Multidisciplinary Management of Pediatric Sports-Related Concussion
| Autor: | Behzad Mansouri, Angela Sam, Brian Black, Patrick J. McDonald, Kelly Russell, Shannon Larkins, Satnam Nijjar, Jeff Leiter, Marco Essig, Lesley Ritchie, Erin Selci, Shahid Hosain, Dean M. Cordingley, Scott Sawyer, Sara Vis, Michael Davidson, Scott Gregoire, Michael J. Ellis, Janine L. Johnston, Karen Reimer, Peter B. MacDonald, Mark Koltek, Martin Bunge, Richard Girardin, Norm Silver |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Referral Adolescent Traumatic brain injury Poison control Occupational safety and health 03 medical and health sciences 0302 clinical medicine Multidisciplinary approach 030225 pediatrics Concussion Health care medicine Humans Child Brain Concussion Retrospective Studies business.industry Disease Management General Medicine medicine.disease Pan American Health Organization Neurology Athletic Injuries Physical therapy Female Neurology (clinical) Neurosurgery business 030217 neurology & neurosurgery |
| Zdroj: | The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques. 44(1) |
| ISSN: | 0317-1671 |
| Popis: | Objectives: To summarize the clinical characteristics and outcomes of pediatric sports-related concussion (SRC) patients who were evaluated and managed at a multidisciplinary pediatric concussion program and examine the healthcare resources and personnel required to meet the needs of this patient population. Methods: We conducted a retrospective review of all pediatric SRC patients referred to the Pan Am Concussion Program from September 1st, 2013 to May 25th, 2015. Initial assessments and diagnoses were carried out by a single neurosurgeon. Return-to-Play decision-making was carried out by the multidisciplinary team. Results: 604 patients, including 423 pediatric SRC patients were evaluated at the Pan Am Concussion Program during the study period. The mean age of study patients was 14.30 years (SD: 2.32, range 7-19 years); 252 (59.57%) were males. Hockey (182; 43.03%) and soccer (60; 14.18%) were the most commonly played sports at the time of injury. Overall, 294 (69.50%) of SRC patients met the clinical criteria for concussion recovery, while 75 (17.73%) were lost to follow-up, and 53 (12.53%) remained in active treatment at the end of the study period. The median duration of symptoms among the 261 acute SRC patients with complete follow-up was 23 days (IQR: 15, 36). Overall, 25.30% of pediatric SRC patients underwent at least one diagnostic imaging test and 32.62% received referral to another member of our multidisciplinary clinical team. Conclusion: Comprehensive care of pediatric SRC patients requires access to appropriate diagnostic resources and the multidisciplinary collaboration of experts with national and provincially-recognized training in TBI. |
| Databáze: | OpenAIRE |
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