Mortality resulting from head injury in professional boxing: Case report

Lissa Baird, C. Benjamin Newman, Hunter Volk, Joseph R. Svinth, Jordan Conklin, Michael L. Levy

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

BACKGROUND: The majority of boxing-related fatalities result from traumatic brain injury. Biomechanical forces in boxing result in rotational acceleration with resultant subdural hematoma and diffuse axonal injury. OBJECTIVE: Given the inherent risk and the ongoing criticism boxing has received, we evaluated mortalities associated with professional boxing. METHODS: We used the Velazquez Fatality Collection of boxing injuries and supplementary sources to analyze mortality from 1950 to 2007. Variables evaluated included age at time of death, association with knockout or other outcome of match, rounds fought, weight class, location of fight, and location of preterminal event. RESULTS: There were 339 mortalities between 1950 and 2007 (mean age, 24 ± 3.8 years); 64% were associated with knockout and 15% with technical knockout. A higher percentage occurred in the lower weight classes. The preterminal event occurred in the ring (61%), in the locker room (17%), and outside the arena (22%). We evaluated for significant changes after 1983 when championship bouts were reduced from 15 to 12 rounds. CONCLUSION: There was a significant decline in mortality after 1983. We found no significant variables to support that this decline is related to a reduction in rounds. Rather, we hypothesize the decline to be the result of a reduction in exposure to repetitive head trauma (shorter careers and fewer fights), along with increased medical oversight and stricter safety regulations. Increased efforts should be made to improve medical supervision of boxers. Mandatory central nervous system imaging after a knockout could lead to a significant reduction in associated mortality.

Original languageEnglish (US)
JournalNeurosurgery
Volume67
Issue number2
DOIs
StatePublished - Aug 2010
Externally publishedYes

Fingerprint

Boxing
Craniocerebral Trauma
Mortality
Diffuse Axonal Injury
Weights and Measures
Subdural Hematoma
Central Nervous System
Safety
Wounds and Injuries

Keywords

  • Boxing
  • Head trauma
  • Mortality

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Mortality resulting from head injury in professional boxing : Case report. / Baird, Lissa; Newman, C. Benjamin; Volk, Hunter; Svinth, Joseph R.; Conklin, Jordan; Levy, Michael L.

In: Neurosurgery, Vol. 67, No. 2, 08.2010.

Research output: Contribution to journalArticle

Baird, Lissa ; Newman, C. Benjamin ; Volk, Hunter ; Svinth, Joseph R. ; Conklin, Jordan ; Levy, Michael L. / Mortality resulting from head injury in professional boxing : Case report. In: Neurosurgery. 2010 ; Vol. 67, No. 2.
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