Cognitive Rest and School-Based Recommendations Following Pediatric Concussion: The Need for Primary Care Support Tools.

TitleCognitive Rest and School-Based Recommendations Following Pediatric Concussion: The Need for Primary Care Support Tools.
Publication TypeJournal Article
Year of Publication2013
AuthorsArbogast KB, McGinley AD, Master CL, Grady MF, Robinson RL, Zonfrillo MR
JournalClin Pediatr (Phila)
Date Published02/2013
ISSN1938-2707
Abstract

Objectives. (1) Assess pediatric primary care providers' understanding of cognitive rest for concussion and (2) describe their concussion management practices. Methods. This study included (1) a survey of general pediatric providers and (2) an electronic medical record (EMR) review of children 5 to 18 years old treated for concussion from September 1, 2010, to May 31, 2011. The survey asked about treatment recommendations for concussion, and results were coded to identify cognitive rest recommendations. The EMR review included the following: injury details, medical evaluation, and recommendations for resuming school and sports/recreation. Results. In all, 89 of 201 providers responded to the survey, and 52 of the 84 clinicians who included comments about concussion management mentioned cognitive rest (62%, 95% confidence interval [CI] = 51%-72%). Of the 91 EMRs reviewed for patients' first visits following the concussion, only 10 (11%, 95% CI = 6%-19%) included written cognitive rest recommendations. Conclusions. Although the majority of pediatric providers identified cognitive rest as important in pediatric concussion management, few provided written recommendations in the EMR.

DOI10.1177/0009922813478160
Alternate JournalClin Pediatr (Phila)
PubMed ID23447397