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[Children with commotio cerebri at paediatric departments in Denmark]
Gitte Rønde1, Susanne Blichfeldt
1Roskilde Sygehus Øst, Børneafdelingen. gitte@roende.org
Insights
Pediatric concussion (commotio cerebri) management in Denmark varies, particularly in observation periods. Enhanced patient information and standardized follow-up protocols are recommended for better outcomes in children.
Area of Science:
- Pediatric neurology
- Clinical practice guidelines
Context:
- Commotio cerebri (concussion) is a common pediatric injury.
- Current treatment protocols for pediatric concussion in Denmark were investigated.
Purpose:
- To illustrate current treatment practices for pediatric concussion at Danish pediatric departments.
- To identify variations in management, including observation, discharge information, and follow-up.
Summary:
- A questionnaire survey of Danish pediatric departments revealed variations in observation periods (within 24 hours) for concussion.
- While oral discharge information is standard, only 58% provide written details on symptoms and complications.
- Follow-up for severe cases is scheduled by 68% of departments, with most having established treatment guidelines.
Impact:
- Highlights inconsistencies in pediatric concussion care, particularly regarding information dissemination and follow-up.
- Recommends standardized written information for parents and clear journal documentation for follow-up needs.
- Advocates for improved interdisciplinary communication among healthcare providers treating pediatric concussion.
Introduction:
Commotio cerebri often occurs in children. The purpose of this study is to illustrate how children with commotio cerebri are treated at paediatric departments in Denmark
Materials And Methods:
A questionnaire regarding visitation, admission, observation, discharge and follow-up of children with commotio cerebri as well as department guidelines was mailed to Danish paediatric departments in the period March-September 2006.
Results:
Children are often initially treated in the emergency room and admitted to a paediatric department if there is a need for observation. The observation period varies within 24 hours. In most departments observation is standardized, for instance according to the Glasgow Coma Scale. Oral information at discharge is always given, whereas written information about symptoms of commotio cerebri and possible late complications are given by 58% of paediatric departments. Follow-up of the worse cases of commotio cerebri is scheduled by 68% of paediatric departments. Most departments have guidelines for the treatment of patients with commotio cerebri.
Conclusion:
There are differences regarding the period of observation for admitted children with commotio cerebri. Oral and written information for parents about deterioration symptoms and possible late complications is recommended along with a statement in the journal of each patient regarding the need for a follow-up. A broader dialogue between the different groups of doctors who treat children with commotio cerebri is recommended.
