Dustin Currie1, Traci Snedden, Lauren Pierpoint, R Dawn Comstock, Joseph A Grubenhoff. 1. Department of Epidemiology, Colorado School of Public Health, Aurora (Mr Currie, Ms Pierpoint, and Dr Comstock); University of Wisconsin-Madison, School of Nursing, Madison (Dr Snedden); and University of Colorado, School of Medicine Section of Pediatric Emergency Medicine, Aurora (Drs Comstock and Grubenhoff).
Abstract
OBJECTIVE: To identify socioeconomic, demographic, and caregiver factors associated with children attending primary care provider (PCP) follow-up after emergency department (ED) evaluation for mild traumatic brain injury (mTBI). SETTING: Pediatric trauma center ED. PARTICIPANTS: Children 8 to 18 years of age sustaining mTBI less than 48 hours prior to an ED visit. Mean age of the 183 participants was 12 years with no significant differences between those who attended follow-up and those who did not in race, ethnicity, insurance provider, or PCP office setting. DESIGN: Thirty-day longitudinal cohort study. MAIN MEASURES: Insurance type, PCP practice setting, and a caregiver attitudes survey regarding mTBI recovery and management (5 questions each scored on a 5-point Likert scale). The primary outcome was attending a PCP follow-up visit within 1 month of injury. RESULTS: Females were more likely than males to attend PCP follow-up (adjusted odds ratio: 2.27 [95% confidence interval: 1.00-5.18]). Increasing scores on the caregiver attitudes survey indicating greater concerns about recovery were significantly associated with attending PCP follow-up (adjusted odds ratio: 1.12 per unit increase in composite score [95% confidence interval: 1.02-1.23]). No other socioeconomic, demographic, or injury characteristics were associated with attending PCP follow-up. CONCLUSIONS: The ED counseling regarding PCP follow-up of mTBI should stress the importance of follow-up care to monitor recovery and identify presence of lingering symptoms.
OBJECTIVE: To identify socioeconomic, demographic, and caregiver factors associated with children attending primary care provider (PCP) follow-up after emergency department (ED) evaluation for mild traumatic brain injury (mTBI). SETTING: Pediatric trauma center ED. PARTICIPANTS: Children 8 to 18 years of age sustaining mTBI less than 48 hours prior to an ED visit. Mean age of the 183 participants was 12 years with no significant differences between those who attended follow-up and those who did not in race, ethnicity, insurance provider, or PCP office setting. DESIGN: Thirty-day longitudinal cohort study. MAIN MEASURES: Insurance type, PCP practice setting, and a caregiver attitudes survey regarding mTBI recovery and management (5 questions each scored on a 5-point Likert scale). The primary outcome was attending a PCP follow-up visit within 1 month of injury. RESULTS: Females were more likely than males to attend PCP follow-up (adjusted odds ratio: 2.27 [95% confidence interval: 1.00-5.18]). Increasing scores on the caregiver attitudes survey indicating greater concerns about recovery were significantly associated with attending PCP follow-up (adjusted odds ratio: 1.12 per unit increase in composite score [95% confidence interval: 1.02-1.23]). No other socioeconomic, demographic, or injury characteristics were associated with attending PCP follow-up. CONCLUSIONS: The ED counseling regarding PCP follow-up of mTBI should stress the importance of follow-up care to monitor recovery and identify presence of lingering symptoms.
Authors: William P Meehan; Rebekah C Mannix; Andrea Stracciolini; R J Elbin; Michael W Collins Journal: J Pediatr Date: 2013-04-26 Impact factor: 4.406
Authors: Matthew J Sarsfield; Eric J Morley; James M Callahan; William D Grant; Susan M Wojcik Journal: Pediatr Emerg Care Date: 2013-08 Impact factor: 1.454
Authors: Lisa M Moran; H Gerry Taylor; Jerome Rusin; Barbara Bangert; Ann Dietrich; Kathryn E Nuss; Martha Wright; Keith Owen Yeates Journal: J Head Trauma Rehabil Date: 2011 Sep-Oct Impact factor: 2.710
Authors: Juliet Haarbauer-Krupa; Lydie A Lebrun-Harris; Lindsey I Black; Philip Veliz; Jill Daugherty; Rebecca Desrocher; John Schulenberg; Diane Pilkey; Matthew Breiding Journal: Ann Epidemiol Date: 2020-11-21 Impact factor: 3.797