Health care impact of implementing a clinical pathway for acute care of pediatric concussion: a stepped wedge, cluster randomised trial.

ABSTRACT:

Objectives

To test the effects of actively implementing a clinical pathway for acute care of pediatric concussion on health care utilization and costs.

Methods

Stepped wedge, cluster randomized trial of a clinical pathway, conducted in 5 emergency departments (ED) in Alberta, Canada from February 1 to November 30, 2019. The clinical pathway emphasized standardized assessment of risk for persistent symptoms, provision of consistent information to patients and families, and referral for outpatient follow-up. De-identified administrative data measured 6 outcomes: ED return visits; outpatient follow-up visits; length of ED stay, including total time, time from triage to physician initial assessment, and time from physician initial assessment to disposition; and total physician c

SUBMITTER: Yeates KO 

PROVIDER: S-EPMC10333406 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature