98%
921
2 minutes
20
Aim: Describe the patient demographics and management of outpatient concussion visits, focusing on neurologists.
Materials & Methods: We used the National Ambulatory Medical Care Survey to provide national estimates on the demographics and clinical decisions of concussion visits from 2006 to 2016, which were identified with International Classification of Disease-9/10 codes.
Results: From 2006 to 2016, there were an estimated 11 million visits nationally. Neurologists saw significantly more patients over 18 years old and more nonacute care compared with non-neurologists. Neurologists performed imaging and prescribed new medications at similar rates as non-neurologists. Non-neurology subspecialties had a significant increase in visits during the study period.
Conclusion: Neurologists saw older patients and more subacute patient care with similar rates prescribing new medications and imaging. Non-neurology subspecialists are more involved in concussions than previously.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7506480 | PMC |
http://dx.doi.org/10.2217/cnc-2020-0008 | DOI Listing |
Alzheimers Dement
September 2025
Boston University Alzheimer's Disease Research Center and BU CTE Center, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA.
We describe the rationale, methodology, and design of the Boston University Alzheimer's Disease Research Center (BU ADRC) Clinical Core (CC). The CC characterizes a longitudinal cohort of participants with/without brain trauma to characterize the clinical presentation, biomarker profiles, and risk factors of post-traumatic Alzheimer's disease (AD) and AD-related dementias (ADRD), including chronic traumatic encephalopathy (CTE). Participants complete assessments of traumatic brain injury (TBI) and repetitive head impacts (RHIs); annual Uniform Data Set (UDS) and supplementary evaluations; digital phenotyping; annual blood draw; magnetic resonance imaging (MRI) and lumbar puncture every 3 years; electroencephalogram (EEG); and amyloid and/or tau positron emission tomography (PET) on a subset.
View Article and Find Full Text PDFInj Prev
September 2025
Division of Injury Prevention, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA.
Background: Traumatic brain injury (TBI) surveillance in the USA has historically used hospital administrative datasets and vital records to determine the number and rate of people who are hospitalised or die from a TBI. However, gaps exist in obtaining timely and accurate estimates of emergency department (ED)-treated TBIs. The purpose of this paper is to compare the number of TBI-related ED visits derived from two national datasets.
View Article and Find Full Text PDFSports Med
September 2025
Centre of Methods and Policy Application in the Social Sciences, Faculty of Arts and Education, University of Auckland, Auckland, New Zealand.
Background: Growing concern surrounds the risk of neurodegenerative diseases in high-level collision sports, but research on Rugby Union's connection to these diseases is limited.
Objective: This study sought to examine the long-term neurodegenerative disease risk associated with participation in high-level Rugby Union ('rugby'), utilising whole-population administrative records.
Methods: This retrospective cohort study in New Zealand compared males born between 1920 and 1984 who were active in high-level (provincial or higher) rugby between 1950 and 2000 (n = 12,861) with males from the general population (n = 2,394,300), matched by age, ethnicity, and birthplace.
J Pediatr
August 2025
Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO, USA; Sports Medicine Center, Children's Hospital Colorado, Aurora, CO, USA. Electronic address:
Objectives: To evaluate changes in psychological symptoms and sleep quality at three clinically relevant milestones following adolescent concussion: while symptomatic, at symptom resolution, and about 2 months after symptom resolution.
Study Design: We conducted a secondary analysis of a multisite, longitudinal investigation of adolescent concussion recovery. Participants enrolled < 21 days following concussion and completed self-report questionnaires (Patient-Reported Outcomes Measurement Information System [PROMIS] Pediatric Global 25 anxiety and depressive symptom domains, and the Pittsburgh Sleep Quality Index [PSQI]) at three time points: visit 1 (symptomatic), visit 2 (<14 days after symptom resolution), and visit 3 (2 months after symptom resolution).
Clin J Sport Med
August 2025
Center for Injury Research and Policy at the Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio.
Objective: To investigate the associations between physician recommendations for early physical activity (PA) after concussion and prolonged recovery in youth.
Design: Retrospective observational study.
Setting: Seven concussion clinics affiliated with a children's hospital.