Postconcussion Academic Support in Children Who Attend a Primary Care Provider Follow-up Visit after Presenting to the Emergency Department

被引:12
作者
Snedden, Traci R. [1 ]
Pierpoint, Lauren A. [2 ]
Currie, Dustin W. [2 ]
Comstock, R. Dawn [2 ,3 ]
Grubenhoff, Joseph A. [3 ]
机构
[1] Univ Wisconsin, Sch Nursing, 701 Highland Ave, Madison, WI 53705 USA
[2] Univ Colorado, Colorado Sch Publ Hlth, Dept Epidemiol, Aurora, CO USA
[3] Univ Colorado, Sch Med, Dept Pediat, Aurora, CO USA
基金
美国国家卫生研究院;
关键词
TRAUMATIC BRAIN-INJURY; PEDIATRIC CONCUSSION; UNITED-STATES; SYMPTOMS; SCHOOL; SEX; RECOMMENDATIONS; EDUCATION; OUTCOMES; DEATHS;
D O I
10.1016/j.jpeds.2019.01.041
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Objective To examine whether a primary care provider (PCP) follow-up visit after emergency department evaluation of concussion improved the children's likelihood of receiving academic support. Study design This was a prospective cohort study. Concussed children, aged 8-18 years, presenting to a regional pediatric trauma center emergency department (n = 160) were contacted 7 and 30 days after injury to gather data on PCP follow-up, symptoms, quality of life, and receipt of academic support instituted after and because of the concussion. Bivariate comparisons of demographics, concussion characteristics, quality of life, and symptoms were made between children who did and did not receive support using independent samples t tests, Wilcoxon rank sum tests, or chi(2) tests. ORs and 95% CIs were calculated using multivariable logistic regression with backwards elimination to test the association between attending an outpatient follow-up visit and the receipt of academic support for variables where P < .2 in bivariate comparisons. Results Overall, 51.3% (n = 82) received academic support; of these, 84.2% attended a follow-up visit compared with 71.8% of 78 children who attended a follow-up visit but did not receive support (P = .06). Children who received support were more likely to have commercial insurance; experience a sports-related injury mechanism; have parents whose primary language was English; suffer from learning disabilities and migraines; and be non-Hispanic (P < .05). There was no association between attending a follow-up visit and receipt of academic support (adjusted OR 1.83; 95% CI 0.75-4.45). Conclusions Although the majority of children received academic support postconcussion, accommodations were associated with several demographic, medical history, and injury characteristics, but not attending a PCP follow-up visit.
引用
收藏
页码:168 / 175
页数:8
相关论文
共 39 条
  • [1] LONG-TERM FOLLOW-UP OF PATIENTS WITH MILD TRAUMATIC BRAIN INJURY: A MIXED-METHODS STUDY
    Ahman, Sara
    Saveman, Britt-Inger
    Styrke, Johan
    Bjornstig, Ulf
    Stalnacke, Britt-Marie
    [J]. JOURNAL OF REHABILITATION MEDICINE, 2013, 45 (08) : 758 - 764
  • [2] [Anonymous], 1993, J Head Trauma Rehabil, DOI DOI 10.1097/00001199-199309000-00010
  • [3] Point of Health Care Entry for Youth With Concussion Within a Large Pediatric Care Network
    Arbogast, Kristy B.
    Curry, Allison E.
    Pfeiffer, Melissa R.
    Zonfrillo, Mark R.
    Haarbauer-Krupa, Juliet
    Breiding, Matthew J.
    Coronado, Victor G.
    Master, Christina L.
    [J]. JAMA PEDIATRICS, 2016, 170 (07)
  • [4] Cognitive Rest and School-Based Recommendations Following Pediatric Concussion: The Need for Primary Care Support Tools
    Arbogast, Kristy B.
    McGinley, Alexander D.
    Master, Christina L.
    Grady, Matthew F.
    Robinson, Roni L.
    Zonfrillo, Mark R.
    [J]. CLINICAL PEDIATRICS, 2013, 52 (05) : 397 - 402
  • [5] Factors associated with delayed recovery in athletes with concussion treated at a pediatric neurology concussion clinic
    Bock, Suzanne
    Grim, Rod
    Barron, Todd F.
    Wagenheim, Andrew
    Hu, Yaowen Eliot
    Hendell, Matthew
    Deitch, John
    Deibert, Ellen
    [J]. CHILDS NERVOUS SYSTEM, 2015, 31 (11) : 2111 - 2116
  • [6] A heads up on concussions: are there sex-related differences?
    Brook, Emily M.
    Luo, Xuan
    Curry, Emily J.
    Matzkin, Elizabeth G.
    [J]. PHYSICIAN AND SPORTSMEDICINE, 2016, 44 (01) : 20 - 28
  • [7] Collins C. L., 2014, INJURY EPIDEMIOLOGY, V1, P1
  • [8] Coronado Victor G., 2011, Morbidity and Mortality Weekly Report, V60, P1
  • [9] The Role of Age and Sex in Symptoms, Neurocognitive Performance, and Postural Stability in Athletes After Concussion
    Covassin, Tracey
    Elbin, R. J.
    Harris, William
    Parker, Tonya
    Kontos, Anthony
    [J]. AMERICAN JOURNAL OF SPORTS MEDICINE, 2012, 40 (06) : 1303 - 1312
  • [10] Currie DE, J HEAD TRAUMA REHABI