title: Concussion clinic referral demographics and recommendations: a retrospective analysis.
abstract: OBJECTIVE
  To review the demographic factors, mechanism of injury and treatment recommendations for patients attending a concussion clinic in New Zealand.
  
  
  METHODS
  Retrospective analysis of data for all patients attending a concussion clinic in a single centre over a 2-year period. Data was collected via an electronic database and written clinical records.
  
  
  RESULTS
  Data from a total of 161 patients was collected; 8 patients did not attend clinic appointments, yet their mechanism of injury was available from referral notes. 42 (26%) patients were diagnosed as not having a mild traumatic brain injury (TBI). Of the remainder, 72 (47%) had a mild TBI and 36 (22%) had moderate or severe TBI; 21% of attendees were injured in sporting accidents with 19% injured in motor vehicle accidents and 17% in falls. More treatment recommendations were made in those patients diagnosed with TBI than those with no TBI (p=0.038). Occupational therapy was the most commonly recommended treatment.
  
  
  CONCLUSIONS
  Considering the high number of injuries with mild TBI that occur every year, there was a relatively small number seen in the Wellington area concussion clinic. Only half of clinic attendees had had a mild TBI. Treatment recommendations were similar throughout patient diagnostic groups; occupational therapy input was probably offered because it was resourced by the clinic funder. Further research is required into return to work, emotional and cognitive outcomes.
authors.affiliation: Capital and Coast DHB, Wellington. Hamish.Alexander@huttvalleydhb.org.nz
authors.forename: Hamish
authors.initials: H
authors.lastname: Alexander
authors.forename: Nicola
authors.initials: N
authors.lastname: Shelton
authors.forename: Jacob
authors.initials: J
authors.lastname: Fairhall
authors.forename: Harry
authors.initials: H
authors.lastname: McNaughton
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data; D001924:Brain Concussion / Q000453:epidemiology* / Q000209:etiology / Q000628:therapy; D003710:Demography; D005260:Female; D006801:Humans; D008297:Male; D009520:New Zealand / Q000453:epidemiology; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012189:Retrospective Studies