TY  - JOUR
PY  - 2018//
TI  - Sports-related concussions in children: differences in care and expectations when seen in an emergency department versus a sports medicine clinic
JO  - Pediatric emergency care
A1  - OʼKeefe, Kraigher Allan
A1  - Beamon, Bradley
A1  - Brewer, Kori L.
A1  - Niceler, Brock
SP  - 322
EP  - 324
VL  - 34
IS  - 5
N2  - OBJECTIVES: Patient and parent expectations can potentially influence management of care. We compared expectations in the diagnosis of concussion between patients who presented to a pediatric emergency department (ED) and those who presented to a sports medicine clinic, and if there was a difference in computed tomography (CT) scans performed. <br><br>METHODS: Head-injured athletes aged 8 to 18 years presenting to a pediatric ED and a sports medicine clinic were enrolled. Both groups completed questionnaires on their understanding of concussion and expectations of care. Charts were then reviewed. <br><br>RESULTS: Forty patients were enrolled in the study: 23 from a pediatric ED and 17 from a sports medicine clinic. Forty-one percent of athletes received a head CT in the pediatric ED versus 12% of those in the clinic population with no abnormal findings (P = 0.04). Forty-one percent of athletes and 48% of parents in the pediatric ED setting reported that a CT was "necessary" to diagnose concussion versus 18% in both groups from the clinic (P = 0.12, P = 0.07). Athletes presenting to the clinic were more likely to have been evaluated by an athletic trainer after the injury than those presenting to the pediatric ED (80% vs 23%, P = 0.004). <br><br>CONCLUSIONS: Patients and parents who presented to a pediatric ED for sports-related head injury had a trend toward higher expectations of a CT scan being necessary to diagnose concussion and did have a higher rate of CT scans performed. Education of athletes and parents engaging in organized sports may be worthwhile to assist in setting expectations in diagnosis of concussion.<p />  <p>Language: en</p>
LA  - en
SN  - 0749-5161
UR  - http://dx.doi.org/10.1097/PEC.0000000000001476
ID  - ref1
ER  -