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Concussion management by paediatricians: A national survey of Canadian paediatricians.
- Source :
- Brain Injury; Mar2014, Vol. 28 Issue 3, p311-317, 7p
- Publication Year :
- 2014
-
Abstract
- Objective: To assess the use of concussion/mild traumatic brain injury (mTBI) guidelines, criteria used in the initiation of return-to-play (RTP) and management of RTP for brain injured children and youth by Canadian paediatricians. Methods: A cross-sectional survey was mailed through the Canadian Paediatric Surveillance Program to ∼2600 paediatric specialists and sub-specialists. Results: Of 809 respondents (31%), 503 encountered newly diagnosed paediatric concussion/mTBI within the past 12 months, reporting ∼6900 cases. Of the respondents, 96.7% (95% CI = 94.7-98.6%) reported using one or more of the presented concussion/mTBI guidelines in the management of their patients. The most frequently reported criteria (>50%) used to determine asymptomatic status were: free from all concussion symptoms, by patient report (92%), by proxy report (76%), normal physical examination (65%), in school full-time, with usual school performance (53%). Most respondents (84.9%) did not initiate RTP immediately after their patients became asymptomatic. The median time waiting before initiating RTP was 7 days. The median duration of the RTP sequence was 7 days, with considerable variation reported. Conclusions: Canadian paediatricians frequently encounter patients with concussion/mTBI. Their concussion/mTBI care appears to be consistent with current guidelines, but also shows practice variation, particularly when current guidelines become less proscriptive. [ABSTRACT FROM AUTHOR]
- Subjects :
- BRAIN concussion diagnosis
SPORTS injuries treatment
SPORTS injuries
BRAIN concussion
CONFIDENCE intervals
FACTOR analysis
NEUROPSYCHOLOGICAL tests
MEDICAL protocols
MEDICAL practice
PEDIATRICIANS
PEDIATRICS
PHYSICAL diagnosis
QUESTIONNAIRES
RESEARCH evaluation
RESEARCH funding
STATISTICS
SURVEYS
PHYSICIAN practice patterns
DATA analysis
SPORTS participation
CROSS-sectional method
DATA analysis software
DESCRIPTIVE statistics
SYMPTOMS
DIAGNOSIS
THERAPEUTICS
Subjects
Details
- Language :
- English
- ISSN :
- 02699052
- Volume :
- 28
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Brain Injury
- Publication Type :
- Academic Journal
- Accession number :
- 94643141
- Full Text :
- https://doi.org/10.3109/02699052.2013.862740