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- Title
Concussion and its management: What do parents know?
- Authors
Weerdenburg, Kirstin; Schneeweiss, Suzan; Koo, Ellen; Boutis, Kathy
- Abstract
Objectives: To determine the sensitivity of parental suspicion of concussion relative to paediatric emergency physicians in children who presented to an emergency department (ED) with a head injury. A secondary objective was to examine the variables associated with parental suspicion of concussion concordant with that of a physician. Methods: Parents of children five to 18 years of age presenting to an urban paediatric ED with a nonstructural head injury completed a 24-item questionnaire. Results: Of the 577 eligible parents, 495 (85.8%) consented to participate. The sensitivity of parental suspicion for concussion was 40.0% (95% CI 33.2% to 47.2%), while the specificity was 58.3% (95% CI 52.4% to 64.0%). The variable of child age ≥10 years was associated with an increased odds (OR 3.0) of a parental suspicion of concussion concordant with that of a physician; parent age, parent sex, mechanism of head injury and history of concussion in the child were not. Although 453 (91.5%) parents would stop activity if they believed their child sustained a concussion, only 159 (32.1%) were familiar with return-to-play guidelines. Conclusions: Parents often did not suspect a concussion when it was ultimately diagnosed by a paediatric emergency physician, although they were more likely to do so in older children. Only approximately one-third were aware of return-to-play guidelines. To enhance the potential for parent-driven advocacy in the recognition and management of concussion, these data support the need for increased parental education on this injury.
- Subjects
BRAIN concussion; HEAD injuries; BRAIN concussion diagnosis; EDUCATION of parents; CONFIDENCE intervals; HEALTH education; QUESTIONNAIRES; PARENT attitudes; DESCRIPTIVE statistics; ODDS ratio; CHILDREN; PSYCHOLOGY; THERAPEUTICS
- Publication
Paediatrics & Child Health (1205-7088), 2016, Vol 21, Issue 3, pe22
- ISSN
1205-7088
- Publication type
Article
- DOI
10.1093/pch/21.3.e22