Annual Trends in Follow-Up Visits for Pediatric Concussion in Emergency Departments and Physicians' Offices
| Autor: | Linda Rothman, Michal Scolnik, Anne M Grool, Roger Zemek, Alison Macpherson, Astrid Guttmann, Liraz Fridman, Daniel Rodriguez Duque |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Population Aftercare Poison control Suicide prevention Occupational safety and health 03 medical and health sciences 0302 clinical medicine Injury prevention Concussion medicine Humans Practice Patterns Physicians' Child education Brain Concussion Retrospective Studies Ontario education.field_of_study Primary Health Care business.industry Human factors and ergonomics 030229 sport sciences Emergency department medicine.disease Child Preschool Family medicine Practice Guidelines as Topic Pediatrics Perinatology and Child Health Physical therapy Patient Compliance Female Guideline Adherence Emergency Service Hospital business 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | The Journal of Pediatrics. 192:184-188 |
| ISSN: | 0022-3476 |
| DOI: | 10.1016/j.jpeds.2017.09.018 |
| Popis: | To assess whether children and youth with concussion receive follow-up visits in accordance with the recommended guidelines.We conducted a retrospective, population-based study using linked health administrative data from all concussion-related visits to emergency department and physician offices by children aged 5 through 18 years (range, 5.00-18.99) in Ontario between 2003 and 2013. We analyzed the percentage of children and youth seen for follow-up. The Mann-Kendall test for trends was used to assess a monotonic increasing trend over time in concussion follow-up visits.A total of 126 654 children and youth were evaluated for an index concussion visit. The number of children and youth assessed for concussion follow-up (N = 45 155) has increased significantly over time (P .001). In 2003, 781 of 7126 patients (11.0%; 95% CI, 10.3-11.7) with an index visit for concussion had a follow-up assessment. By 2013, 6526 of 21 681 (30.1%; 95% CI, 29.5-30.7) patients received follow-up care.The proportion of children and youth receiving follow-up after an acute concussion has significantly increased between 2003 and 2013. Nevertheless, more than two-thirds of all patients do not seek medical follow-up or clearance as recommended by current concussion guidelines, suggesting that ongoing efforts to improve and monitor compliance with recommended guidelines by patients and physicians are important. |
| Databáze: | OpenAIRE |
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