Postconcussion Academic Support in Children Who Attend a Primary Care Provider Follow-up Visit after Presenting to the Emergency Department - 23/05/19
, Lauren A. Pierpoint, MS 2, Dustin W. Currie, MPH 2, R. Dawn Comstock, PhD 2, 3, Joseph A. Grubenhoff, MD, MSCS 3Abstract |
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 χ2 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.
Le texte complet de cet article est disponible en PDF.Keywords : pediatric concussion, emergency department evaluation, primary care provider follow-up, academic support, academic recommendations
Abbreviations : ED, HBI, mTBI, PCP, PedsQL 4.0, PRA, TBI
Plan
| Supported by a grant from the Colorado Department of Human Services (CDHS) Traumatic Brain Injury Program (#4600). CDHS did not contribute to the study design, data acquisition or analysis, drafting or review of the manuscript, or the decision to submit for publication. The use of the REDCap database hosted by the Colorado Clinical and Translational Sciences Institute was supported by National Institutes of Health (NIH)/National Center for Research Resources Colorado CTSI grant Number UL1 RR025780. This paper's contents are the authors' sole responsibility and do not represent official views of the NIH. The authors declare no conflicts of interest. |
Vol 209
P. 168-175 - juin 2019 Retour au numéro
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