ArticleEmergency medicine journal : EMJ2005
Emergency department management of mild traumatic brain injury in the USA.
Article in Emergency medicine journal : EMJ, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 3 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
54 citing papers in PubMed, 3 syntheses or guidelines pooled it, 147 citations in OpenAlex.
- Clinical Policy: Critical Issues in the Management of Adult Patients Presenting to the Emergency Department With Mild Traumatic Brain Injury: Approved by ACEP Board of Directors, February 1, 2023 Clinical Policy Endorsed by the Emergency Nurses Association (April 5, 2023).Annals of emergency medicine · 2023Guideline
- Utilization and Cost of Health Services in Individuals With Traumatic Brain Injury.Global journal of health science · 2015Pooled it
- Assessment, management and knowledge of sport-related concussion: systematic review.Sports medicine (Auckland, N.Z.) · 2014Pooled it
- Evaluation of a targeted, theory-informed implementation intervention designed to increase uptake of emergency management recommendations regarding adult patients with mild traumatic brain injury: results of the NET cluster randomised trial.Implementation science : IS · 2019Trial
- Trial
- Impact of on-site mobile CT imaging on prehospital patient management during the Munich Oktoberfest: a retrospective observational before-after study at a mass gathering.BMC emergency medicine · 2026Observational
- Traumatic brain injury from diaper change-related falls in children younger than 3 years: an evaluation of South Korean national emergency department registry data.BMC pediatrics · 2026Article
- Diagnostic accuracy of GFAP and UCH-L1 for intracranial hemorrhage in blunt head trauma: a prospective study.BMC emergency medicine · 2025Observational
- Incidence and mortality related risk factors in patients with severe traumatic brain injury: A meta‑analysis.Experimental and therapeutic medicine · 2025Article
- Heads up for concussion, what do emergency physicians know? A scoping review.BMC sports science, medicine & rehabilitation · 2025Article
- Epidemiology of Pediatric Trauma and its Outcome Presenting to an Emergency Department in a Tertiary Care Hospital in Oman.Oman medical journal · 2025Article
- Social determinants and follow-up care after emergency department discharge for traumatic intracranial hemorrhage.Heliyon · 2025Article
- Long-term Morbidity of Traumatic Brain Injury Following Facial Fracture.Plastic and reconstructive surgery. Global open · 2024Article
- Correlation between early computed tomography findings and neurological outcome in pediatric traumatic brain injury patients.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024Article
- A Comprehensive and Broad Approach to Resting-State Functional Connectivity in Adult Patients with Mild Traumatic Brain Injury.AJNR. American journal of neuroradiology · 2024Article
- Exposure to Adverse Childhood Experiences Predicts Increased Neurobehavioral Symptom Reporting in Adults with Mild Traumatic Brain Injury.Neurotrauma reports · 2024Article
- Comparison of self-reported lifetime concussions and mild traumatic brain injuries among adults.Brain injury · 2023Article
- Prevalence of Suspected Concussions Among K-12 Students in Utah: Findings From Utah's Student Injury Reporting System.The Journal of school health · 2022Article
- Utility of admission perfusion CT for the prediction of suboptimal outcome following uncomplicated minor traumatic brain injury.Emergency radiology · 2021Article
- Neuroimaging in Pediatric Patients with Mild Traumatic Brain Injury: Relating the Current 2018 Centers for Disease Control Guideline and the Potential of Advanced Neuroimaging Modalities for Research and Clinical Biomarker Development.Journal of neurotrauma · 2021Review
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo describe the emergency department (ED) management of isolated mild traumatic brain injury (TBI) in the USA and to examine variation in care across age and insurance types.
methodsA secondary analysis of ED visits for isolated mild TBI in the National Hospital Ambulatory Medical Care Survey 1998-2000 was performed. Mild TBI was defined by International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9) codes for skull fracture, concussion, intracranial injury (unspecified), and head injury (unspecified). Available ED care variables were analysed by patient age and insurance categories using multivariate logistic regression.
resultsThe incidence of isolated mild TBI cases attending ED was 153,296 per year, or 56.4/100,000 people. Of the patients with isolated mild TBI, 44.3% underwent computed tomography, 23.9% underwent other non-extremity, non-chest x rays, 17.1% received wound care and 14.1% received intravenous fluids. However, only 43.8% had an assessment of pain. Of those with documented pain, only 45.5% received analgesics in the ED. Nearly 38% were discharged without recommendations for specific follow up. Several aspects of ED care varied by age but not by insurance type.
conclusionSubstantial ED resources are devoted to the care of isolated mild TBI. The present study identified deficiencies in and variation around several important aspects of ED care. The development of guidelines specific for mild TBI could reduce variation and improve emergency care for this injury.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.