Concussion Care in the Emergency Department: A Prospective Observational Brief Report

Exploring Age and Sex Patterns for Rehabilitation Referrals After a Concussion: A Retrospective Analysis

“…Across all 4 points of entry, the mean age was <46 years, which showed that the population seeking postconcussive care at OHSU is relatively young, unlike other studies that suggest higher rates of emergency department visits by older adults than middle-aged adults. 3 , 17 , 18 , 19 These discrepancies in the frequency of older adults seeking medical attention after concussion may be explained in several ways. First, the median age of Portland, Oregon, residents is 37.1 years, 20 a younger population that our sample represents.…”

“…Second, many studies use categorical bins to report across age groups, whereas we used age as a continuous variable, potentially yielding different trends. 3 , 17 , 18 , 19 Another possibility is whether concussion is coded as the primary reason or diagnosis for the visit.…”

“…There is significant variability in postconcussion care, particularly for older adults where the guidelines are not clear. 3 , 17 , 19 Point of entry into the medical system appears to affect postconcussion care. This work highlights the need for streamlined postconcussion care.…”

“… 1 Other estimates suggest that up to 40% of adults are affected by concussion at sometime within their life. 2 , 3 A concussion is defined as an acute brain injury resulting from mechanical energy transmission to the head from external physical forces, which is accompanied by a cascade of transient symptoms and neurologic abnormalities. 4 A concussion can occur during sport, during military service, or in everyday life (eg, fall or motor vehicle collision).…”

Healthcare Providers' Self-Reported Pediatric Mild Traumatic Brain Injury Diagnosis, Prognosis, and Management Practices: Findings From the 2019 DocStyles Survey

“…48,49 There are currently efforts to expand the use of validated, symptom-rating scales by integrating short-screening questions into electronic health record (EHR)-based systems for adults with mTBI. 50 Adult patients who screen positive for a potential mTBI based on the screening are then evaluated for mTBI using a symptomrating scale. 50 A systematic review and meta-analysis found that use of EHR systems, when properly implemented, is associated with improvements in guideline adherence.…”