TY  - JOUR
PY  - 2023//
TI  - Specialist healthcare services for concussion/mild traumatic brain injury in England: a consensus statement using modified Delphi methodology
JO  - BMJ open
A1  - Karvandi, Elika
A1  - Helmy, Adel
A1  - Kolias, Angelos G.
A1  - Belli, Antonio
A1  - Ganau, Mario
A1  - Gomes, Clint
A1  - Grey, Michael
A1  - Griffiths, Michael
A1  - Griffiths, Timothy
A1  - Griffiths, Philippa
A1  - Holliman, Damian
A1  - Jenkins, Peter
A1  - Jones, Ben
A1  - Lawrence, Tim
A1  - McLoughlin, Terence
A1  - McMahon, Catherine
A1  - Messahel, Shrouk
A1  - Newton, Joanne
A1  - Noad, Rupert
A1  - Raymont, Vanessa
A1  - Sharma, Kanchan
A1  - Sylvester, Richard
A1  - Tadmor, Daniel
A1  - Whitfield, Peter
A1  - Wilson, Mark
A1  - Woodberry, Emma
A1  - Parker, Michael
A1  - Hutchinson, Peter John
SP  - e077022
EP  - e077022
VL  - 13
IS  - 12
N2  - OBJECTIVE: To 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. <br><br>DESIGN: This 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%. SETTING: Specialist outpatient services. PARTICIPANTS: Members 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 MEASURE: A consensus statement on the structure and process of specialist outpatient care for patients with concussion in England. <br><br>RESULTS: 55 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. <br><br>CONCLUSIONS: This 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.<p />  <p>Language: en</p>
LA  - en
SN  - 2044-6055
UR  - http://dx.doi.org/10.1136/bmjopen-2023-077022
ID  - ref1
ER  -