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A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
Published on: September 25, 2014
Diagnosis of Concussion in the Hospital
Kerri L LaRovere1, Robert C Tasker2
1Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Insights
Hospitalized children with traumatic injuries often have concussion symptoms. This review offers a practical approach for diagnosing and managing pediatric concussion in hospitals, emphasizing standardized care and follow-up to improve recovery.
Area of Science:
- Pediatric Traumatology
- Neurology
- Clinical Practice Guidelines
Background:
- Many children admitted for traumatic injuries present with concussion symptoms.
- Current hospital care pathways for pediatric concussion are not standardized.
- Accurate diagnosis is crucial for effective therapy and anesthetic planning.
Purpose of the Study:
- To provide a practical approach for diagnosing and managing concussion in hospitalized children.
- To highlight the need for standardized neurological assessment and multidisciplinary care.
- To emphasize the importance of post-discharge follow-up for optimal recovery.
Main Methods:
- Review of current literature and clinical practice.
- Emphasis on standardized neurological assessment protocols.
- Discussion of multidisciplinary team involvement in care.
Main Results:
- A standardized approach to pediatric concussion diagnosis and management in hospitals is lacking.
- Multidisciplinary care and standardized assessments are vital for identifying concussion and comorbidities.
- Effective discharge planning is essential for continuity of care and recovery.
Conclusions:
- A practical, standardized pathway for pediatric concussion care in hospitals is needed.
- Multidisciplinary collaboration and consistent follow-up improve outcomes for children with concussion.
- Addressing comorbidities and symptom burden is key for successful recovery.
Abstract:
A significant number of children who are admitted to the hospital with traumatic injuries also have concussion symptoms. Yet, the optimal or standard pathway of care for children with concussion in the hospital setting is not known. Diagnosing concussion in hospital is important because planning of therapies and perioperative anesthetic care is needed in order to minimize risks that could impede recovery. So too is a clinical practice guideline that enables triage, diagnosis, management, and continuity of care for children in hospital with concussion. Therefore, in this review we provide a practical approach to the diagnosis and management of concussion in the hospital, and emphasize the importance of a standardized neurological assessment and multidisciplinary care to identify concussion and its comorbidities, and appropriate follow up care after discharge. Discharge planning should provide education about concussion, encourage compliance with therapies, and importantly, aim to ensure continuity in care through post hospital follow up, particularly for children with high symptom burdens and co-existing mental health conditions.
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