Emergency Department concussion revisits: Chart review of the evaluation and discharge plans of post-traumatic headache patients

• Published in: The American journal of emergency medicine 2017-02, Vol.35 (2), p.365-367
• Main Authors: Minen, Mia, MD, MPH, Shome, Ashna, Femia, Robert, MD, Balcer, Laura, MD, MSCE, Grudzen, Corita, MD, MSHS, Gavin, Nicholas, MD
• Format: Article
• Language: English
• Subjects: Adult; Analgesics - therapeutic use; Back pain; Brain Concussion - complications; Brain Concussion - epidemiology; Brain research; Concussion; Conflicts of interest; Consciousness; Emergency; Emergency medical care; Emergency medical services; Emergency Service, Hospital; Female; Head injuries; Headaches; Humans; Male; Motor vehicles; Nausea; Neck injuries; Neck pain; Patient Discharge - statistics & numerical data; Patients; Post-Traumatic Headache - epidemiology; Post-Traumatic Headache - therapy; Retrospective Studies; Traumatic brain injury; United States - epidemiology; Vomiting
• ISSN: 0735-6757; 1532-8171
• DOI: 10.1016/j.ajem.2016.10.076

[...]approximately 1.365 million Americans with a traumatic brain injury (TBI) are treated and released from the Emergency Department (ED) annually [1]. Conflict of interest No funding, no conflicts of interest.\n Chief complaint Head injury 874 Primary DX Concussion 300 Headache 1278a Head injury 511 Table 2 Breakdown of chief complaint and primary diagnosis for all visits during study period. # Age gender Visit 1 chief complaint Visit 1 ICD9 diagnosis Visit 2 chief complaint Visit 2 ICD9 Diagnosis 1 89 yo F HEAD injury Head injury Right hip pain Head injury, near syncope, pelvic fracture, cognitive disorder, gait disorder, normal pressure hydrocephalus, benign essential tremor, DVT unspecified laterality, fall 2 23 yo M Closed head injury with brief loss of consciousness Concussion Headache and dizziness, returning for a work note Post concussive syndrome 3 20 yo M Fell and hit head Concussion syndrome Syncope Post-concussion syndrome 4 30 yo M Head injury Head injury Headache and dizziness Post concussive syndrome 5 39 yo M Cuts on face Head injury, concussion syndrome Abdominal pain/emesis Post-concussion syndrome 6 28 yo M Head injury Scalp injury, initial encounter Head injury Concussion syndrome 7 28 yo F Headache Concussion syndrome Headache Concussion syndrome 8 86 yo M Fall Head injury Back pain Hematoma, spinous process fracture 9 28 yo F Dizziness Post concussive syndrome Dizziness Concussion with no loss of consciousness, sequela, light headedness 10 19 yo F Head injury Dizziness and giddiness Headache Concussion syndrome 11 40 yo F Headache, neck pain Neck pain Nausea Concussion syndrome, cervical abnormality 12 21 yo M Head injury Post-concussion syndrome Headache Concussion, without loss of consciousness 13 86 yo M Head injury Head injury Headache, dizziness, emesis Headache, peripheral vertigo, unspecified laterality 14 52 yo M Head injury, post concussive syndrome Head injury, post concussive syndrome Neck pain Muscle spasms of the neck 15 58 yo F Head injury Contusion of face, scalp, and neck except eye(s) Headache, nausea Headache 16 29 yo F Motor vehicle crash, headache, dizziness Closed head injury, initial encounter Hip pain Motor vehicle accident, secondary encounter, Muscle pain 17 32 yo M Assault victim, facial laceration Contusion of face, scalp, and neck except eye(s) Chest pain Chest pain 18 33 yo M Assault victim Assault Loss of conscious-ness Concussion with brief loss of consciousness 19 54 yo M Head injury, headache Concuss