Concussion Evaluation Patterns Among US Adults
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Concussion Evaluation Patterns Among US Adults

Filetype[PDF-333.23 KB]


English
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Details:

  • Alternative Title:
    J Head Trauma Rehabil
  • Personal Author:
  • Description:
    Objective:

    The objective of this study was to compare individuals who were not evaluated by a doctor or nurse for a self-reported concussion versus individuals who were evaluated for a concussion by demographic variables, concussion history, and concussion circumstances.

    Settings and Participants:

    Data were collected from 2018 SpringStyles, a web-based panel survey of US adults 18 years or older (n = 6427), fielded in March-April.

    Design:

    Cross-sectional.

    Main Measures:

    Respondents were asked whether they believed they had sustained a concussion in their lifetime and details about their most recent concussion, including whether they were evaluated by a doctor or nurse.

    Results:

    Twenty-seven percent of adults in the survey reported a lifetime concussion (n = 1835). Among those individuals, 50.4% were not evaluated by a healthcare provider for their most recent concussion. Not being evaluated was higher among individuals whose concussion was caused by a slip, trip, or fall (adjusted prevalence ratio [APR] = 2.22; 95% CI, 1.65–2.99), riding a bicycle (APR = 2.28; 95% CI, 1.58–3.27), being struck by or against something by accident (APR = 2.50; 95% CI, 1.88–3.34), or being struck by or against something during a fight or argument (APR = 2.89; 95% CI, 2.11–3.97), compared with individuals whose concussion was caused by a motor vehicle crash. No evaluation was also higher among individuals whose concussion occurred while engaging in a sports or recreational activity (APR = 1.39; 95% CI, 1.07–1.82) or engaging in regular activities around the house (APR = 1.65; 95% CI, 1.27–2.14), compared with individuals whose concussion occurred while working for pay.

    Conclusion:

    More than a quarter of adults reported a lifetime concussion; however, half of them were not evaluated for their last concussion by a healthcare provider. Examination by a healthcare professional for a suspected concussion may prevent or mitigate potential long-term sequelae. Furthermore, current US surveillance methods may underestimate the burden of TBI because many individuals do not seek evaluation.

  • Subjects:
  • Source:
    J Head Trauma Rehabil. 37(5):303-310
  • Pubmed ID:
    35125431
  • Pubmed Central ID:
    PMC9339577
  • Document Type:
    Journal Article
  • Funding:
    CC999999/ImCDC/Intramural CDC HHSUnited States/
  • Volume:
    37
  • Issue:
    5
  • Collection(s):
  • Main Document Checksum:
  • Download URL:
  • File Type:

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