2006 - 2016年神经科医生和非神经科医生门诊脑震荡就诊情况的人口统计学特征与管理
Demographics and management of outpatient concussion visits among neurologists and non-neurologists: 2006-2016.
作者信息
Asselin Patrick D, Mannix Rebekah
机构信息
Division of General Pediatrics, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA.
Division of Emergency Medicine; Boston Children's Hospital; Boston, MA 02115, USA.
出版信息
Concussion. 2020 Aug 4;5(3):CNC79. doi: 10.2217/cnc-2020-0008.
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.
目的
描述门诊脑震荡就诊患者的人口统计学特征及管理情况，重点关注神经科医生。
材料与方法
我们使用国家门诊医疗调查来提供2006年至2016年全国脑震荡就诊的人口统计学特征及临床决策的估计数据，这些就诊是通过国际疾病分类第9/10版代码识别的。
结果
2006年至2016年，全国估计有1100万次就诊。与非神经科医生相比，神经科医生诊治的18岁以上患者明显更多，且非急性护理患者更多。神经科医生进行影像学检查和开新处方药物的比例与非神经科医生相似。在研究期间，非神经科亚专业的就诊量显著增加。
结论
神经科医生诊治的患者年龄较大，且亚急性患者护理更多，开新处方药物和进行影像学检查的比例相似。非神经科亚专业医生比以前更多地参与脑震荡诊治。
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