与运动相关的脑震荡后未就诊便离开急诊科的青少年的特征。
Characteristics of youth who leave the emergency department without being seen following sports-related concussion.
作者信息
Deichman Jacquelyn J, Graves Janessa M, Klein Tracy A, Mackelprang Jessica L
机构信息
College of Nursing, Washington State University, Spokane, WA 99210, USA.
Honors College, Washington State University, Pullman, WA 99164, USA.
出版信息
Concussion. 2019 Dec 6;4(4):CNC68. doi: 10.2217/cnc-2019-0010.
AIM
Despite the rising incidence of emergency department (ED) visits for sports-related concussion, the frequency and characteristics of youth leaving before being seen are unknown.
METHODOLOGY
National estimates of ED visits for sports-related head injuries among youth (10-18 years) were generated for 2006-2017 using the National Electronic Injury Surveillance System. Logistic regression models estimated the odds of leaving without being seen across patient characteristics and time.
RESULTS
From 2006 to 2017, 985,966 (95% CI: 787,296-1,184,637) ED visits were identified for sports-related concussions, of which 5015 (95% CI: 3024-7006) left without being seen.
CONCLUSION
Youth with sports-related concussion must receive timely care and ED improvements may reduce rates of leaving without being seen.
目的
尽管因运动相关脑震荡前往急诊科就诊的人数不断增加，但在就诊前离开的青少年的频率和特征尚不清楚。
方法
使用国家电子伤害监测系统对2006 - 2017年期间青少年（10 - 18岁）因运动相关头部损伤前往急诊科就诊的情况进行全国性估计。逻辑回归模型估计了不同患者特征和时间下未就诊就离开的几率。
结果
2006年至2017年期间，共识别出985,966例（95%置信区间：787,296 - 1,184,637）因运动相关脑震荡前往急诊科就诊的病例，其中5015例（95%置信区间：3024 - 7006）未就诊就离开。
结论
患有运动相关脑震荡的青少年必须得到及时治疗，急诊科的改善可能会降低未就诊就离开的比率。
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