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US Military Healthcare Professionals' Practice, Knowledge, and Misconceptions About Concussion.

Sangita Baxi1, Irineo Cabreros, Lisa S Meredith

  • 1RAND Corporation, Santa Monica, California.

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|February 2, 2023
PubMed
Summary
This summary is machine-generated.

US military healthcare professionals report barriers and low confidence in diagnosing and managing concussions. Customized education and better resources are needed to improve care for mild traumatic brain injury (mTBI).

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Area of Science:

  • Military medicine
  • Neurology
  • Traumatic brain injury research

Background:

  • Concussion diagnosis and management in nondeployed military settings presents challenges.
  • Healthcare professionals require updated knowledge and training preferences for optimal patient care.

Purpose of the Study:

  • To assess US military healthcare professionals' knowledge and training needs regarding concussion.
  • To identify barriers in diagnosing and managing concussion in nondeployed settings.

Main Methods:

  • Online surveys were administered to US military physicians, physician assistants, and nurse practitioners.
  • 744 active duty providers who had treated mild traumatic brain injury (mTBI) patients in the prior 24 months completed the survey.

Main Results:

  • Most physicians felt confident evaluating mTBI and ordering imaging, but accuracy in identifying "red flag" symptoms varied widely (28.2%–92.6%).
  • Nurse practitioners reported the highest barriers (90.8%) to optimal patient care.
  • Confidence levels in performing mTBI services varied among providers.

Conclusions:

  • Despite regular concussion care, many US military providers face barriers, lack confidence, and desire better training.
  • Tailored education, decision support tools, practice guidelines, and patient toolkits can enhance concussion care.