Follow-up visits after pediatric concussion and the factors associated with early follow-up: a population-based study in British Columbia.

IF 1.5 4区医学 Q4 NEUROSCIENCES

Brain injury Pub Date : 2024-08-28 DOI:10.1080/02699052.2024.2395382

Scott Ramsay, V Susan Dahinten, Manon Ranger, Shelina Babul, Elizabeth Saewyc

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引用次数: 0

Abstract

Objectives: To explore the rates and timing of a first follow-up visit for children and adolescents with a concussive injury and to identify factors associated with follow-up timing.

Methods: A descriptive, correlational design drawing on linked, population-based administrative data of concussed children and adolescents (ages 5-18 years) from the province of British Columbia (BC), Canada. Data were accessed through Population Data BC. Descriptive statistics and binary logistic regression were used to analyze the data.

Results: From January 1, 2016 to December 31, 2017, we retrieved 22,601 cases of concussion, of which 19% had an early follow-up visit (N = 4,294), 4.9% had later follow-up (N = 1,107), and 76.1% had no follow-up (N = 17,200). The factors of older age, living in a rural area, higher socioeconomic status, and seeing a specialist physician at an initial concussion diagnosis were more likely to have an early follow-up visit.

Conclusion: Early follow-up is important for recovery, but most children and adolescents with a concussion do not receive follow-up in BC.

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小儿脑震荡后的随访以及与早期随访相关的因素：不列颠哥伦比亚省的一项人口研究。

目的探讨脑震荡受伤儿童和青少年首次复诊的比例和时间，并确定与复诊时间相关的因素：利用加拿大不列颠哥伦比亚省（BC 省）脑震荡儿童和青少年（5-18 岁）的相关人口管理数据，采用描述性、相关性设计。数据通过不列颠哥伦比亚省人口数据系统获取。数据分析采用了描述性统计和二元逻辑回归方法：从2016年1月1日至2017年12月31日，我们共检索到22601例脑震荡病例，其中19%进行了早期随访（N=4294），4.9%进行了后期随访（N=1107），76.1%未进行随访（N=17200）。年龄较大、居住在农村地区、社会经济地位较高、初次诊断脑震荡时就诊于专科医生等因素更有可能导致早期随访：结论：早期随访对康复非常重要，但在不列颠哥伦比亚省，大多数患有脑震荡的儿童和青少年都没有接受随访。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Brain injury 医学-康复医学

CiteScore

3.50

自引率

5.30%

发文量

148

审稿时长

12 months

期刊介绍： Brain Injury publishes critical information relating to research and clinical practice, adult and pediatric populations. The journal covers a full range of relevant topics relating to clinical, translational, and basic science research. Manuscripts address emergency and acute medical care, acute and post-acute rehabilitation, family and vocational issues, and long-term supports. Coverage includes assessment and interventions for functional, communication, neurological and psychological disorders.