Concussion Management in the Paediatric Emergency Department - Abstract
Objectives: The aim of this study was to evaluate the quality of advice given to patients and their carers in the PED with a diagnosis of concussion and the
extent that correct practices were utilised. A secondary aim was to characterise concussion symptoms and duration in our study population.
Methods: Data were extracted from our hospital Electronic Patient Record (EPR) between 1/6/22 and 1/6/23 for patients 0-15 years with a discharge
diagnosis of concussion.
Patients/carers were telephoned and invited to answer a questionnaire pertaining to discharge advice, management of concussion at home, symptom type
and duration. A maximum of three attempts at making contact via telephone were made.
Results: 49 patients were identified with concussion. Sports were implicated in 25 (51%) with school the second most common medium (n=10, 20%). The
most common symptoms were headache, nausea and dizziness which made up 72(64%).
When discharged 30 (61%) were given patient information leaflets and a further 5 (10%) were given verbal advice on rest and a graduated return
to play. 14 (29%) were given incomplete or incorrect advice29 patients were contacted by telephone. The mean duration of symptoms was 27 days with a
median of 14. 12 (41%) had symptoms for 7 days or less. 13/29 (48%) telephone respondents stated misleading or incorrect advice
Conclusion: While it is encouraging that concussion literature was given to the majority of patients on discharge, the recognition, discharge advice and
patient support post discharge needs to be improved.