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Updated: Oct 19, 2025
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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
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Healthcare utilization and costs associated with persistent post-concussive symptoms
Sabrina Agnihotri1,2, Melanie Penner1,3, Kylie D Mallory1
1Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada.
Brain Injury
|September 21, 2021
Summary
Interdisciplinary care for pediatric persistent post-concussive symptoms (PPCS) is accessible and comprehensive. This healthcare model proves cost-saving for both patients and society.
Area of Science:
- Pediatric Neurology
- Healthcare Management
- Rehabilitation Medicine
Background:
- Pediatric persistent post-concussive symptoms (PPCS) require specialized management.
- Understanding healthcare utilization and associated costs is crucial for optimizing treatment pathways.
Purpose of the Study:
- To evaluate healthcare utilization and costs for interdisciplinary treatment of pediatric persistent post-concussive symptoms (PPCS).
Main Methods:
- Retrospective chart review of 461 youth treated at an interdisciplinary PPCS outpatient clinic.
- Analysis of healthcare utilization (accessibility, continuity, comprehensiveness, productivity) and direct/indirect costs.
- Descriptive statistical analysis of collected data.
Main Results:
- Median physician consultation wait time was 71 days; other services <2 months.
- 82% of clients received referrals to additional services, with occupational therapy being most common (79%).
- Median direct costs were ~$915/client, with total costs of $532,623; indirect costs were ~$387/family.
Conclusions:
- Interdisciplinary PPCS care is an accessible and comprehensive healthcare model.
- This model demonstrates cost-saving benefits from both client and societal perspectives.
- Findings support the adoption of integrated care approaches for pediatric concussion management.
