Käckenmester Wiebke, Güthoff Claas, Mroß Dana, Wietholt Gertrud, Zappel Kristina, Schmehl Ingo
Center for Clinical Research, BG Klinikum Unfallkrankenhaus Berlin gGmbH, Warener Straße 7, 12683 Berlin, Germany.
Kinderneurologie-Hilfe Berlin, Brandenburg am Unfallkrankenhaus Berlin, Warener Straße 7, 12683 Berlin, Germany.
Diagnostics (Basel). 2022 Sep 19;12(9):2265. doi: 10.3390/diagnostics12092265.
The long-term effects of mild Traumatic Brain Injury (TBI) in children and adolescents are increasingly discussed due to their potential impact on psycho-social development and education. This study aims to evaluate post-hospital care of children and adolescents after mild TBI using a physician survey.
A self-developed, pre-tested questionnaire on diagnostics and treatment of TBI in outpatient care was sent to a representative sample of general practitioners and pediatricians in Germany.
Datasets from 699 general practitioners, 334 pediatricians and 24 neuropediatricians were available and included in the analysis. Nearly half of the general practitioners and most pediatricians say they treat at least one acute pediatric TBI per year. However, a substantive proportion of general practitioners are not familiar with scales assessing TBI severity and have difficulties assessing the symptoms correctly. Pediatricians seem to have better knowledge than general practitioners when it comes to treatment and outpatient care of TBI.
To increase knowledge about TBI in outpatient physicians, targeted training courses should be offered, especially for general practitioners. Moreover, handing out written information about long-term effects and reintegration after TBI should be encouraged in outpatient practice.
由于轻度创伤性脑损伤（TBI）对儿童和青少年心理社会发展及教育可能产生影响，其长期影响受到越来越多的讨论。本研究旨在通过医生调查评估儿童和青少年轻度TBI后的出院后护理情况。
一份自行编制并经过预测试的关于门诊TBI诊断和治疗的问卷被发送给德国全科医生和儿科医生的代表性样本。
获得了来自699名全科医生、334名儿科医生和24名神经儿科医生的数据集并纳入分析。近一半的全科医生和大多数儿科医生表示他们每年至少治疗一例急性儿童TBI。然而，相当一部分全科医生不熟悉评估TBI严重程度的量表，并且在正确评估症状方面存在困难。在TBI的治疗和门诊护理方面，儿科医生似乎比全科医生有更丰富的知识。
为了提高门诊医生对TBI的认识，应提供有针对性培训课程，尤其是针对全科医生。此外，应鼓励在门诊实践中发放有关TBI长期影响和康复的书面信息。
