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.

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