You are here

Article Text

Article menu
Download PDFPDF
Second Round Abstract Submissions
5) Treatment/Rehabilitation
5.7 Service delivery models for the management of pediatric and adolescent concussion: a systematic review
  1. Jacqueline Purtzki1,2,
  2. Barry Willer3,4,
  3. Haley M Chizuk3,5,
  4. Jacob I McPherson3,5,
  5. Aaiush Jain3,
  6. Ian Bogdanowicz3,
  7. John J Leddy3,5,
  8. Mohammad N Haider3,5,
  9. Michelle L Zafron6
  1. 1University of BC, Dept. of Medicine, Div. of PMandR, Vancouver, Canada
  2. 2GF Strong Rehabilitation Centre, Vancouver Coastal Health, Vancouver, Canada
  3. 3UBMD Orthopedics and Sports Medicine, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, USA
  4. 4Department of Psychiatry, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, USA
  5. 5Department of Rehabilitation Sciences, School of Public Health and Health Professions, State University of New York at Buffalo, Buffalo, USA
  6. 6University Libraries, University at Buffalo, Buffalo, USA

Abstract

Objective This systematic review examines the current peer-reviewed literature on pediatric concussion service delivery models (SDM) and relevant cost analyses.

Design Systematic review; PubMed, Embase (Elsevier), CINAHL Plus (EBSCO), APA PsycINFO (EBSCO), Web of Science Core Collection, limited to human trials published in English from January 1, 2001 to January 10, 2022.

Inclusion (i) Peer-reviewed (ii) evidence-based (iii) service delivery and/or associated health care costs (iv) mTBI, concussion, post-concussion symptoms of children up to age 18. Exclusion: Emergency Department-based interventions, adults, moderate or severe brain injuries.

1668 abstracts were independently screened by two reviewers followed by full-text screening of potentially included articles. A third blinded reviewer resolved inclusion/exclusion conflicts. This resulted in the inclusion of 28 articles.

Outcome Measures

  1. To detect patterns of concussion care delivery;

  2. develop a system of what we called concussion ‘service delivery models’ (SDM);

  3. analyze the benefits, challenges, and costs of each SDM.

Main Results The 28 articles were grouped into one of 3 categories: Generalist-Based Services (7), Specialist-Based Services (12) Web/Telemedicine Services (6). Four studies discussed costs relevant to SDMs.

Conclusions There is a dearth of literature analyzing and comparing pediatric concussion SDMs. Cost analysis data are sparse and not generalizable. Clinicians and researchers need to develop a common language and criteria for the evaluation of effective concussion care delivery. This review proposes a simple SDM system as a starting point.

https://doi.org/10.1136/bjsports-2023-concussion.272

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.