Sports-related concussions among youth are a growing concern in the United States. With an estimated 1.1 to 1.9 million cases annually, the need for timely and effective medical care is paramount. Despite this, a significant number of young patients leave emergency departments (EDs) without being seen (LWBS), which raises questions about healthcare accessibility and effectiveness. A recent study titled "Characteristics of youth who leave the emergency department without being seen following sports-related concussion" sheds light on this issue.
The Study's Findings
The study utilized data from the National Electronic Injury Surveillance System (NEISS) covering 2006 to 2017. It identified nearly one million ED visits for sports-related head injuries among youth aged 10 to 18 years. Of these, approximately 0.51% left without receiving treatment. This rate is consistent with other studies but highlights a critical gap in care.
Demographic Insights
- Youth who left EDs without being seen were more likely to be nonwhite or of unknown race.
- Injuries occurring at recreational locations rather than schools had higher LWBS rates.
- The study found no significant increase in LWBS rates following the implementation of return-to-play legislation across states.
Implications for Practitioners
The findings suggest several areas where healthcare practitioners can focus their efforts to reduce LWBS rates:
Addressing Racial Disparities
The study highlights a concerning disparity in LWBS rates among nonwhite youth compared to their white counterparts. Practitioners should be aware of these disparities and work towards culturally competent care that addresses potential barriers faced by minority groups.
Improving ED Processes
- Streamline triage processes to reduce wait times and overcrowding in EDs.
- Implement follow-up protocols for patients who leave without being seen to ensure they receive necessary care elsewhere.
- Enhance communication strategies to inform patients and families about the importance of receiving timely concussion care.
Encouraging Further Research
This study opens avenues for further research into the factors contributing to LWBS among youth with concussions. More detailed data collection on patient demographics, injury specifics, and hospital characteristics could provide deeper insights into this issue.
Conclusion
Youth with sports-related concussions require timely and effective medical care to prevent adverse outcomes. The study's findings underscore the need for targeted interventions to address racial disparities and improve ED processes. By implementing these strategies, practitioners can help ensure that all youth receive the care they need.
To read the original research paper, please follow this link: Characteristics of youth who leave the emergency department without being seen following sports-related concussion
