Hostname: page-component-8448b6f56d-qsmjn Total loading time: 0 Render date: 2024-04-16T16:02:26.044Z Has data issue: false hasContentIssue false

P001: Concussion patients in the emergency department: assessing a new triaging tool for follow-up and prompt long term management

Published online by Cambridge University Press:  02 June 2016

D.A. Abourbih
Affiliation:
University of Toronto, Toronto, ON
S. Bedi
Affiliation:
University of Toronto, Toronto, ON
C. Hunt
Affiliation:
University of Toronto, Toronto, ON
D. Ouchterlony
Affiliation:
University of Toronto, Toronto, ON
A. Ackery
Affiliation:
University of Toronto, Toronto, ON

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Introduction: Concussion is a common emergency department (ED) presentation. Most patients improve with expectant management. A subset with risk factors for post-concussion syndrome (PCS) may require closer outpatient follow-up. A novel emergency department (ED)/head injury clinic (HIC) triaging system has been created to allow concussed patients rapid access to educational information and specialized consultant services. This system has been well received by patients and physicians alike; however, objective measures are needed to determine if this system ultimately decreases excessive healthcare utilization (HCU) and improves symptom management of PCS. Methods: Single centered prospective observational study. Control population of 42 mTBI patients referred to the HIC through the Ontario Acquired Brain Injury (ABI) Network within 3-12 months of injury. These patients have received little concussion education or treatment and will be compared to 50 concussion patients seen in the ED and HIC. Rivermead scores, a validated likert scale of PCS symptoms (1-4, maximum score of 64) and HCU (patient reported number of healthcare visits post injury) will be collected on their initial clinic visit and subsequent follow up phone interview. Results: Control ABI network patients were 50% male, mean age 40 yrs (18-90, ± 16.3) while 83% (35/42) reported >1 subsequent visit to ED or family physician and 39% (16/42) visited neurologist. Mean Rivermead Score was 32.6 (7-58, ± 12). Conclusion: A significant proportion of control patients utilized multiple healthcare resources and were still symptomatic 3-6 months following injury. Data collection is currently ongoing to determine if rapid outpatient follow-up and education decreases HCU and PCS symptoms.

Type
Posters Presentations
Copyright
Copyright © Canadian Association of Emergency Physicians 2016