Table I.
Demographic and patient characteristics of youth concussions, overall and by broad mechanism of injury
| Broad mechanism of injury
|
||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| All concussions |
Struck by an object
|
Fall |
Struck by a person |
MVC |
Assault |
Bicycle related |
Other |
|||||||||
| n | % | n | % | n | % | n | % | n | % | n | % | n | % | n | % | |
| Overall | 1625 | 100 | 506 | 31.1 | 486 | 29.9 | 341 | 21.0 | 94 | 5.8 | 73 | 4.5 | 23 | 1.4 | 102 | 6.3 |
| Age at first visit (y) | ||||||||||||||||
| 0–4 | 73 | 4.5 | 9 | 12.3 | 52 | 71.2 | 2 | 2.7 | 5 | 6.8 | 2 | 2.7 | 1 | 1.4 | 2 | 2.7 |
| 5–11 | 502 | 30.9 | 151 | 30.1 | 191 | 38.0 | 75 | 14.9 | 32 | 6.4 | 19 | 3.8 | 10 | 2.0 | 24 | 4.8 |
| 12–14 | 561 | 34.5 | 192 | 34.2 | 151 | 26.9 | 137 | 24.4 | 21 | 3.7 | 23 | 4.1 | 8 | 1.4 | 29 | 5.2 |
| 15–17 | 489 | 30.1 | 154 | 31.5 | 92 | 18.8 | 127 | 26.0 | 36 | 7.4 | 29 | 5.9 | 4 | 0.8 | 47 | 9.6 |
| Sex | ||||||||||||||||
| Female | 762 | 46.9 | 299 | 39.2 | 217 | 28.5 | 124 | 16.3 | 54 | 7.1 | 22 | 2.9 | 4 | 0.5 | 42 | 5.5 |
| Male | 863 | 53.1 | 207 | 24.0 | 269 | 31.2 | 217 | 25.1 | 40 | 4.6 | 51 | 5.9 | 19 | 2.2 | 60 | 7.0 |
| Race/ethnicity | ||||||||||||||||
| NH white | 1118 | 68.8 | 373 | 33.4 | 330 | 29.5 | 242 | 21.6 | 55 | 4.9 | 29 | 2.6 | 10 | 0.9 | 79 | 7.1 |
| NH black | 279 | 17.2 | 49 | 17.6 | 90 | 32.3 | 48 | 17.2 | 36 | 12.9 | 39 | 14.0 | 7 | 2.5 | 10 | 3.6 |
| Hispanic | 58 | 3.6 | 26 | 44.8 | 13 | 22.4 | 11 | 19.0 | 1 | 1.7 | 1 | 1.7 | 2 | 3.4 | 4 | 6.9 |
| NH | ||||||||||||||||
| Other/multiple race | 43 | 2.6 | 15 | 34.9 | 13 | 30.2 | 9 | 20.9 | 1 | 2.3 | 2 | 4.7 | 1 | 2.3 | 2 | 4.7 |
| Unknown | 127 | 7.8 | 43 | 33.9 | 40 | 31.5 | 31 | 24.4 | 1 | 0.8 | 2 | 1.6 | 3 | 2.4 | 7 | 5.5 |
| CHOP primary care patient | ||||||||||||||||
| Yes | 1052 | 64.7 | 331 | 31.5 | 334 | 31.7 | 221 | 21.0 | 52 | 4.9 | 43 | 4.1 | 13 | 1.2 | 58 | 5.5 |
| No | 573 | 35.3 | 175 | 30.5 | 152 | 26.5 | 120 | 20.9 | 42 | 7.3 | 30 | 5.2 | 10 | 1.7 | 44 | 7.7 |
| Insurance payor | ||||||||||||||||
| Private | 1321 | 81.3 | 429 | 32.5 | 391 | 29.6 | 294 | 22.3 | 60 | 4.5 | 42 | 3.2 | 17 | 1.3 | 88 | 6.7 |
| Medicaid | 256 | 15.8 | 61 | 23.8 | 85 | 33.2 | 41 | 16.0 | 24 | 9.4 | 27 | 10.5 | 5 | 2.0 | 13 | 5.1 |
| Self-pay | 48 | 3.0 | 16 | 33.3 | 10 | 20.8 | 6 | 12.5 | 10 | 20.8 | 4 | 8.3 | 1 | 2.1 | 1 | 2.1 |
| Other injury | ||||||||||||||||
| No | 1572 | 96.7 | 496 | 31.6 | 469 | 29.8 | 339 | 21.6 | 83 | 5.3 | 67 | 4.3 | 19 | 1.2 | 99 | 6.3 |
| Yes | 53 | 3.3 | 10 | 18.9 | 17 | 32.1 | 2 | 3.8 | 11 | 20.8 | 6 | 11.3 | 4 | 7.5 | 3 | 5.7 |
| CHOP point of health care entry | ||||||||||||||||
| Primary care | 868 | 53.4 | 291 | 33.5 | 261 | 30.1 | 203 | 23.4 | 32 | 3.7 | 25 | 2.9 | 9 | 1.0 | 47 | 5.4 |
| Specialty outpatient | 441 | 27.1 | 144 | 32.7 | 114 | 25.9 | 95 | 21.5 | 27 | 6.1 | 19 | 4.3 | 3 | 0.7 | 39 | 8.8 |
| ED/urgent care | 269 | 16.6 | 63 | 23.4 | 99 | 36.8 | 39 | 14.5 | 22 | 8.2 | 26 | 9.7 | 9 | 3.3 | 11 | 4.1 |
| Hospital | 47 | 2.9 | 8 | 17.0 | 12 | 25.5 | 4 | 8.5 | 13 | 27.7 | 3 | 6.4 | 2 | 4.3 | 5 | 10.6 |
| Days from injury to first visit | ||||||||||||||||
| 0 | 247 | 15.2 | 61 | 24.7 | 103 | 41.7 | 26 | 10.5 | 19 | 7.7 | 23 | 9.3 | 10 | 4.0 | 5 | 2.0 |
| 1 | 271 | 16.7 | 95 | 35.1 | 80 | 29.5 | 67 | 24.7 | 7 | 2.6 | 10 | 3.7 | 3 | 1.1 | 9 | 3.3 |
| ≥2 | 947 | 58.3 | 315 | 33.3 | 263 | 27.8 | 222 | 23.4 | 56 | 5.9 | 33 | 3.5 | 9 | 1.0 | 49 | 5.2 |
| Unknown | 160 | 9.8 | 35 | 21.9 | 40 | 25.0 | 26 | 16.3 | 12 | 7.5 | 7 | 4.4 | 1 | 0.6 | 39 | 24.4 |
| Injury type | ||||||||||||||||
| SRR | 1060 | 65.2 | 349 | 32.9 | 314 | 29.6 | 311 | 29.3 | 4 | 0.4 | 3 | 0.3 | 23 | 2.2 | 56 | 5.3 |
| Non-SRR | 445 | 27.4 | 132 | 29.7 | 134 | 30.1 | 17 | 3.8 | 89 | 20.0 | 69 | 15.5 | 0 | 0 | 4 | 0.9 |
| Unknown | 120 | 7.4 | 25 | 20.8 | 38 | 31.7 | 13 | 10.8 | 1 | 0.1 | 1 | 0.1 | 0 | 0 | 42 | 35.0 |