Keenan Heather T, Bratton Susan L, Dixon Rebecca R
Department of Pediatrics, University of Utah, Salt Lake City.
J Head Trauma Rehabil. 2017 Nov/Dec;32(6):385-392. doi: 10.1097/HTR.0000000000000265.
To understand pediatricians' attitudes, knowledge, and behaviors about the care of children with complicated mild traumatic brain injury (TBI).
A total of 3500 pediatricians randomly selected from the American Medical Association Master File.
It was a cross-sectional survey.
A survey developed to assess pediatricians' attitudes toward following children with complicated mild TBI for cognitive and behavioral sequelae; their knowledge of TBI sequelae; and their usual evaluation and management of children after TBI.
There were 576 (16.5%) completed responses. Most pediatricians (51%) see 1 or 2 patients with complicated mild TBI annually. Most do not think that pediatricians are the correct clinician group to be primarily responsible for following children with complicated mild TBI for cognitive (74%) or behavioral sequelae (54%). Pediatricians report difficulty referring children for cognitive (56%) and behavioral (48%) specialty services. Pediatricians have good knowledge of short-term complications of complicated mild TBI.
Pediatricians do not think they are the clinicians that should primarily care for children after hospitalization for complicated mild TBI; however, other clinicians are frequently not accessible. Pediatricians need educational and referral support to provide surveillance for injury sequelae in this group of children.
了解儿科医生对患有复杂轻度创伤性脑损伤（TBI）儿童护理的态度、知识和行为。
从美国医学协会主档案中随机抽取的3500名儿科医生。
横断面调查。
一项调查，旨在评估儿科医生对跟踪患有复杂轻度TBI儿童的认知和行为后遗症的态度；他们对TBI后遗症的了解；以及他们对TBI后儿童的常规评估和管理。
有576份（16.5%）完整回复。大多数儿科医生（51%）每年诊治1或2例患有复杂轻度TBI的患者。大多数人认为儿科医生不是主要负责跟踪患有复杂轻度TBI儿童的认知（74%）或行为后遗症（54%）的合适临床医生群体。儿科医生报告在为儿童转诊认知（56%）和行为（48%）专科服务方面存在困难。儿科医生对复杂轻度TBI的短期并发症有较好的了解。
儿科医生认为他们不是复杂轻度TBI患儿住院后应主要负责护理的临床医生；然而，其他临床医生往往难以联系到。儿科医生需要教育和转诊支持，以便对这组儿童的损伤后遗症进行监测。
