BACKGROUND: The Centers for Disease Control and Prevention have called for studies detailing the prevalence and burden of mild traumatic brain injury (mTBI) in the outpatient clinical setting. OBJECTIVE: The aim of this study was to describe the prevalence of outpatient visits for minor head injury and compare the number of outpatient visits for minor head injury with the number of emergency department (ED) visits. METHODS: This was a cross-sectional study of outpatient visits for minor head injuries from the National Ambulatory Medical Care Survey (NAMCS) and the National Hospital Ambulatory Medical Care Survey (NHAMCS). We examined outpatient visits for minor head injury between 2005 and 2009 and compared them with visits in the ED for the same diagnoses using simple survey-weighted descriptive statistics. RESULTS: In the 5-year study period, there were 4 146 777 outpatient visits for minor head injury and 6 077 147 ED visits for minor head injury. In the outpatient setting, 14% of office-based visits and 21% of hospital-based visits referred patients for advanced imaging, whereas 63% of minor head injury patients in the ED underwent imaging. A return visit was arranged for 54% of minor head injury patients in office-based practices and 29% of patients in hospital-based clinics, while 67% of minor head injury patients were given instructions to follow-up after an ED visit. CONCLUSION: More than 800 000 outpatient visits for minor head injury occur each year. The diagnostics and management associated with these visits differ from those seen in the ED setting.
BACKGROUND: The Centers for Disease Control and Prevention have called for studies detailing the prevalence and burden of mild traumatic brain injury (mTBI) in the outpatient clinical setting. OBJECTIVE: The aim of this study was to describe the prevalence of outpatient visits for minor head injury and compare the number of outpatient visits for minor head injury with the number of emergency department (ED) visits. METHODS: This was a cross-sectional study of outpatient visits for minor head injuries from the National Ambulatory Medical Care Survey (NAMCS) and the National Hospital Ambulatory Medical Care Survey (NHAMCS). We examined outpatient visits for minor head injury between 2005 and 2009 and compared them with visits in the ED for the same diagnoses using simple survey-weighted descriptive statistics. RESULTS: In the 5-year study period, there were 4 146 777 outpatient visits for minor head injury and 6 077 147 ED visits for minor head injury. In the outpatient setting, 14% of office-based visits and 21% of hospital-based visits referred patients for advanced imaging, whereas 63% of minor head injurypatients in the ED underwent imaging. A return visit was arranged for 54% of minor head injurypatients in office-based practices and 29% of patients in hospital-based clinics, while 67% of minor head injurypatients were given instructions to follow-up after an ED visit. CONCLUSION: More than 800 000 outpatient visits for minor head injury occur each year. The diagnostics and management associated with these visits differ from those seen in the ED setting.
Authors: Jacob K Greenberg; Yan Yan; Christopher R Carpenter; Angela Lumba-Brown; Martin S Keller; Jose A Pineda; Ross C Brownson; David D Limbrick Journal: J Neurotrauma Date: 2018-08-29 Impact factor: 5.269
Authors: Kristy B Arbogast; Allison E Curry; Melissa R Pfeiffer; Mark R Zonfrillo; Juliet Haarbauer-Krupa; Matthew J Breiding; Victor G Coronado; Christina L Master Journal: JAMA Pediatr Date: 2016-07-05 Impact factor: 16.193
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: Anurag Gupta; Ivan K Ip; Ali S Raja; James E Andruchow; Aaron Sodickson; Ramin Khorasani Journal: J Am Med Inform Assoc Date: 2014-02-17 Impact factor: 4.497
Authors: Cheryl K Zogg; R Sterling Haring; Likang Xu; Joseph K Canner; Taylor D Ottesen; Ali Salim; Adil H Haider; Eric B Schneider Journal: Epidemiology Date: 2018-11 Impact factor: 4.822
Authors: Jacob K Greenberg; Donna B Jeffe; Christopher R Carpenter; Yan Yan; Jose A Pineda; Angela Lumba-Brown; Martin S Keller; Daniel Berger; Robert J Bollo; Vijay M Ravindra; Robert P Naftel; Michael C Dewan; Manish N Shah; Erin C Burns; Brent R O'Neill; Todd C Hankinson; William E Whitehead; P David Adelson; Mandeep S Tamber; Patrick J McDonald; Edward S Ahn; William Titsworth; Alina N West; Ross C Brownson; David D Limbrick Journal: J Neurosurg Pediatr Date: 2018-10-26 Impact factor: 2.375