Washington State's Lystedt Law in Concussion Documentation in Seattle Public High Schools

Bompadre, Viviana; Jinguji, Thomas M.; Yanez, N. David; Satchell, Emma K.; Gilbert, Kaiulani; Burton, Monique S.; Conrad, Ernest U.; Herring, Stanley A.

doi:10.4085/1062-6050-49.3.30

Cited by 70 publications

(65 citation statements)

References 25 publications

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“…Theoretically, more parents or athletes may consequently recognize potential injuries and report them to appropriate medical providers. Such indirect benefits may explain previous findings 31,32 of improved rates of SRC diagnosis in states that have adopted concussion legislation.…”

Section: Policy Levelmentioning

confidence: 46%

A Multifactorial Approach to Sport-Related Concussion Prevention and Education: Application of the Socioecological Framework

Baugh

Kroshus

et al. 2017

Journal of Athletic Training

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Objective: To offer an overview of sport-related concussion (SRC) prevention and education strategies in the context of the socioecological framework (SEF). Athletic trainers (ATs) will understand the many factors that interact to influence SRC prevention and the implications of these interactions for effective SRC education.Background: Concussion is a complex injury that is challenging to identify and manage, particularly when athletes fail to disclose symptoms to their health care providers. Education is 1 strategy for increasing disclosure. However, limited information addresses how ATs can integrate the many factors that may influence the effectiveness of SRC education into their specific settings. Public health models provide an example through the SEF, which highlights the interplay among various levels of society and sport that can facilitate SRC prevention strategies, including education.Description: For ATs to develop appropriate SRC prevention strategies, a framework for application is needed. A growing body of information concerning SRC prevention indicates that knowledge alone is insufficient to change concussion-related behaviors. The SEF allows this information to be considered at levels such as policy and societal, community, interpersonal (relationships), and intrapersonal (athlete). The use of such a framework will facilitate more comprehensive SRC prevention efforts that can be applied in all athletic training practice settings.Clinical Applications: Athletic trainers can use this information as they plan SRC prevention strategies in their specific settings. This approach will aid in addressing the layers of complexity that exist when developing a concussion-management policy and plan.

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Section: Policy Levelmentioning

confidence: 46%

A Multifactorial Approach to Sport-Related Concussion Prevention and Education: Application of the Socioecological Framework

Baugh

Kroshus

et al. 2017

Journal of Athletic Training

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“…State regulation of documentation practices, particularly for concussion, has been shown to increase documentation of these injuries. 26 However, few states specify expectations for patient care documentation by ATs.…”

Section: 21mentioning

confidence: 99%

Athletic Trainers' Reasons for and Mechanics of Documenting Patient Care: A Report From the Athletic Training Practice-Based Research Network

Nottingham

Lam

Kasamatsu

et al. 2017

Journal of Athletic Training

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Context: Documenting patient care is an important responsibility of athletic trainers (ATs). However, little is known about ATs' reasons for documenting patient care and the mechanics of completing documentation tasks. Objective: To understand ATs' perceptions about reasons for and the mechanics of patient care documentation. Design: Qualitative study. Setting: Individual telephone interviews with Athletic Training Practice-Based Research Network members. Patients or Other Participants: Ten ATs employed in the secondary school setting (age = 32.6 ± 11.4 years, athletic training experience = 7.1 ± 7.8 years) were recruited using a criterion-based sampling technique. Participants were Athletic Training Practice-Based Research Network members who used the Clinical Outcomes Research Education for Athletic Trainers electronic medical record system and practiced in 6 states. Data Collection and Analysis: We used the consensual qualitative research tradition. One investigator conducted individual telephone interviews with each participant. Data collection was considered complete after the research team determined that data saturation was reached. Interviews were transcribed verbatim and independently analyzed by 4 research team members following the process of open, axial, and selective coding. After independently categorizing interview responses into categories and themes, the members of the research team developed a consensus codebook, reanalyzed all interviews, and came to a final agreement on the findings. Trustworthiness was established through multiple-analyst triangulation and member checking. Results: Participants identified 3 reasons for documenting patient care: communication, monitoring patient care, and legal implications. Four subcategories emerged from the mechanics-of-documentation theme: location, time of day, length of time, and criteria for documenting. The ATs described different criteria for documenting patient care, ranging from documenting every injury in the same manner to documenting time-loss and follow-up injuries differently. Conclusions: Whereas ATs recognized individual mechanisms that enabled them to document patient care, they may need more guidance on the appropriate criteria for documenting various patient care encounters and strategies to help them document more effectively.

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“…3,4 Reducing risk of a second injury is at the foundation of the national legislative movement for youth concussion state laws. 8 Evidence to support the importance of early recognition of concussion and removal from play of the concussed athlete would help to bolster compliance with this mandate.…”

Section: Introductionmentioning

confidence: 99%

Additional Post-Concussion Impact Exposure May Affect Recovery in Adolescent Athletes

Terwilliger

Pratson

Vaughan

et al. 2016

Journal of Neurotrauma

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Repeat concussion has been associated with risk for prolonged and pronounced clinical recovery in athletes. In this study of adolescent athletes, we examined whether an additional head impact within 24 h of a sports-related concussion (SRC) is associated with higher symptom burden and prolonged clinical recovery compared with a single-injury group. Forty-two student-athletes (52% male, mean age = 14.9 years) diagnosed with an SRC in a concussion clinic were selected for this study: (1) 21 athletes who sustained an additional significant head impact within 24 h of the initial injury (additionalimpact group); (2) 21 single-injury athletes, age and gender matched, who sustained only one discrete concussive blow to the head (single-injury group). Groups did not differ on initial injury characteristics or pre-injury risk factors. The effect of injury status (single-vs. additional-impact) was examined on athlete-and parent-reported symptom burden (at first clinic visit) and length of recovery (LOR). Higher symptom burden was reported by the athletes and parents in the additionalimpact group at the time of first visit. The additional-impact group also had a significantly longer LOR compared with the single-injury group. These findings provide preliminary, hypothesis-generating evidence for the importance of immediate removal from play following an SRC to protect athletes from re-injury, which may worsen symptoms and prolong recovery. The retrospective study design from a specialized clinical sample points to the need for future prospective studies of the relationship between single-and additional-impact injuries on symptom burden and LOR.

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Washington State's Lystedt Law in Concussion Documentation in Seattle Public High Schools

Abstract: The number of documented concussions more than doubled after the institution of the Lystedt law, which may be attributed to heightened awareness and closer monitoring.

Cited by 70 publications

References 25 publications

A Multifactorial Approach to Sport-Related Concussion Prevention and Education: Application of the Socioecological Framework

A Multifactorial Approach to Sport-Related Concussion Prevention and Education: Application of the Socioecological Framework

Athletic Trainers' Reasons for and Mechanics of Documenting Patient Care: A Report From the Athletic Training Practice-Based Research Network

Additional Post-Concussion Impact Exposure May Affect Recovery in Adolescent Athletes

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