A-11 Social Determinants of Health in the Diagnosis and Management of Pediatric Concussion: A Content Analysis

Abstract Purpose: This content analysis examined the literature underlying Centers for Disease Control and Prevention Guideline on Diagnosis Management of Mild Traumatic Brain Injury Among Children (i.e., “Guideline”) to determine extent which social determinants health (SDH) were or addressed. Methods: A published systematic review, that formed basis Guideline, included 37 studies addressing diagnosis, prognosis, treatment/rehabilitation. We those identify SDH domains associated subcategories derived from Healthy People 2020 2030 websites. Pairs raters coded each article with disagreements resolved by consensus. Results: At least one domain was represented in 60% articles, usually mentioned descriptively, as a covariate, design consideration. Very few addressed primary focus study. The most frequently Education Access (43.2% studies), receiving credit often reporting participants learning disabilities. Social Community Context, broadly defined, nearly 1 3 (29.7%). Economic Stability Health Care 6 (16.2%). Some (k = 6, 16.2%) referenced important consider future research. includes some commentary literacy socioeconomic status. Conclusions: are largely unrepresented meaningful variables influencing Children, review informed guideline.