 to 3.20) | 0.909 | 1.33 (0.43 to 4.11) | 0.623 |
Females—no headgear | 998 | 65 | 6.5 | Reference | – | Reference | – |
Females—headgear | 1032 | 43 | 4.2 | 0.64 (0.38–1.08) | 0. 094 | 0.70 (0.43 to 1.15) | 0.154 |
Multivariable analysis consisted of Poisson regression and Cox proportional hazards survival analysis controlling for age, sex, year, concussion in the last year and symptom severity group as covariates and school cluster effect.
As treated designation is based on majority headgear use (yes/no) for those without an SRC, and whether they were wearing headgear when SRC occurred for those with SRC.
HG, headgear group; NoHG, no headgear group; SRC, sport-related concussion.