Study reveals gaps in follow-up care after concussion

Being discharged from a hospital trauma center after receiving treatment for a traumatic brain injury (TBI) does not necessarily mean that a patient has fully recovered. TBI can lead to long-lasting physical and cognitive symptoms, but a new study in JAMA Network Open suggests that many patients may not be receiving follow-up care.

Patients in the Transforming Research and Clinical Knowledge in Traumatic Brain Injury (TRACK-TBI ) initiative, a large, long-term, NIH-funded study of who are treated at the emergency room for mild TBI or concussion, were surveyed about their care after hospital discharge. Follow-up care in this study referred to receiving TBI-related educational materials at discharge, a call from the hospital within two weeks after release, seeing a within two weeks, or seeing a healthcare provider within three months.

According to the findings, 44 percent of the 831 patients who completed questionnaires 2 weeks and 3 months after sustaining TBI reported seeing a doctor or other provider within three months. Of those patients, 15 percent visited a clinic that specialized in head injury. Approximately half of the patients saw a general practitioner and close to a third reported seeing more than one type of doctor.

Additionally, among the 279 patients with three or more moderate-to-severe post-concussive symptoms, 41 percent had not had a follow-up visit at three after discharge. Approximately half of the patients were discharged without TBI educational materials.

Rates and components of follow-up care after TBI varied widely from institution to institution, even among patients with the same initial degree of injury.


Explore further

Doctors fail to flag concussion patients for critical follow-up

More information: Assessment of Follow-up Care After Emergency Department Presentation for Mild Traumatic Brain Injury and Concussion: Results From the TRACK-TBI Study. JAMA Network Open. DOI: 10.1001/jamanetworkopen.2018.0210
Citation: Study reveals gaps in follow-up care after concussion (2018, May 28) retrieved 22 April 2019 from https://medicalxpress.com/news/2018-05-reveals-gaps-follow-up-concussion.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
3 shares

Feedback to editors

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more