Post Concussion Guidelines For Improvement
The Concussion Quality Measurement Work Group, recently brought to the forefront 3 approved quality measures for mTBI,
They are as follows:
Concussion Symptom Evaluation
Appropriate Neurological Exam
Documentation of return to play strategy or protocol.
Included alongside these recommendations were the following 5 areas for improvement:
Return to school and work
Neither CT nor MRI are recommended for the routine diagnosis of acute concussion.
Recent advances have presented rapid blood-based biomarkers for the determination of the appropriateness of CT for acute head injury (Rose et al, 2019)
Return to School and Work
A slow, tapered approach is recommended regarding returning academics or the workplace
Post- Traumatic Headache
Headache is the most common patient complaint post- concussion.
Nonopioid analgesics are recommended for the treatment of headache after acute concussion.
Analgesic overuse should be avoided.
Patients with mood/anxiety disorders established prior to this injury are at risk for persistent post-concussive symptoms.
A correlation has been made between concussion and an increased risk of ideation, attempt, and completion of suicide.