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Factors Influencing Primary Care Follow-Up After Pediatric Mild Traumatic Brain Injury

Dustin Currie1, Traci Snedden, Lauren Pierpoint

  • 1Department of Epidemiology, Colorado School of Public Health, Aurora (Mr Currie, Ms Pierpoint, and Dr Comstock); University of Wisconsin-Madison, School of Nursing, Madison (Dr Snedden); and University of Colorado, School of Medicine Section of Pediatric Emergency Medicine, Aurora (Drs Comstock and Grubenhoff).

The Journal of Head Trauma Rehabilitation
|January 5, 2019
PubMed

Insights

Female children and those with caregivers concerned about recovery were more likely to attend primary care follow-up after mild traumatic brain injury (mTBI). This highlights the importance of consistent follow-up care for pediatric mTBI patients.

Area of Science:

  • Pediatric emergency medicine
  • Neuroscience
  • Public health

Background:

  • Mild traumatic brain injury (mTBI) is a common pediatric emergency department (ED) presentation.
  • Follow-up care with a primary care provider (PCP) is crucial for monitoring recovery and identifying persistent symptoms after pediatric mTBI.
  • Factors influencing adherence to PCP follow-up after pediatric mTBI require further investigation.

Purpose of the Study:

  • To identify socioeconomic, demographic, and caregiver factors associated with children attending PCP follow-up after ED evaluation for mTBI.
  • To understand predictors of successful PCP follow-up in pediatric mTBI patients.

Main Methods:

  • A 30-day longitudinal cohort study was conducted.
  • 183 children (8-18 years) with mTBI evaluated in a pediatric trauma center ED were included.
  • Data collected included insurance type, PCP setting, and caregiver attitudes via a Likert scale survey.

Main Results:

  • Female children were significantly more likely than males to attend PCP follow-up (aOR=2.27).
  • Higher caregiver concern scores regarding mTBI recovery were associated with increased likelihood of attending PCP follow-up (aOR=1.12 per unit increase).
  • No other demographic, socioeconomic, or injury characteristics were associated with PCP follow-up attendance.

Conclusions:

  • Gender and caregiver attitudes are significant factors influencing PCP follow-up adherence in pediatric mTBI.
  • ED counseling should emphasize the importance of PCP follow-up for monitoring mTBI recovery and symptom resolution.
  • Targeted interventions may be needed to improve follow-up rates in underserved pediatric mTBI populations.
Abstract

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