ArticleInjury epidemiology2020
Sports and non-sports-related concussions among Medicaid-insured children: health care utilization before and after Ohio's concussion law.
Article in Injury epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Sports-Related Concussions and Adverse Health Behaviors Among Middle and High School Students.The American journal of sports medicine · 2023Article
- Socioeconomic status and injury history in adolescent athletes: Lower family affluence is associated with a history of concussion.Journal of clinical and translational research · 2022Article
- Influence of insurance type on rate and type of initial concussion-related medical visits among youth.BMC public health · 2021Article
- It is time to rewrite state youth sports concussion laws.BMJ open sport & exercise medicine · 2021Review
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Authors and funding
8 authors.
Funding
Abstract
objectiveTo evaluate patterns of health care utilization for sports-related concussions (SRCs) and non-sports-related concussions (NSRCs) among Medicaid-insured children before and after the enactment of Ohio's concussion law in April 2013.
methodsWe analyzed claim data from the Partners For Kids (PFK) Ohio Medicaid database. Concussion diagnoses were identified between April 1, 2008 and June 30, 2017. We compared frequency of concussions by age and sex across the law period. We evaluated type of health care utilization before and after law enactment using multinomial logistic regression.
resultsOver the 9 year study period, 6157 concussions were included, most of which (70.4%) were NSRCs. The proportion of SRCs increased with age. Among children younger than 5 years old, the majority (96.1%) of concussions were NSRCs. During the post-law period, greater odds of primary care visits than emergency department (ED) visits were observed for both SRCs (OR = 1.53; 95% CI 1.34, 1.75) and NSRCs (OR = 1.73; 95% CI 1.58, 1.90) compared to the pre-law period.
conclusionsWe observed higher proportions of health care utilization for NSRCs than SRCs in Medicaid insured children and a shift in health care utilization from the ED to primary care in the post-law period. SRCs and NSRCs are likely to have different patterns of health care utilization before and after the enactment of Ohio's concussion law. Our results demonstrate that Ohio's youth concussion law had a quantifiable impact on health care utilization.
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