{"id":3469,"date":"2017-11-15T00:00:00","date_gmt":"2017-11-15T05:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/annual-trends-in-follow-up-visits-for-pediatric-concussion-in-emergency-departments-and-physicians-offices\/"},"modified":"2023-06-14T19:59:55","modified_gmt":"2023-06-14T23:59:55","slug":"annual-trends-in-follow-up-visits-for-pediatric-concussion-in-emergency-departments-and-physicians-offices","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/annual-trends-in-follow-up-visits-for-pediatric-concussion-in-emergency-departments-and-physicians-offices\/","title":{"rendered":"Annual trends in follow-up visits for pediatric concussion in emergency departments and physicians&rsquo; offices"},"content":{"rendered":"<p><strong>Objective<\/strong> &#x2014; To assess whether children and youth with concussion receive follow-up visits in accordance with the recommended guidelines.<\/p>\n<p><strong><br \/>\nStudy Design<\/strong> &#x2014; We conducted a retrospective, population-based study using linked health administrative data from all concussion-related visits to emergency department and physician offices by children aged 5 through 18 years (range, 5.00-18.99) in Ontario between 2003 and 2013. We analyzed the percentage of children and youth seen for follow-up. The Mann-Kendall test for trends was used to assess a monotonic increasing trend over time in concussion follow-up visits.<\/p>\n<p><strong><br \/>\nResults<\/strong> &#x2014; A total of 126 654 children and youth were evaluated for an index concussion visit. The number of children and youth assessed for concussion follow-up (N = 45 155) has increased significantly over time (P &lt; .001). In 2003, 781 of 7126 patients (11.0%; 95% CI, 10.3-11.7) with an index visit for concussion had a follow-up assessment. By 2013, 6526 of 21 681 (30.1%; 95% CI, 29.5-30.7) patients received follow-up care.<\/p>\n<p><strong><br \/>\nConclusions<\/strong> &#x2014; The proportion of children and youth receiving follow-up after an acute concussion has significantly increased between 2003 and 2013. Nevertheless, more than two-thirds of all patients do not seek medical follow-up or clearance as recommended by current concussion guidelines, suggesting that ongoing efforts to improve and monitor compliance with recommended guidelines by patients and physicians are important.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objective &#x2014; To assess whether children and youth with concussion receive follow-up visits in accordance with the recommended guidelines. Study Design &#x2014; We conducted a retrospective, population-based study using linked health administrative data from all concussion-related visits to emergency department and physician offices by children aged 5 through 18 years (range, 5.00-18.99) in Ontario between [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[],"class_list":["post-3469","journal_article","type-journal_article","status-publish","hentry"],"acf":{"citation":"Fridman L, Scolnik M, Macpherson A, Rothman L, Guttmann A, Grool AM, Duque DR, Zemek RL. <em>J Pediatr. <\/em>2018; 192:184-8. Epub 2017 Nov 14.","source_url":"","ices_scientist":[1238,1321],"site":[6733],"research_program":[],"news_release":[7615],"journal_article":[],"atlas":[],"research_report":[],"infographic":[9440],"video":[],"downloads":null,"links":null,"sitecore_item_id":"9E3FE547-4605-49D3-AC1A-BD38F0BA6AE4","sitecore_item_name":"Annual-trends-in-follow-up-visits-for-pediatric-concussion-in-emergency-departments","sitecore_field_values":"{\n  \"__Unpublish\": null,\n  \"__Publishing groups\": null,\n  \"__Never publish\": null,\n  \"__Valid from\": \"20171116T102606\",\n  \"Title\": \"Annual trends in follow-up visits for pediatric concussion in emergency departments and physicians' offices\",\n  \"Short title\": \"Annual trends in follow-up visits\",\n  \"Summary\": \"This study assess whether children and youth with concussion receive follow-up visits in accordance with the recommended guidelines.\",\n  \"Citation\": \"<p>Fridman L, Scolnik M, Macpherson A, Rothman L, Guttmann A, Grool AM, Duque DR, Zemek RL. <em>J Pediatr. <\/em>2018; 192:184-8. Epub 2017 Nov 14.<\/p>\",\n  \"Abstract\": \"<p><strong>Objective<\/strong> &mdash; To assess whether children and youth with concussion receive follow-up visits in accordance with the recommended guidelines.<\/p>n<p><strong>nStudy Design<\/strong> &mdash; We conducted a retrospective, population-based study using linked health administrative data from all concussion-related visits to emergency department and physician offices by children aged 5 through 18 years (range, 5.00-18.99) in Ontario between 2003 and 2013. We analyzed the percentage of children and youth seen for follow-up. The Mann-Kendall test for trends was used to assess a monotonic increasing trend over time in concussion follow-up visits.<\/p>n<p><strong>nResults<\/strong> &mdash; A total of 126 654 children and youth were evaluated for an index concussion visit. The number of children and youth assessed for concussion follow-up (N = 45 155) has increased significantly over time (P &lt; .001). In 2003, 781 of 7126 patients (11.0%; 95% CI, 10.3-11.7) with an index visit for concussion had a follow-up assessment. By 2013, 6526 of 21 681 (30.1%; 95% CI, 29.5-30.7) patients received follow-up care.<\/p>n<p><strong>nConclusions<\/strong> &mdash; The proportion of children and youth receiving follow-up after an acute concussion has significantly increased between 2003 and 2013. Nevertheless, more than two-thirds of all patients do not seek medical follow-up or clearance as recommended by current concussion guidelines, suggesting that ongoing efforts to improve and monitor compliance with recommended guidelines by patients and physicians are important.<\/p>\",\n  \"Research Programs\": \"{5B1AF319-EC9B-4BF0-A9CD-D066ABE49D71}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{DF9D6D4F-1B33-4FB9-AD9B-576798163C2C}|{40948E02-F762-4412-879E-4AF545B8526E}\",\n  \"Posted Date\": \"20171115T000000\",\n  \"Show on Publications Landing Page\": \"1\",\n  \"In The News\": \"{54A5A0BD-4960-416D-97DE-DB0CE62596AF}\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2017\/November\/Annual-trends-in-follow-up-visits-for-pediatric-concussion-in-emergency-departments"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Annual trends in follow-up visits for pediatric concussion in emergency departments and physicians&#039; offices<\/title>\n<meta name=\"description\" content=\"Objective &#x2014; To assess whether children and youth with concussion receive follow-up visits in accordance with the recommended guidelines. 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