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Follow-up visits after a concussion in the pediatric population : An integrative review Ramsay, Scott; Dahinten, V. Susan; Ranger, Manon; Babul, Shelina

Abstract

BACKGROUND: Concussions are a significant health issue for children and youth. After a concussion diagnosis, follow-up visits with a health care provider are important for reassessment, continued management, and further education. OBJECTIVE: This review aimed to synthesize and analyse the current state of the literature on follow-up visits of children with a concussive injury and examine the factors associated with follow-up visits. METHODS: An integrative review was conducted based on Whittemore and Knafl’s framework. Databases searched included PubMed, MEDLINE, CINAHL, PsycINFO, and Google Scholar. RESULTS: Twenty-four articles were reviewed. We identified follow-up visit rates, timing to a first follow-up visit, and factors associated with follow-up visits as common themes. Follow-up visit rates ranged widely, from 13.2 to 99.5%, but time to the first follow-up visit was only reported in eight studies. Three types of factors were associated with attending a follow-up visit: injury-related factors, individual factors, and health service factors. CONCLUSION: Concussed children and youth have varying rates of follow-up care after an initial concussion diagnosis, with little known about the timing of this visit. Diverse factors are associated with the first follow-up visit. Further research on follow-up visits after a concussion in this population is warranted.

Item Metadata

Title
Follow-up visits after a concussion in the pediatric population : An integrative review
Creator
Ramsay, Scott; Dahinten, V. Susan; Ranger, Manon; Babul, Shelina
Contributor
B.C. Injury Research and Prevention Unit; Children's Hospital (Vancouver, B.C.). Research Institute.
Publisher
IOS Press
Date Issued
2023-04-11
Description
BACKGROUND: Concussions are a significant health issue for children and youth. After a concussion diagnosis, follow-up visits with a health care provider are important for reassessment, continued management, and further education. OBJECTIVE: This review aimed to synthesize and analyse the current state of the literature on follow-up visits of children with a concussive injury and examine the factors associated with follow-up visits. METHODS: An integrative review was conducted based on Whittemore and Knafl’s framework. Databases searched included PubMed, MEDLINE, CINAHL, PsycINFO, and Google Scholar. RESULTS: Twenty-four articles were reviewed. We identified follow-up visit rates, timing to a first follow-up visit, and factors associated with follow-up visits as common themes. Follow-up visit rates ranged widely, from 13.2 to 99.5%, but time to the first follow-up visit was only reported in eight studies. Three types of factors were associated with attending a follow-up visit: injury-related factors, individual factors, and health service factors. CONCLUSION: Concussed children and youth have varying rates of follow-up care after an initial concussion diagnosis, with little known about the timing of this visit. Diverse factors are associated with the first follow-up visit. Further research on follow-up visits after a concussion in this population is warranted.
Subject
Sports and recreation-related injury; Concussion; follow-up visits; health services; children; youth
Genre
Article
Type
Text
Language
eng
Date Available
2023-06-12
Provider
Vancouver : University of British Columbia Library
Rights
Attribution-NonCommercial 4.0 International
DOI
10.14288/1.0433128
URI
http://hdl.handle.net/2429/84844
Affiliation
Applied Science, Faculty of; Medicine, Faculty of; Nursing, School of; Pediatrics, Department of
Citation
Ramsay, Scott et al. ‘Follow-up Visits after a Concussion in the Pediatric Population: An Integrative Review’. NeuroRehabilitation, vol. 52, no. 3, pp. 315-328, 2023
Publisher DOI
10.3233/NRE-220216
Peer Review Status
Reviewed
Scholarly Level
Faculty; Researcher
Rights URI
http://creativecommons.org/licenses/by-nc/4.0/
Aggregated Source Repository
DSpace

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Attribution-NonCommercial 4.0 International