Identifying High-Risk Combat Sport Athletes: Position Statement of the Association of Ringside Physicians

Criteria that identify combat sports athletes with significantly increased risk of injury and mortality in combat sports competition include the following:• Age younger than 13 years or older than 35 years (LOE V).• Three consecutive losses, particularly by KO/TKO (professional) or Referee Stops Contest (RSC) (amateur) (LOE III).• Inactivity exceeding 1 year (professional) (LOE V).• No prior wins (LOE V).• Significant mismatches in record, experience, age, or physical conditioning (LOE V).• History of concussion, lack of full recovery and clearance from most recent concussion, or history of other significant neurological injury (LOE II).• Severe prebout hypertension (SBP >160 or DBP >100 mm Hg in adults, or stage 2 hypertension in pediatric athletes) (LOE V).• Any medical condition identified on licensing or prebout medical examination that compromises defensive abilities (LOE V).

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Publication Details

Journal
Clinical Journal of Sport Medicine
Published
2025-12-19
DOI
https://doi.org/10.1097/jsm.0000000000001403
Primary Topic
Cardiovascular Effects of Exercise
Type
article
Field-Weighted Citation Impact
0.00
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article

Identifying High-Risk Combat Sport Athletes: Position Statement of the Association of Ringside Physicians

Alex Houser, T. Jacob John, Richard Giovane, Donald Ours et al.
Clinical Journal of Sport Medicine
Cardiovascular Effects of Exercise
article

Identifying High-Risk Combat Sport Athletes: Position Statement of the Association of Ringside Physicians

Alex Houser, T. Jacob John, Richard Giovane, Donald Ours, George Velasco, Joe Ghorayeb, Kevin deWeber, Nitin K. Sethi, A. EVERETT JAMES, Kirlos Haroun, Mario Iglesias-Muñiz, Junaid Munshi, Abhilash R Davlapur
article en

Abstract

Criteria that identify combat sports athletes with significantly increased risk of injury and mortality in combat sports competition include the following:• Age younger than 13 years or older than 35 years (LOE V).• Three consecutive losses, particularly by KO/TKO (professional) or Referee Stops Contest (RSC) (amateur) (LOE III).• Inactivity exceeding 1 year (professional) (LOE V).• No prior wins (LOE V).• Significant mismatches in record, experience, age, or physical conditioning (LOE V).• History of concussion, lack of full recovery and clearance from most recent concussion, or history of other significant neurological injury (LOE II).• Severe prebout hypertension (SBP >160 or DBP >100 mm Hg in adults, or stage 2 hypertension in pediatric athletes) (LOE V).• Any medical condition identified on licensing or prebout medical examination that compromises defensive abilities (LOE V).

Clinical Journal of Sport Medicine
Rocky Vista University (US), American Sports Medicine Institute (US), Womack Army Medical Center (US), NewYork–Presbyterian Hospital (US), Washington State University Vancouver (US), Johns Hopkins University (US), Uniformed Services University of the Health Sciences (US), Oregon Health & Science University (US), University of Alabama (US), University of Washington (US), Cornell University (US), University of Medicine and Health Sciences (KN), Johns Hopkins Medicine (US), Ross University School of Veterinary Medicine (KN), Ophthalmology Consultants (US), UPMC Health System (US), Oslo Sports Trauma Research Center (NO), Houston Methodist Sugar Land Hospital (US), Community Impact (US), The University of Texas Health Science Center (US), The University of Texas Health Science Center at Houston (US), University of Arkansas at Pine Bluff (US), Icahn School of Medicine at Mount Sinai (US), Core Laboratories (United States) (US)
Openalex Percentile: Top 42%
Cardiovascular Effects of Exercise
DOISourceOpenAlex
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