ArticleThe Journal of emergency medicine2020
Characteristics and Outcomes for Delayed Diagnosis of Concussion in Pediatric Patients Presenting to the Emergency Department.
Article in The Journal of emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05741411 (Utilizing Mobile Health to Expedite Access to Specialty Care for Youth Presenting to the Emergency Department With Concussion at Highest Risk of Developing Persisting Symptoms), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Utilizing Mobile Health to Expedite Access to Specialty Care for Youth Presenting to the Emergency Department With Concussion at Highest Risk of Developing Persisting Symptoms
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- Changes in the components of visual attention following traumatic brain injury: A systematic review and meta-analysis.PloS one · 2022Pooled it
- Visual Impairment and the Incidence of Concussions Among Youth Football Athletes.Orthopaedic journal of sports medicine · 2026Article
- Article
- Prevalence of traumatic brain injury among adults and children.Annals of epidemiology · 2025Article
- Athlete Perspectives on Concussion Recognition and Management in Gaelic Games: A Qualitative Analysis.Healthcare (Basel, Switzerland) · 2024Article
- Sex Differences in Resource Allocation and Access to Care After Sport-Related Concussion.Journal of athletic training · 2024Article
- Article
- Collegiate student-athletes concussion knowledge and attitudes: what a difference a decade Makes.Brain injury · 2024Article
- Postinjury Outcomes After Non-Sport-Related Concussion: A CARE Consortium Study.Journal of athletic training · 2024Article
- Evaluating Medicaid Managed Care Network Adequacy Standards And Associations With Specialty Care Access For Children.Health affairs (Project Hope) · 2023Article
- Refinement of saliva microRNA biomarkers for sports-related concussion.Journal of sport and health science · 2023Article
- A Scoping Review of Magnetic Resonance Modalities Used in Detection of Persistent Postconcussion Symptoms in Pediatric Populations.Journal of child neurology · 2023Article
- Follow-up visits after a concussion in the pediatric population: An integrative review.NeuroRehabilitation · 2023Review
- Trajectories of Visual and Vestibular Markers of Youth Concussion.Journal of neurotrauma · 2022Article
- Health Care Navigation of Black and White Adolescents After Sport-Related Concussion: A Path Toward Health Equity.Journal of athletic training · 2022Article
- Persistent post-concussive syndrome in children after mild traumatic brain injury is prevalent and vastly underdiagnosed.Scientific reports · 2022Article
- The relationship between brain injury criteria and brain strain across different types of head impacts can be different.Journal of the Royal Society, Interface · 2021Article
- Defining Acute Traumatic Encephalopathy: Methods of the "HEAD Injury Serum Markers and Multi-Modalities for Assessing Response to Trauma" (HeadSMART II) Study.Frontiers in neurology · 2021Article
- Neuroimaging and advanced research techniques may lead to improved outcomes in military members suffering from traumatic brain injury.Trauma surgery & acute care open · 2021Review
- The Variability of Recovery From Pediatric Concussion Using Multimodal Clinical Definitions.Sports healthObservational
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundConcussions are common pediatric injuries. Previous studies have found concussed youth may be underdiagnosed in the emergency department (ED), but outcomes for those with delayed diagnosis have yet to be described.
objectiveOur aim was to compare visit characteristics and outcomes of patients who present to the ED with head injury who receive immediate vs. delayed diagnosis.
methodsRetrospective chart review of patients aged 6 to 18 years diagnosed with concussion on their first ED or urgent care (UC) visit and patients requiring a second visit for diagnosis between July 1, 2017 and June 20, 2019. We compared demographic information, ED or UC visit features, and recovery outcomes using χ
resultsOverall, we included 85 patients with delayed concussion diagnosis and 159 with immediate diagnosis. Those with immediate diagnosis had more symptoms inquired at initial visit (5 vs. 4; p = 0.003) and a higher likelihood of receiving concussion-specific physical examinations (80% vs. 36.5%; p < 0.001); 76.5% of delayed diagnosis patients had at least 1 symptom at follow-up visit that was not inquired about at initial visit. Those with delayed diagnosis had more medical visits during recovery (3 vs. 2; p < 0.001), longer average time to symptom resolution (21 vs. 11 days; p = 0.004), and a higher likelihood of having persistent concussion symptoms (odds ratio 2.9; 95% confidence interval 1.4-5.9).
conclusionsConcussed children evaluated acutely for head injury who do not receive an immediate diagnosis may be at risk for persistent symptoms. Performance of a concussion-specific physical examination and use of a standardized symptom scale may aid in identification of concussed youth acutely.
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