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Assessment of Follow-up Care After Emergency Department Presentation for Mild Traumatic Brain Injury and Concussion
Author(s) -
Seth A. Seabury,
Étienne Gaudette,
Dana P. Goldman,
Amy J. Markowitz,
Jordan Brooks,
Michael McCrea,
David O. Okonkwo,
Geoffrey T. Manley,
Opeolu Adeoye,
Neeraj Badjatia,
Kim Boase,
Yelena G. Bodien,
M. Ross Bullock,
Randall M. Chesnut,
John D. Corrigan,
Karen Crawford,
Ramon DiazArrastia,
Sureyya Dikmen,
AnnChristine Duhaime,
Richard Ellenbogen,
V. Ramana Feeser,
Adam R. Ferguson,
Brandon Foreman,
Raquel C. Gardner,
Joseph T. Giacino,
Luis González,
Shankar P. Gopinath,
Rao P. Gullapalli,
J. Claude Hemphill,
Gillian Hotz,
Sonia Jain,
Frederick K. Korley,
Joel H. Kramer,
Natalie Kreitzer,
Harvey S. Levin,
Christopher J. Lindsell,
Joan Machamer,
Christopher J. Madden,
Alastair J. Martin,
Thomas W. McAllister,
Randall E. Merchant,
Pratik Mukherjee,
Lindsay D. Nelson,
Florence Noël,
Eva Palacios,
Daniel P. Perl,
Ava M. Puccio,
Miri Rabinowitz,
Claudia S. Robertson,
Jonathan Rosand,
Angelle M. Sander,
Gabriella Satris,
David M. Schnyer,
Mark Sherer,
Murray B. Stein,
Sabrina R. Taylor,
Nancy Temkin,
Arthur W. Toga,
Alex B. Valadka,
Mary J. Vassar,
Paul Vespa,
Kevin Wang,
John K. Yue,
Esther L. Yuh,
Ross Zafonte
Publication year - 2018
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2018.0210
Subject(s) - traumatic brain injury , medicine , glasgow coma scale , emergency department , concussion , rivermead post concussion symptoms questionnaire , emergency medicine , observational study , poison control , injury prevention , physical therapy , surgery , psychiatry
Key Points Question Do patients with mild traumatic brain injury (mTBI) receive adequate levels of follow-up care? Findings In a cohort study using data on 831 patients with mTBI presenting to the emergency department at 1 of 11 level I trauma centers across the United States, 42% of patients reported receiving educational material at discharge and 44% reported seeing a physician or other medical practitioner within 3 months after injury. Among patients with 3 or more moderate to severe postconcussive symptoms, only 52% reported having seen a practitioner within 3 months following the injury. Meaning A large proportion of patients with mTBI do not receive follow-up care after injury even when they experience ongoing postconcussive symptoms.

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