Sarmiento Kelly, Donnell Zoe, Hoffman Rosanne, Tennant Bethany
a Centers for Disease Control and Prevention, National Center for Injury Prevention and Control , Division of Unintentional Injury Prevention , Atlanta , GA.
b Social marketing, ICF , Rockville , MD.
Brain Inj. 2018;32(7):889-893. doi: 10.1080/02699052.2018.1466197. Epub 2018 Apr 23.
Explore healthcare providers' experiences managing mTBI and better understand their use of mTBI assessment tools and guidelines. Cross-sectional Methods: A random sample of 1,760 healthcare providers responded to the web-based DocStyles survey between June 18 and 30, 2014. The sample included family/general practitioners, internists, pediatricians, and nurse practitioners who reported seeing pediatric patients. We examined their experiences with mTBI to identify opportunities to increase preparedness and improve management of mTBI.
Fifty-nine percent of healthcare providers reported that they diagnosed or managed pediatric patients with mTBI within the last 12 months. Of those, 44.4% felt 'very prepared' to make decisions about when pediatric patients can safety return to activities, such as school and sports after a mTBI. When asked how often they use screening or assessment tools to assess pediatric patients with mTBI, almost half reported that they 'seldom' or 'never' use those resources (24.6% and 22.0%, respectively).
Most healthcare providers reported seeing pediatric patients with mTBI, yet most feel only somewhat prepared to manage this injury in their practise. Broader use of screening tools and guidelines, that include clinical decision support tools, may be useful for healthcare providers who care for pediatric patients with mTBI.
探究医疗服务提供者管理小儿轻度创伤性脑损伤(mTBI)的经验,并更好地了解他们对mTBI评估工具和指南的使用情况。横断面研究方法:2014年6月18日至30日期间,1760名医疗服务提供者随机抽取样本,对基于网络的DocStyles调查做出回应。样本包括报告诊治过儿科患者的家庭/全科医生、内科医生、儿科医生和执业护士。我们研究了他们处理mTBI的经验,以确定提高准备程度和改善mTBI管理的机会。
59%的医疗服务提供者报告称,他们在过去12个月内诊断或处理过患有mTBI的儿科患者。其中,44.4%的人认为自己“完全有准备”就小儿患者在mTBI后何时能安全恢复诸如上学和运动等活动做出决策。当被问及他们多久使用筛查或评估工具来评估患有mTBI的儿科患者时,近一半的人报告称他们“很少”或“从不”使用这些资源(分别为24.6%和22.0%)。
大多数医疗服务提供者报告称诊治过患有mTBI的儿科患者,但大多数人觉得在实际工作中处理这种损伤时准备并不充分。更广泛地使用包括临床决策支持工具在内的筛查工具和指南,可能对照顾患有mTBI的儿科患者的医疗服务提供者有用。