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Post-Concussion Academic Support Disparities Found

J Pediatr; ePub 2019 Mar 7; Snedden, et al

Although the majority of children received academic support post-concussion, accommodations were associated with several demographic, medical history, and injury characteristics, but not attending a primary care provider (PCP) follow-up visit, a recent study found. Researchers conducted prospective cohort study consisting of concussed children, aged 8-18 years, presenting to a regional pediatric trauma center emergency department (n=160). Participants were contacted 7 and 30 days after injury to gather data on PCP follow-up, symptoms, quality of life, and receipt of academic support instituted after and because of the concussion. They found:

  • Overall, 51.3% (n=82) received academic support; of these, 84.2% attended a follow-up visit compared with 71.8% of 78 children who attended a follow-up visit but did not receive support.
  • Children who received support were more likely to have commercial insurance, experience a sports-related injury mechanism, have parents whose primary language was English, suffer from learning disabilities and migraines, and be non-Hispanic.
  • There was no association between attending a follow-up visit and receipt of academic support.

Snedden TR, Pierpoint LA, Currie DW, Comstock D, Grubenhoff JA. Postconcussion academic support in children who attend a primary care provider follow-up visit after presenting to the emergency department. [Published online ahead of print March 7, 2019]. J Pediatr. doi:10.1016/j.jpeds.2019.01.041.