OBJECTIVES: (1) Assess pediatric primary care providers' understanding of cognitive rest for concussion and (2) describe their concussion management practices. METHODS: This study included (1) a survey of general pediatric providers and (2) an electronic medical record (EMR) review of children 5 to 18 years old treated for concussion from September 1, 2010, to May 31, 2011. The survey asked about treatment recommendations for concussion, and results were coded to identify cognitive rest recommendations. The EMR review included the following: injury details, medical evaluation, and recommendations for resuming school and sports/recreation. RESULTS: In all, 89 of 201 providers responded to the survey, and 52 of the 84 clinicians who included comments about concussion management mentioned cognitive rest (62%, 95% confidence interval [CI] = 51%-72%). Of the 91 EMRs reviewed for patients' first visits following the concussion, only 10 (11%, 95% CI = 6%-19%) included written cognitive rest recommendations. CONCLUSIONS: Although the majority of pediatric providers identified cognitive rest as important in pediatric concussion management, few provided written recommendations in the EMR.
OBJECTIVES: (1) Assess pediatric primary care providers' understanding of cognitive rest for concussion and (2) describe their concussion management practices. METHODS: This study included (1) a survey of general pediatric providers and (2) an electronic medical record (EMR) review of children 5 to 18 years old treated for concussion from September 1, 2010, to May 31, 2011. The survey asked about treatment recommendations for concussion, and results were coded to identify cognitive rest recommendations. The EMR review included the following: injury details, medical evaluation, and recommendations for resuming school and sports/recreation. RESULTS: In all, 89 of 201 providers responded to the survey, and 52 of the 84 clinicians who included comments about concussion management mentioned cognitive rest (62%, 95% confidence interval [CI] = 51%-72%). Of the 91 EMRs reviewed for patients' first visits following the concussion, only 10 (11%, 95% CI = 6%-19%) included written cognitive rest recommendations. CONCLUSIONS: Although the majority of pediatric providers identified cognitive rest as important in pediatric concussion management, few provided written recommendations in the EMR.
Authors: Kristy B Arbogast; Allison E Curry; Kristina B Metzger; Ronni S Kessler; Jeneita M Bell; Juliet Haarbauer-Krupa; Mark R Zonfrillo; Matthew J Breiding; Christina L Master Journal: Clin Pediatr (Phila) Date: 2017-05-19 Impact factor: 1.168
Authors: Angela Lumba-Brown; Keith Owen Yeates; Kelly Sarmiento; Matthew J Breiding; Tamara M Haegerich; Gerard A Gioia; Michael Turner; Edward C Benzel; Stacy J Suskauer; Christopher C Giza; Madeline Joseph; Catherine Broomand; Barbara Weissman; Wayne Gordon; David W Wright; Rosemarie Scolaro Moser; Karen McAvoy; Linda Ewing-Cobbs; Ann-Christine Duhaime; Margot Putukian; Barbara Holshouser; David Paulk; Shari L Wade; Stanley A Herring; Mark Halstead; Heather T Keenan; Meeryo Choe; Cindy W Christian; Kevin Guskiewicz; P B Raksin; Andrew Gregory; Anne Mucha; H Gerry Taylor; James M Callahan; John DeWitt; Michael W Collins; Michael W Kirkwood; John Ragheb; Richard G Ellenbogen; Theodore J Spinks; Theodore G Ganiats; Linda J Sabelhaus; Katrina Altenhofen; Rosanne Hoffman; Tom Getchius; Gary Gronseth; Zoe Donnell; Robert E O'Connor; Shelly D Timmons Journal: JAMA Pediatr Date: 2018-11-05 Impact factor: 16.193
Authors: Michael W Collins; Anthony P Kontos; David O Okonkwo; Jon Almquist; Julian Bailes; Mark Barisa; Jeffrey Bazarian; O Josh Bloom; David L Brody; Robert Cantu; Javier Cardenas; Jay Clugston; Randall Cohen; Ruben Echemendia; R J Elbin; Richard Ellenbogen; Janna Fonseca; Gerard Gioia; Kevin Guskiewicz; Robert Heyer; Gillian Hotz; Grant L Iverson; Barry Jordan; Geoffrey Manley; Joseph Maroon; Thomas McAllister; Michael McCrea; Anne Mucha; Elizabeth Pieroth; Kenneth Podell; Matthew Pombo; Teena Shetty; Allen Sills; Gary Solomon; Danny G Thomas; Tamara C Valovich McLeod; Tony Yates; Ross Zafonte Journal: Neurosurgery Date: 2016-12 Impact factor: 4.654
Authors: Adam J Bartsch; Daniel Hedin; Jay Alberts; Edward C Benzel; Jason Cruickshank; Robert S Gray; Kenneth Cameron; Megan N Houston; Tyler Rooks; Gerald McGinty; Erick Kozlowski; Steven Rowson; Joseph C Maroon; Vincent J Miele; J Chris Ashton; Gunter P Siegmund; Alok Shah; Michael McCrea; Brian Stemper Journal: Ann Biomed Eng Date: 2020-10-27 Impact factor: 3.934
Authors: Barry S Willer; Mohammad N Haider; Itai Bezherano; Charles G Wilber; Rebekah Mannix; Katherine Kozlowski; John J Leddy Journal: Arch Phys Med Rehabil Date: 2019-08-01 Impact factor: 3.966