ABSTRACT

Objective:

To establish the current knowledge of sport-related concussion (SRC) management of clinicians in emergency departments in the North West of England.

Methods:

A cross-sectional, multi-center study design was used and included emergency department clinicians (EDCs) across 15 centers in the North West of England. A 22-question survey was issued with questions focused on the 5th International Conference on Concussion Consensus Statement. Absolute and percentages were presented, and comparisons in knowledge of guidelines and confidence between EDCs were made using the Kruskal-Wallis test.

Results:

Of an estimated 300 EDCs, 111 (37%) responded. Thirty (27%) were aware of the guidelines, whilst 63 (57%) had heard of a graduated return-to-sport protocol. Physical rest was advised by 106 (95%) respondents, with 68 (61%) advising cognitive rest and 47 (42%) providing written advice. There was no difference (p > .05) in awareness of SRC guidelines or confidence between clinician grade, with most receiving no SRC training.

Conclusions:

There is a lack of knowledge amongst EDCs in the North West of England in managing and providing discharge advice to patients with SRC. This is likely due to the limited awareness of guidelines and training, and therefore further education delivery on SRC management guidelines is required.

中文翻译：

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英格兰急诊科运动相关脑震荡的管理：一项多中心研究

摘要

客观的：

建立英格兰西北部急诊科临床医生对运动相关脑震荡 (SRC) 管理的最新知识。

方法：

使用横断面、多中心研究设计，包括英格兰西北部 15 个中心的急诊科临床医生 (EDC)。发布了一份 22 个问题的调查问卷，问题集中在第五届国际脑震荡共识声明会议上。提供了绝对值和百分比，并使用 Kruskal-Wallis 检验对 EDC 之间的指南知识和置信度进行了比较。

结果：

在估计的 300 个 EDC 中，111 个（37%）做出了回应。30 人 (27%) 知道该指南，而 63 人 (57%) 听说过分级恢复运动协议。106 (95%) 名受访者建议身体休息，其中 68 (61%) 名建议认知休息，47 (42%) 名提供书面建议。临床医生级别之间对 SRC 指南的认识或信心没有差异 ( p > .05)，大多数没有接受过 SRC 培训。

结论：

英格兰西北部的 EDC 缺乏管理 SRC 患者并向其提供出院建议的知识。这可能是由于对指南和培训的认识有限，因此需要进一步提供有关 SRC 管理指南的教育。