The Effectiveness of Early Educational Interventions in the Emergency Department to Reduce Incidence or Severity of Postconcussion Syndrome Following a Concussion: A Systematic Review

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Leeor EliyahuBrian H Rowe

Abstract

Concussions or mild traumatic brain injury are a major public health concern accounting for 85% of all brain injuries. Postconcussion syndrome (PCS) has been found to affect between 15 and 25% of patients with concussion 1 year after the initial injury. The goal of this review is to assess the effectiveness of early educational information or interventions provided in the emergency department on the onset and/or severity of PCS. A comprehensive literature search strategy involving seven electronic databases was developed. A grey literature search of Google Scholar, recent conference proceedings in emergency medicine, bibliographies of included studies, and clinical trial registries was also performed. The citation list was reviewed independently by two reviewers; no restrictions on publication status or language of publication were applied. The Cochrane risk-of-bias tool and the Newcastle-Ottawa scale were used to assess quality. From 1,325 citations retrieved, four RCTs and one controlled clinical trial met inclusion criteria. Interventions identified in these studies included: educational information sheets, with or without telephone or in-person follow-up, and one study on bed rest. While rarely requested, one study offered ...Continue Reading

References

Feb 1, 1987·Journal of Neurosurgery·H S LevinR F Frankowski
Sep 14, 1974·Lancet·D Gronwall, P Wrightson
Jan 1, 1981·Clinical Pharmacology and Therapeutics·M S Kramer, A R Feinstein
May 1, 1997·Journal of Neurology, Neurosurgery, and Psychiatry·D T WadeN E Moss
Aug 14, 1998·Journal of Neurology, Neurosurgery, and Psychiatry·D T WadeF E Caldwell
Jan 7, 1999·Brain Injury : [BI]·C PaniakJ Nagy
Jul 18, 2002·Journal of Neurology, Neurosurgery, and Psychiatry·J R de KruijkA Twijnstra
Aug 20, 2002·Journal of Neurology, Neurosurgery, and Psychiatry·A M Salazar
Aug 20, 2002·Journal of Neurology, Neurosurgery, and Psychiatry·J PonsfordC Curran
Apr 16, 2004·Journal of Rehabilitation Medicine·Jörgen BorgUNKNOWN WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury
Oct 8, 2004·The Journal of School Nursing : the Official Publication of the National Association of School Nurses·Sarah Cobb, Barbara Battin
Nov 22, 2005·Brain Injury : [BI]·P ComperA Tricco
Aug 2, 2006·Journal of Psychosomatic Research·Omar GhaffarAnthony Feinstein
Jan 2, 2009·Pediatrics·William P Meehan, Richard G Bachur
Jan 23, 2009·The Journal of Emergency Medicine·John CunninghamWilliam Pickett
Mar 24, 2009·The Mount Sinai Journal of Medicine, New York·John J Bruns, Andy S Jagoda
Jul 28, 2009·Journal of Clinical Epidemiology·David MoherUNKNOWN PRISMA Group
Aug 5, 2009·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Charles H Tator
Aug 5, 2009·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Won Hyung A RyuDeirdre R Dawson
Nov 27, 2009·Journal of Neurotrauma·Jeffrey J BazarianMichael P McDermott
Feb 26, 2010·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Ben HeskestadTor Ingebrigtsen
Aug 31, 2010·Journal of Neurology, Neurosurgery, and Psychiatry·Amal Al SayeghAlan J Carson
Sep 2, 2010·Pediatrics·Mark E HalsteadUNKNOWN Council on Sports Medicine and Fitness
Mar 18, 2011·Journal of Neurotrauma·Jennie PonsfordAntonina Mikocka-Walus
Aug 17, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Emma J TavenderRussell L Gruen
Mar 12, 2013·The Journal of Head Trauma Rehabilitation·Brian SuffolettoClifton W Callaway

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Citations

Oct 30, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Catherine E VarnerBjug Borgundvaag
Nov 9, 2017·Brain Injury : [BI]·Heather Dillon Anderson, Scott A Biely
Jul 25, 2019·Occupational Medicine·L A GaudetB H Rowe
Sep 4, 2019·The Journal of Head Trauma Rehabilitation·Christopher BaileyPaul Smith
Jul 28, 2018·AEM Education and Training·Sean P PatrickBrian H Rowe
Jan 9, 2019·Frontiers in Neurology·Suzanne PolinderNicole von Steinbuechel
Oct 3, 2018·Journal of Psychosocial Nursing and Mental Health Services·Esther Bay, Roxane Raffin Chan
Jan 23, 2021·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Catherine E VarnerShelley McLeod

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