Annual trends in follow-up visits for paediatricpediatric concussion in emergency departments and doctors’ offices in ontario, canada between 2003–2013


    loading  Checking for direct PDF access through Ovid

Abstract

BackgroundOver the past ten years, ED and physician office visits for paediatric concussion have more than quadrupled. Current concussion management guidelines recommend follow-upand clearance by a physician prior to resumption of contact activities. However, compliance with recommended follow-up is not well documented in the literature.ObjectiveTo examine trends in follow-up visits in accordance with current recommended guidelines for children with concussion.DesignRetrospective population-based study.SettingChildren and youth presenting to emergency departments (EDs) and doctors’ offices with concussion over a 10-year time period (2003–2013) in Ontario, Canada.Outcome measuresWe examined the percentage of children and youth who were seen for follow-up visit post-concussion. Trends in the percent of children with a follow-up visit following an index visit to either a doctor’s office or an ED were reported.Main resultsThe proportion of children and youth assessed for concussion follow-up (N=45,150) has increased significantly (p<0.0001). In 2003, only 1010 of 7170 (14.2%) patients with an index visit for concussion had follow-up assessment; in 2009, 2733 of 10,134 (27.0%) had a follow-up visit, and by 2013, 11,806 of 21,681 (54.5%) received follow-up care.ConclusionsDespite increasing trends in the proportion of children being examined for concussion follow-up over a 10-year period, nearly half of all children with an index visit for concussion still do not receive follow-up assessment. This suggests that ongoing efforts to improve compliance with recommended guidelines will be important.Competing interestsNone.

    loading  Loading Related Articles