Race impacts concussion

Over the past decade The Journal of Pediatrics and other journals have published an abundance studies on youth concussion, often with a focus sports-related concussion. Pediatricians thus become increasingly familiar diagnosis management our children no doubt benefitted from attention to what was previous neglected injury. But, how well do we understand mechanism injury? Do all suffer same for concussion? In this volume Journal, Wallace Mannix present retrospective, cross-sectional study emergency department (ED) visits between 2010-2015 by less than or equal age 19 using National Hospital Ambulatory Medical Care Survey. Falls were close twice as common sports underlying injury at ED visits. Compared non-Hispanic White pediatric patient Black patients significantly likely Although assault compared falls, sports, motor vehicle accidents, odds some race/ethnicity adolescents sustaining concussion roughly 4-fold higher sport (Table).TablePopulation-weighted frequencies concussion/MHT (n = 6 268 879)Mechanisms injuryNon-Hispanic WhiteNon-Hispanic BlackHispanicOtherSport846 522 (23.4)213 372 (20.2)217 146 (15.4)17 124 (9.6)Motor collision445 177 (12.3)142 303 (13.5)141 715 (10.1)8474 (4.7)Fall1 495 782 (41.3)407 490 (38.5)816 569 (57.9)98 259 (55.1)Assault125 579 (3.4)131 762 (12.5)11 618 (0.8)12 403 (6.9)Other accident710 238 (19.6)161 791 (15.3)223 224 (15.8)42 331 (23.7)Values are number (%). Open table in new tab Values data examined retrospectively, biased possibly coding database, influenced perhaps factors affecting different races utilize ED, findings regarding nevertheless striking. Youth is not restricted privileged play organized but instead overwhelmingly trauma assault. Racial disparities affect likelihood particular mechanism. much more phenomenon. Perhaps should reconsider allocation public health resources research funding Article page 249 ▸ Disparities Diagnosis Concussion Minor Head Trauma Mechanism Injury Pediatric Patients Visiting Emergency DepartmentThe PediatricsVol. 233PreviewTo determine if racial/ethnic differences exist among visiting minor head (MHT). Full-Text PDF