Journal article
Specialist healthcare services for concussion/mild traumatic brain injury in England: a consensus statement using modified Delphi methodology
BMJ open, Vol.13(12), pp.e077022-e077022
12/09/2023
DOI: 10.1136/bmjopen-2023-077022
PMCID: PMC10729241
PMID: 38070886
Abstract
ObjectiveTo establish a consensus on the structure and process of healthcare services for patients with concussion in England to facilitate better healthcare quality and patient outcome.DesignThis consensus study followed the modified Delphi methodology with five phases: participant identification, item development, two rounds of voting and a meeting to finalise the consensus statements. The predefined threshold for agreement was set at ≥70%.SettingSpecialist outpatient services.ParticipantsMembers of the UK Head Injury Network were invited to participate. The network consists of clinical specialists in head injury practising in emergency medicine, neurology, neuropsychology, neurosurgery, paediatric medicine, rehabilitation medicine and sports and exercise medicine in England.Primary outcome measureA consensus statement on the structure and process of specialist outpatient care for patients with concussion in England.Results55 items were voted on in the first round. 29 items were removed following the first voting round and 3 items were removed following the second voting round. Items were modified where appropriate. A final 18 statements reached consensus covering 3 main topics in specialist healthcare services for concussion; care pathway to structured follow-up, prognosis and measures of recovery, and provision of outpatient clinics.ConclusionsThis work presents statements on how the healthcare services for patients with concussion in England could be redesigned to meet their health needs. Future work will seek to implement these into the clinical pathway.
Details
- Title: Subtitle
- Specialist healthcare services for concussion/mild traumatic brain injury in England: a consensus statement using modified Delphi methodology
- Creators
- Elika Karvandi - University of CambridgeAdel Helmy - University of CambridgeAngelos G Kolias - University of CambridgeAntonio Belli - University of BirminghamMario Ganau - University of OxfordClint Gomes - United Kingdom SportMichael Grey - Loughborough UniversityMichael Griffiths - University of LiverpoolTimothy Griffiths - Newcastle UniversityPhilippa Griffiths - Cumbria Northumberland Tyne and Wear NHS Foundation TrustDamian Holliman - Royal Victoria InfirmaryPeter Jenkins - Southampton General HospitalBen Jones - The Football AssociationTim Lawrence - University of OxfordTerence McLoughlin - Royal Liverpool University HospitalCatherine McMahon - Salford Royal HospitalShrouk Messahel - Alder Hey Children's NHS Foundation TrustJoanne Newton - Newcastle upon Tyne Hospitals NHS Foundation TrustRupert Noad - University Hospitals Plymouth NHS TrustVanessa Raymont - University of OxfordKanchan Sharma - North Bristol NHS TrustRichard Sylvester - National Hospital for Neurology and NeurosurgeryDaniel Tadmor - Leeds Beckett UniversityPeter Whitfield - University Hospitals Plymouth NHS TrustMark Wilson - Imperial College Healthcare NHS TrustEmma Woodberry - University of CambridgeMichael Parker - Love of the Game, London, UKPeter John Hutchinson - University of Cambridge
- Resource Type
- Journal article
- Publication Details
- BMJ open, Vol.13(12), pp.e077022-e077022
- Publisher
- British Medical Journal Publishing Group
- DOI
- 10.1136/bmjopen-2023-077022
- PMID
- 38070886
- PMCID
- PMC10729241
- ISSN
- 2044-6055
- eISSN
- 2044-6055
- Language
- English
- Date published
- 12/09/2023
- Academic Unit
- Psychological and Brain Sciences
- Record Identifier
- 9984627239402771
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