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Abstract Details

Which Patients are Choosing Tele-health for Concussion Follow-up?
Neuro Trauma and Critical Care
P2 - Poster Session 2 (11:45 AM-12:45 PM)
3-012

The purpose of the study is to determine which patients are using tele-health to follow-up for their concussion care and whether socioeconomic status is a factor in the decision.
The 好色先生 position statement in 2019 stated that telemedicine can be appropriate for concussion evaluations, and the pandemic provided a natural timepoint to assess the efficacy of telehealth compared to in-person care. Previous aspects of this study suggest that outcomes are similar for patients that follow-up via telehealth versus in-person. The current aim is to determine if factors like socioeconomic status or distance traveled affect a patient’s choice for mode of follow-up.

This is a retrospective chart review of 150 adult patients that were seen in the concussion clinic between 2020 and 2022 either in-person or by video visit after an initial in-person appointment. Chart review included, age, sex, race, days from injury to appointment, mechanism of injury, post-concussion symptom score, and neurological exam findings. Outcome measures included therapy referral, follow-up, and time to recovery. Distance from clinic was based on home address, and socioeconomic status was determined by zip code review of SES based on the patient’s home address.
We found that patients who utilized tele-health follow-up live an average of 41.2 miles from the clinic (range 25.3-54.0, median 44.3 miles); average income for their zip code was $73,056 with a poverty rate of 12.15%. For in-person, the average distance was 9.62 miles (range 1.9-43.3, median 5.7 miles); average zip code income was $76,762 with a poverty rate of 15.06%. 
Patients who use tele follow-up for their concussion care tend to live farther from the clinic, but come from zip codes with similar average income and poverty rates as those who follow-up in person. Distance from clinic appears to be a driving factor in choosing tele-neurology care.
Authors/Disclosures
Nick Mannix, MD (The Ohio State University Wexner Medical Center)
PRESENTER 		Dr. Mannix has nothing to disclose.
Jack Finn (The Ohio State University Wexner Medical Center Department of Neurology) No disclosure on file
Kevin D. Weber, MD (The Ohio State Neurological Institute Department of Neurology) Dr. Weber has nothing to disclose.
Andrew R. Sas, MD, PhD (Ohio State University) Dr. Sas has nothing to disclose.