Related Experiment Video
Updated: Jun 7, 2025
A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
Published on: September 25, 2014
Association Between Follow-Up Visit Timing After A Concussion and Subsequent Care Seeking in Children and Youth: A
Scott Ramsay1, V Susan Dahinten, Manon Ranger
1Author Affiliations: School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada (Drs Ramsay, Dahinten, Ranger, and Saewyc); BC Children's Hospital Research Institute, University of British Columbia, Vancouver, British Columbia, Canada (Drs Ramsay, Ranger, and Babul); BC Children's Hospital, Provincial Health Services Authority, Vancouver, British Columbia, Canada (Dr Ramsay); and Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada (Dr Babul).
Objective:
To assess the relationship between follow-up visit timing and occurrence of the first subsequent health care seeking visit.
Setting:
The province of British Columbia, Canada.
Participants:
A total of 21 029 children and youth who were diagnosed with an initial concussion from January 1, 2016, to December 31, 2017. These data were obtained from Population Data BC.
Design:
A retrospective, descriptive correlational study.
Main Measures:
Follow-up timing was measured categorically as timely (4 weeks), delayed (1-3 months), or no follow-up; the occurrence of a subsequent health care visit beyond 3 months postinjury was measured up to 12 months at 3-month intervals (ie, 4-6, 7-9, and 10-12 months). These variables were measured using diagnostic codes for concussion, post-concussion syndrome, and the 17 concussion symptoms.
Results:
After controlling for sociodemographic characteristics, having a delayed follow-up, relative to timely follow-up, was associated with higher odds of a subsequent health care seeking visit at 4 to 6 months (odds ratio [OR] = 2.68; confidence interval [CI], 2.08-3.47), 7 to 9 months (OR = 1.71; CI, 1.21-2.40), and 10 to 12 months (OR = 1.67; CI, 1.13-2.48). In contrast to having a delayed follow-up, having no follow-up, relative to timely follow-up, was associated with not having a subsequent health care seeking visit at 4 to 6 months (OR = 0.57; CI, 0.48-0.67) and 7 to 9 months (OR = 0.79; CI, 0.66-0.96), respectively.
Conclusions:
Follow-up visit timing after a concussion in children and youth is associated with subsequent health care seeking. Greater efforts are needed to investigate the importance of initial follow-up visit timing, as they may play an integral role in injury prevention and symptom management following injury.
More Related Videos
08:13Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
07:02An Investigation of the Effects of Sports-related Concussion in Youth Using Functional Magnetic Resonance Imaging and the Head Impact Telemetry System
Published on: January 12, 2011