Socioeconomic and demographic considerations of pediatric concussion recovery

•Children were more likely to be hospitalized after concussion than adolescents.•Concussion clinic patients were more likely to have private insurance.•White patients constituted a larger portion of concussion clinic visits.•Black patients constituted a larger portion of pediatric ED visits for conc...

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Bibliographic Details
Published in:Journal of clinical neuroscience 2022-06, Vol.100, p.94-99
Main Authors: Pate, James, Cummins, Ian, Mooney, James, Cooper, Kasey, McLeod, Chandler, Gould, Sara
Format: Article
Language:English
Subjects:
Adolescent
Athletic Injuries - complications
Athletic Injuries - diagnosis
Athletic Injuries - epidemiology
Brain Concussion - diagnosis
Brain Concussion - epidemiology
Brain Concussion - therapy
Child
Child, Preschool
Concussion
Demography
Emergency Service, Hospital
Humans
Mild traumatic brain injury
Post-traumatic headaches
Recovery
Retrospective Studies
Socioeconomic disparities
Socioeconomic Factors
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Summary:•Children were more likely to be hospitalized after concussion than adolescents.•Concussion clinic patients were more likely to have private insurance.•White patients constituted a larger portion of concussion clinic visits.•Black patients constituted a larger portion of pediatric ED visits for concussion.•Potential barriers to care for youth concussion patients need be addressed. The objective of this study was to investigate predictors of concussion recovery in children (5–12) versus adolescents (13–18) while identifying economic and demographic disparities in post-concussion care at a tertiary referral concussion clinic versus emergency department (ED). Race and insurance status were recorded for patients presenting to the concussion clinic (724) and ED (1,160) with an ICD-10 concussion diagnosis between 2018 and 2019. Secondly, a subset of patients from the concussion clinic group were included for retrospective cohort review based on documented recovery data. Overall, the concussion clinic saw more Caucasian patients (66.7%) than the ED (56.8%). Concussion clinic patients were more likely to have Private insurance than ED patients (67.2% vs. 55.3%) and less likely to have Medicaid and Self pay (p 
ISSN:0967-5868
1532-2653
DOI:10.1016/j.jocn.2022.04.008