• Geoffrey R O'Malley, Syed A Sarwar, Kevin M Posner, Hanish Polavarapu, David Adams, Nicholas D Cassimatis, Sean Munier, Jasdeep S Hundal, and Nitesh V Patel.
• Department of Neurosurgery, Hackensack Meridian School of Medicine, Nutley, New Jersey, USA. Electronic address: geoffrey.omalley@hmhn.org.
• World Neurosurg. 2024 Jul 1; 187: e1004e1010e1004-e1010.

ObjectiveThe National Football League (NFL) has seen increasing scrutiny regarding its management of concussions, especially following an on-field incident involving the Miami Dolphins' quarterback Tua Tagovailoa in the 2022 season. We hope to elucidate the recent trends in the diagnosis and management of concussions during the course of 5 NFL seasons from 2019 to 2023.MethodsWe queried the NFL injury reports from the 2019 through 2023 database recording players listed with concussions. The weeks missed were calculated using the NFL game logs. Players' concussions that did not occur in the games, those complicated by other injuries, and those affected by roster status were excluded.ResultsSearches of the NFL injury reports resulted in the identification of 664 of 692 concussions (96%) that occurred in regular season games across the 2019-2023 seasons. During the course of these 5 seasons, 31% of the players returned without missing a game, 39% of the players missed 1 game, and 30% of the players missed ≥2 games. No significant difference in the number of concussions per game or weeks missed was observed across the seasons observed. Players with concussions on teams that made the playoffs saw fewer weeks missed than those on non-playoff teams (0.86 vs. 1.37; P = 0.002).ConclusionsSince the start of the 2021 NFL season, an increasing incidence of concussions has been noted; however, there was no change observed in the number of weeks missed after the concussions. Trends in the rates of concussions across the seasons remain largely stable, despite increased scrutiny over concussions in the sport.Copyright © 2024 Elsevier Inc. All rights reserved.

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