Center for Injury Research and Prevention

Telephone Triage in Pediatric Head Injury: Follow-up Patterns and Subsequent Diagnosis of Concussion

TitleTelephone Triage in Pediatric Head Injury: Follow-up Patterns and Subsequent Diagnosis of Concussion
Publication TypeJournal Article
Year of Publication2020
AuthorsMcDonald CC, Pfeiffer MR, Robinson RL, Arbogast KB, Master CL
JournalClin Nurs Res
Date Published2020 May 22
ISSN1552-3799
Abstract

Head injuries in childhood can result in concussion. Families of a child with a head injury often seek medical advice through telephone triage call systems. It is important to understand if patients follow telephone triage recommendations and what proportion of triage calls result in subsequent concussion diagnosis. We used a one-year retrospective cohort of triage calls screened with the Barton Schmitt Pediatric Head Injury Telephone Triage Protocol. The objectives were to estimate the proportion who followed up with urgent recommendations to see a provider and determine prevalence of diagnoses of concussion. Out of 2,454 calls with recommendations to be seen urgently, the estimated proportion of being seen in the medical home network or an outside health care facility was 84.1%. Estimated overall diagnoses of concussion among those who were seen was 39.5%. These data can be used to improve patient education and follow-up, as well as the utility of the telephone triage system.

DOI10.1177/1054773820924572
Alternate JournalClin Nurs Res
PubMed ID32441131