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Related Concept Videos

Discharge Summary Forms01:31

Discharge Summary Forms

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The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
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Updated: Feb 25, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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Symptom-Guided Emergency Department Discharge Instructions for Children With Concussion.

Talia M Brooks1, Marissa M Smith, Renee M Silvis

  • 1From the *Department of Pediatrics, University of Connecticut School of Medicine, Farmington; Departments of †Emergency Medicine, and ‡Research, Connecticut Children's Medical Center, Hartford, CT; and §Division of Sports Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.

Pediatric Emergency Care
|August 5, 2017
PubMed
Summary
This summary is machine-generated.

New symptom-guided discharge instructions (DIs) for pediatric concussion were found helpful by caregivers for determining return to school and activity. Further research is needed to optimize these concussion DIs for potentially shorter recovery periods.

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Area of Science:

  • Pediatric Emergency Medicine
  • Neurology
  • Public Health

Background:

  • Concussion management in children requires clear guidance for recovery.
  • Standard discharge instructions (DIs) may lack specificity for individualized care.
  • Symptom-guided DIs (symptom DIs) offer a novel approach tailored to a child's ongoing symptoms.

Purpose of the Study:

  • To evaluate the use and utility of novel symptom-guided DIs for pediatric concussion.
  • To compare clinical outcomes between children receiving symptom DIs and standard DIs.

Main Methods:

  • A randomized controlled trial involving 114 children (aged 7-17) with concussion.
  • Participants received either standard DIs or symptom DIs.
  • Daily symptom checklists and 7-day follow-up surveys assessed outcomes.

Main Results:

  • Both DI groups showed high usage rates (92% symptom DIs, 84% standard DIs).
  • Caregivers using symptom DIs found them significantly more helpful for return-to-school and activity decisions (P < 0.05).
  • Persistent postconcussive symptoms were reported at 1 week in 44% (symptom DIs) and 51% (standard DIs).

Conclusions:

  • Symptom-guided DIs are frequently used and valued by caregivers for guiding return-to-activity decisions.
  • While helpful, symptom DIs did not significantly alter the persistence of symptoms at 1 week.
  • Further large-scale studies are warranted to refine easy-to-use DIs that may shorten the postconcussive recovery period.